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NPI 1023271657 · Kennesaw, GA · Clinical Medical Laboratory
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Kaiser Foundation Health Plan Of Georgia Inc. is a clinical medical laboratory provider located in Kennesaw, Georgia. This profile covers 8 Medicare and 1 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 | Kaiser Foundation Health Plan Of Georgia Inc. |
| Address | 750 Townpark Ln Nw |
| City | Kennesaw |
| State | GA |
| ZIP | 30144 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | July 3, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3.1K |
| Medicaid | $10 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
8 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… | 110 | $10 | $860 |
| 84484 | The lab analyst performs the technical lab test typically using serum, plasma, or whole blood to quantitate troponin. Troponin is a protein labs commonly measure to verify a myocardial infarction and… | 60 | $10 | $770 |
| 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. | 60 | $10 | $590 |
| 80048 | The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood… | 40 | $10 | $340 |
| 85027 | The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the… | 30 | $10 | $200 |
| 83690 | The lab analyst measures the amount of lipase enzyme in the patient specimen. Lipase is an enzyme that the pancreas secretes to help in the absorption of fat. | 20 | $10 | $150 |
| 82550 | The lab analyst measures the amount of total creatine kinase in a patient specimen. Creatine kinase, or CK, is an enzyme found in various tissue and cell types such as the heart, brain, or muscles… | 20 | $10 | $130 |
| 81001 | Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other… | 30 | $1 | $90 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.
View: State1 / 2
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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 87804 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings. | 110 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Georgia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Georgia median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 87804 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings. | 163 | 250 | 330 | $10 | $29.9K |
Other providers in the same ZIP code as Kaiser Foundation Health Plan Of Georgia Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Byram Healthcare Centers, Inc. | GA | Durable Medical Equipment & Medical Supplies | $0 | $13.3M |
| Spectrum Pediatric Grp | GA | Medical Specialty Clinic/Center | $0 | $2.6M |
| Newstar Medical Laboratories, LLC | GA | Clinical Medical Laboratory | $290.3K | $1.5M |
| Dynamic Therapy Associates, Inc | GA | Speech-Language Pathologist | $0 | $1.1M |
| Smita Varshney | GA | Psychiatry Physician | $351.7K | $0 |
| Virna Shulman | GA | Speech-Language Pathologist | $0 | $335.6K |
| Ryan Mathew | GA | Rheumatology Physician | $308.4K | $0 |
| Kyandukhta Kalantari | GA | General Practice Dentistry | $0 | $240.1K |
| Sharika Tillman | GA | Family Nurse Practitioner | $228K | $0 |
| Kadesha Adelakun | GA | Clinical Social Worker | $0 | $222.9K |
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