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NPI 1003369968 · Toluca Lake, CA · Clinical Medical Laboratory
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Privilege Dx Medical Laboratories, Inc. is a clinical medical laboratory provider located in Toluca Lake, California. This profile covers 71 Medicare and 69 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Privilege Dx Medical Laboratories, Inc. |
| Address | 10133 Riverside Dr |
| City | Toluca Lake |
| State | CA |
| ZIP | 91602 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | July 27, 2016 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3.7M |
| Medicaid | $261.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
71 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 83970 | Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function. | 5,140 | $40 | $205.7K |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 11,850 | $20 | $189.6K |
| 84481 | The lab analyst performs a test to measure free T3 in patient blood. | 10,190 | $20 | $173.2K |
| 80074 | The lab analyst performs an acute hepatitis panel; the panel must include tests for hepatitis A IgM antibody, hepatitis B core IgM antibody, hepatitis B surface antigen, and hepatitis C antibody. | 3,480 | $50 | $163.5K |
| 82607 | The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood. | 9,880 | $20 | $148.2K |
| 84403 | The lab analyst performs a test to measure total testosterone, typically in patient serum. | 5,880 | $30 | $147.1K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 11,280 | $10 | $146.6K |
| 82746 | The lab analyst measures the folic acid level in serum to determine if there is a deficiency. Folic acid deficiency is attributed to many conditions such as malabsorption, Crohn’s disease, celiac… | 10,140 | $10 | $142K |
| 82670 | The lab analyst measures the level of total estradiol, an estrogenic hormone, on a specimen such as blood using a method such as liquid chromatography–tandem mass spectrometry (LC–MS/MS) to evaluate… | 4,830 | $30 | $130.4K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 12,970 | $10 | $129.7K |
Showing 1–10 of 71
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 71 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
71 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 86235 | 20 | 60 | 1,220 | $20 | $75.7K |
| 83970 | 7 | 190 | 160 | $40 | $45.6K |
| 82306 | 313 | 490 | 100 | $30 | $44.2K |
| 86003 | 4 | 40 | 2,880 | $10 | $41.5K |
| 84443 | 17 | 620 | 120 | $20 | $39.4K |
| 80061 | 22 | 700 | 110 | $10 | $35.3K |
| 80053 | 23 | 950 | 110 | $10 | $30.1K |
| 80074 | 2 | 40 | 110 | $50 | $23.7K |
| 84153 | 14 | 330 | 90 | $20 | $22.5K |
| 84403 | 4 | 220 | 80 | $30 | $20.3K |
Showing 1–10 of 71
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
69 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 10,350 | $1 | $20.7K |
| 83970 | Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function. | 3,350 | $1 | $13.4K |
| 82607 | The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood. | 6,470 | $1 | $12.9K |
| 80074 | The lab analyst performs an acute hepatitis panel; the panel must include tests for hepatitis A IgM antibody, hepatitis B core IgM antibody, hepatitis B surface antigen, and hepatitis C antibody. | 3,470 | $1 | $10.4K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 10,190 | $1 | $10.2K |
| 83036 | Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).… | 9,400 | $1 | $9.4K |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 9,390 | $1 | $9.4K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 9,100 | $1 | $9.1K |
| 83540 | The lab analyst measures the iron level, primarily in serum. Iron is one of the essential elements in the body, and the greatest portion is present combined with hemoglobin within the red blood cells. | 8,790 | $1 | $8.8K |
| 83550 | The lab analyst measures the iron binding capacity, typically in a serum sample. This analyte is an important measurement of the capacity of iron to bind to transferrin. That capacity is also known… | 8,700 | $1 | $8.7K |
Showing 1–10 of 69
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
69 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but… | 58 | 100 | 520 | $120 | $2.4M |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but… | 72 | 70 | 650 | $70 | $1.6M |
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 402 | 660 | 1,490 | $30 | $417.2K |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but… | 272 | 340 | 970 | $40 | $343.6K |
| 87633 | The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for… | 88 | 290 | 220 | $210 | $268.3K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 422 | 1,720 | 1,360 | $10 | $165.3K |
| 86003 | The lab analyst performs the technical lab test to analyze a specimen such as serum for allergen–specific immunoglobulin E (IgE), using a crude allergen extract. The test result is quantitative or… | 58 | 170 | 260 | $30 | $146K |
| 86235 | The lab analyst performs an assay to evaluate the patient’s serum for each antibody to an extractable nuclear antigen, also called ENA. Types of ENA antibodies include anti ribonuclear protein,… | 16 | 130 | 280 | $20 | $85.9K |
| 87507 | The lab analyst performs a test to detect 12 to 25 types or subtypes of a pathogen, such as Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia, that affects the gastrointestinal… | 21 | 50 | 180 | $180 | $85K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 501 | 2,100 | 1,130 | $1 | $83.5K |
Showing 1–10 of 69
Other providers in the same ZIP code as Privilege Dx Medical Laboratories, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Happy Life Adhc Inc. | CA | Adult Day Care Clinic/Center | $0 | $23.1M |
| David Rekar | CA | Family Medicine Physician | $1.1M | $0 |
| Jose Hernandez | CA | Internal Medicine Physician | $477.8K | $0 |
| Brian Gamble | CA | Diagnostic Radiology Physician | $424.7K | $4.7K |
| Dana Tannenbaum | CA | Ophthalmology Physician | $191.3K | $0 |
| Minh Mach | CA | Specialist | $187.8K | $0 |
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