DR. BENJAMIN SAYLOR M.D
NPI 1659768877
Pathology - Anatomic Pathology & Clinical Pathology in Nashville, TN

Medicare Participation & PECOS Enrollment Status

Benjamin Saylor is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

• Is the provider registered in PECOS? Yes

• Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

• Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

• Eligible to Order or Refer a Home Health Agency (HHA): No

• Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Blood smear interpretation by physician with written report

Blood smear interpretation is a lab test where your doctor examines a sample of your blood under a microscope. They look for abnormalities in your blood cells which can help diagnose various conditions. You'll receive a written report of the findings.

This service was performed 19 times for 19 patients

Bone marrow, smear interpretation

Bone marrow smear interpretation is a procedure where a small sample of your bone marrow is taken and examined under a microscope. This helps doctors identify any abnormal cells or signs of diseases such as anemia, leukemia, or infections. It's a crucial step in diagnosing various blood disorders.

This service was performed 64 times for 63 patients

Bone marrow, smear interpretation

Bone marrow smear interpretation is a procedure where a small sample of your bone marrow is taken and examined under a microscope. This helps doctors identify any abnormal cells or signs of diseases such as anemia, leukemia, or infections. It's a crucial step in diagnosing various blood disorders.

This service was performed 23 times for 23 patients

Chromosome analysis for genetic defects, additional karyotypes, each study

Chromosome analysis is a test that examines the number and structure of a person's chromosomes. This is done to identify any genetic defects. Additional karyotypes, each study, are further tests that look at the arrangement of these chromosomes. This can help in detecting genetic disorders.

This service was performed 47 times for 47 patients

Chromosome analysis for genetic defects, analyze 20-25 cells

Chromosome analysis is a test that evaluates your cells to check for genetic defects. In this procedure, 20-25 cells are examined under a microscope to identify any abnormalities. This information can help in diagnosing certain genetic conditions and guide treatment plans.

This service was performed 46 times for 46 patients

Flow cytometry technique for dna or cell analysis, 16 or more markers

Flow cytometry is a method used to measure and analyze cells. It uses a beam of light to detect up to 16 or more markers on cells, helping to identify their type, function, or abnormalities. This technique aids in diagnosing various health conditions.

This service was performed 47 times for 46 patients

Flow cytometry technique for dna or cell analysis, each additional marker

Flow cytometry is a technique that helps analyze the physical and chemical characteristics of cells or particles. When an additional marker is used, it aids in identifying specific cell types or stages of disease. This helps in precise diagnosis and treatment planning.

This service was performed 1,110 times for 46 patients

Flow cytometry technique for dna or cell analysis, first marker

Flow cytometry is a technique used to examine microscopic particles, like cells or DNA. It employs a beam of light to detect and measure physical and chemical characteristics of these particles. The 'first marker' refers to a specific characteristic or feature used to identify a particular cell or particle.

This service was performed 47 times for 46 patients

Microscopic genetic analysis of tissue, computer-assisted technology, initial procedure, each multiplex procedure

This procedure involves analyzing tissue at a genetic level using a microscope and advanced computer technology. The initial process involves the collection and preparation of tissue samples. Each multiplex procedure refers to the simultaneous testing of multiple genetic markers to identify abnormalities.

This service was performed 314 times for 65 patients

Microscopic genetic analysis of tissue, computer-assisted technology, initial procedure, each multiplex procedure

This procedure involves analyzing tissue at a genetic level using a microscope and advanced computer technology. The initial process involves the collection and preparation of tissue samples. Each multiplex procedure refers to the simultaneous testing of multiple genetic markers to identify abnormalities.

This service was performed 172 times for 37 patients

Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure

Microscopic genetic analysis of tissue is a detailed lab process that examines your cells' genetic material. If more than one stain procedure is needed, it's termed an 'additional multiplex stain procedure'. This helps to highlight different components within your cells, aiding in accurate diagnosis and treatment planning.

This service was performed 87 times for 45 patients

Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure

Microscopic genetic analysis of tissue is a detailed lab process that examines your cells' genetic material. If more than one stain procedure is needed, it's termed an 'additional multiplex stain procedure'. This helps to highlight different components within your cells, aiding in accurate diagnosis and treatment planning.

This service was performed 56 times for 26 patients

Microscopic genetic analysis of tumor, manual

Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.

This service was performed 132 times for 107 patients

Microscopic genetic analysis of tumor, manual

Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.

This service was performed 52 times for 46 patients

Molecular pathology procedure; physician interpretation and report

A molecular pathology procedure involves analyzing your body's cells at a molecular level to identify any abnormalities. This can help detect diseases early. A physician will interpret the results and provide a detailed report, explaining the findings clearly.

This service was performed 633 times for 282 patients

Molecular pathology procedure; physician interpretation and report

A molecular pathology procedure involves analyzing your body's cells at a molecular level to identify any abnormalities. This can help detect diseases early. A physician will interpret the results and provide a detailed report, explaining the findings clearly.

This service was performed 679 times for 326 patients

Pathology examination of tissue using a microscope, intermediate complexity

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

This service was performed 221 times for 81 patients

Pathology examination of tissue using a microscope, intermediate complexity

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

This service was performed 75 times for 28 patients

Preparation of specimen, manual

The preparation of a specimen manually is a procedure where a sample from your body is collected by a healthcare professional. This could be blood, urine, or tissue. The sample is then prepared in a lab for further analysis to help diagnose or monitor your health condition.

This service was performed 133 times for 132 patients

Preparation of specimen, manual

The preparation of a specimen manually is a procedure where a sample from your body is collected by a healthcare professional. This could be blood, urine, or tissue. The sample is then prepared in a lab for further analysis to help diagnose or monitor your health condition.

This service was performed 59 times for 59 patients

Preparation of tissue for examination by removing any calcium present

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

This service was performed 78 times for 76 patients

Preparation of tissue for examination by removing any calcium present

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

This service was performed 24 times for 23 patients

Special stained specimen slides to examine tissue including interpretation and report

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

This service was performed 441 times for 79 patients

Special stained specimen slides to examine tissue including interpretation and report

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

This service was performed 148 times for 26 patients

Special stained specimen slides to examine tissue, each additional procedure

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

This service was performed 249 times for 70 patients

Special stained specimen slides to examine tissue, each additional procedure

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

This service was performed 61 times for 16 patients

Special stained specimen slides to examine tissue, initial procedure

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

This service was performed 160 times for 147 patients

Special stained specimen slides to examine tissue, initial procedure

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

This service was performed 62 times for 57 patients

Tissue culture for tumor disorders of bone marrow and blood cells

Tissue culture for tumor disorders of bone marrow and blood cells is a lab process where your cells are grown in a controlled environment. The aim is to detect and study abnormal cells, such as cancer, in your bone marrow or blood. This helps in planning effective treatment.

This service was performed 47 times for 47 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 37217 ZIP code area.

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 75, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

• Final Score: 75 out of 100

  The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
  
  

• Quality Score: N/A

  The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
  
  There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
  
  

• Promoting Interoperability Score: N/A

  The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
  
  The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

• Improvement Activities Score: N/A

  The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
  
  The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

• Cost Score: N/A

  The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
  
  Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

• Cost Score: N/A

  The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
  
  Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

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