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    OpenPayerNPI Medicare & MedicaidBlueprint Genetics Inc.
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    Blueprint Genetics Inc. — Billing Profile & Reimbursement Data

    NPI 1023063062 · Marlborough, MA · Clinical Medical Laboratory

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    Blueprint Genetics Inc. is a clinical medical laboratory provider located in Marlborough, Massachusetts. This profile covers 11 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationBlueprint Genetics Inc.
    Address200 Forest St
    CityMarlborough
    StateMA
    ZIP01752
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedMay 24, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$83.8K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    83520The lab analyst measures the analyte, which is not an infectious agent antibody or infectious agent antigen, by immunoassay. Use 83520 for procedures that have no specific code assigned for the…3,140$20$53.4K
    83519The lab analyst measures the analyte in question by radioimmunoassay. Use 83519 for procedures that have no specific analyte assigned code available, but meet the 83519 requirements based on the…660$20$11.9K
    86255The lab analyst performs an immunoassay test to screen a patient’s blood, typically serum, for an antibody to a noninfectious agent using a fluorescent method. As a screening test, results show only…720$10$8.6K
    86341The lab analyst performs a test to measure islet cell antibodies, typically in patient blood, which the analyst collects with routine vein puncture. This test detects and measures the amount of islet…270$20$6.2K
    86596Code 86596 describes a test to identify an antibody to voltage–gated calcium channel (VGCC), in a specimen such as serum. The typical lab method for this test is radioimmunoassay (RIA). The presence…160$10$1.9K
    84181The lab analyst performs a test to separate and evaluate the level of various protein fractions in a patient specimen of blood or other body fluid using Western blot technique.50$20$880
    86382The lab analyst performs a neutralization test to determine the level of viral antibodies in a patient’s blood.30$20$430
    86051Code 86051 describes a test to identify an antibody to aquaporin–4, typically in a serum specimen. The lab method for this test is enzyme–linked immunosorbent assay (ELISA). The presence of…30$10$340
    86362Code 86362 describes a test to identify an antibody to myelin oligodendrocyte glycoprotein (MOG–IgG1), typically in a serum specimen. The lab method for this test is cell–based immunofluorescence…20$10$260
    86052Code 86052 describes a test to identify an antibody to aquaporin–4, typically in a serum specimen. The lab method for this test is cell–based immunofluorescence assay (CBA). The presence of…10$10$160

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    835194101,380$20$85.4K
    835203102,590$20$74.7K
    86341310360$20$8.9K
    86255210210$10$4.1K
    83516162050$10$2.1K
    86596210160$10$1.8K
    8418131050$10$910
    8638221030$20$740
    8605111030$10$350
    8605231030$10$260

    Showing 1–10 of 11

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Blueprint Genetics Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Unilab CorporationCAClinical Medical Laboratory$94M$668.5M
    Quest Diagnostics IncorporatedNJClinical Medical Laboratory$111.2M$637.7M
    Quest Diagnostics LLC IlILClinical Medical Laboratory$40.3M$429.8M
    Sonora Quest Laboratories LLCAZClinical Medical Laboratory$57.8M$298.1M
    Quest Diagnostics Clinical Laboratories IncTXClinical Medical Laboratory$46.7M$276.8M
    Quest Diagnostics Clinical Laboratories IncGAClinical Medical Laboratory$53.3M$211.1M
    Labone LLCKSClinical Medical Laboratory$46M$212.3M
    Quest Diagnostics Clinical Laboratories IncFLClinical Medical Laboratory$42.2M$197.6M
    Quest Diagnostics LLCMAClinical Medical Laboratory$27.2M$209.7M
    Quest Diagnostics Massachusetts LLCMAClinical Medical Laboratory$27.8M$199.9M

    Nearby Providers

    Other providers in the same ZIP code as Blueprint Genetics Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lifeline Systems CompanyMAPersonal Emergency Response Attendant$0$76.4M
    Baypath Elder Services, IncMACase Management Agency$0$49.6M
    Advocates, Inc.MAMental Health Clinic/Center (Including Community Mental Health Center)$0$48.9M
    Option Care Enterprises IncMAHome Infusion Therapy Pharmacy$0$37M
    Umass Memorial Medical Center, Inc.MAGeneral Acute Care Hospital$0$26.7M
    Brookhaven Hospice LLCMACommunity Based Hospice Care Agency$0$15.3M
    Adult Day Health, Inc.MAAdult Day Care Clinic/Center$0$12.9M
    Community Ems, Inc.MALand Ambulance$921.3K$4M
    Carl SchanbacherMADermatology Physician$703.9K$0
    Matthew ButlerMAFoot Surgery Podiatrist$363.9K$264.5K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Massachusetts Distribution
    Blueprint Genetics Inc. — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts