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NPI 1033322466 · Selinsgrove, PA · Clinical Medical Laboratory
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Family Practice Center, PC is a clinical medical laboratory provider located in Selinsgrove, Pennsylvania. This profile covers 94 Medicare and 50 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 | Family Practice Center, PC |
| Address | 270 Susquehanna Valley Mall Dr Ste 200 |
| City | Selinsgrove |
| State | PA |
| ZIP | 17870 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | May 8, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.9M |
| Medicaid | $885.7K |
FAMILY PRACTICE CENTER, PC operates as a high-volume clinical laboratory/microcollection site: its Medicare top codes are dominated by routine panels and specimen collection (80061, 36415, 80053, 84443, 82306, 85025), and its Medicaid mix is similarly concentrated in screening and panel codes (80050, 80061, 82306). The pattern of high claim counts and the presence of specimen-collection code 36415 as a leading Medicare driver point to a business model centered on outpatient blood draws and standardized laboratory testing rather than specialized or hospital-based diagnostics.
Medicare revenue is $2.9M while Medicaid revenue is $885.7K, so Medicare is the larger payer for this entity and appears to be the primary revenue source. The provider reports substantial Medicare activity across many common lab codes, indicating payer mix skewed toward Medicare but with a meaningful Medicaid presence.
Revenue concentration on Medicare is focused: the precomputed top 3 Medicare codes (80061, 36415, 80053) account for 39.8% of total Medicare revenue, with 80061 generating $364.6K (13.7%), 36415 $356.1K (13.4%), and 80053 $336.7K (12.7%). This concentration shows the business depends heavily on routine lipid panels, specimen collection, and comprehensive metabolic panels for Medicare cashflow.
On the Medicaid side the top 3 codes (80050, 80061, 82306) account for 46.4% of total Medicaid revenue, led by 80050 at $196.8K (23.0%), followed by 80061 at $114.1K (13.3%) and 82306 at $86.3K (10.1%). Medicaid revenue is more concentrated in bundled general health panel billing (80050), suggesting different ordering patterns or payer bundling compared with Medicare.
Competitive standing for Medicare shows this provider is a high-volume national outlier on common lab services: 80061 ranks #75 of 21671 providers (100th percentile; notably above typical national volume), 36415 ranks #75 of 86467 providers (100th percentile; extreme outlier, far above typical national volume), and 80053 ranks #87 of 26416 providers (100th percentile; notably above typical national volume). Those rankings indicate the provider captures unusually large national volumes for routine lab collection and panel testing among peers.
In-state (Medicaid) competitive positioning is strong but not dominant: 80050 ranks #12 of 172 providers in-state (94th percentile), 80061 ranks #25 of 412 (94th percentile), and 82306 ranks #33 of 223 (86th percentile). These percentiles indicate the practice is a significant Medicaid lab participant within Pennsylvania, particularly for the general health panel 80050, but it is not the single leading in-state provider for these services.
Several codes are flagged as statistical outliers in national comparisons and should inform network or utilization reviews: 36415 is labeled an "extreme outlier" for national volume, while 80061, 80053, 84443, 85025, 80048, and 85610 are described as "notably above typical national volume." These labels reflect unusually high testing and collection activity relative to peer providers and can affect benchmarking and capacity planning.
The provider has been enumerated since 2007-05-08 (~19 years ago), signaling long-term presence in the market. Combined with sustained, high-volume billing across routine lab codes and strong percentile ranks, the tenure suggests an established outpatient laboratory operation that is likely a stable candidate for payer contracting and network inclusion decisions.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
94 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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. | 28,040 | $10 | $364.6K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 44,520 | $10 | $356.1K |
| 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. | 33,670 | $10 | $336.7K |
| 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… | 18,170 | $20 | $290.8K |
| 82306 | The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced… | 8,240 | $30 | $238.9K |
| 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… | 29,280 | $10 | $234.2K |
| 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).… | 16,630 | $10 | $149.7K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 3,620 | $20 | $83.3K |
| 87506 | The lab analyst performs a test to detect six to eleven types or subtypes of a pathogen, such as Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia, that cause gastrointestinal… | 260 | $260 | $67.6K |
| 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… | 8,400 | $10 | $67.2K |
Showing 1–10 of 94
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 94 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
94 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 87631 | 12 | 30 | 70 | $140 | $40.6K |
| G2023 | 2 | 10 | 160 | $20 | $36.4K |
| 87801 | 23 | 30 | 310 | $70 | $30.3K |
| 87086 | 9 | 30 | 490 | $10 | $27.9K |
| 87088 | 8 | 20 | 1,370 | $10 | $24.8K |
| 87186 | 10 | 20 | 1,920 | $10 | $24.6K |
| 87506 | 2 | 10 | 30 | $260 | $22.1K |
| 80053 | 4 | 220 | 110 | $10 | $21.6K |
| 83880 | 4 | 30 | 50 | $40 | $20.7K |
| 80061 | 4 | 180 | 100 | $10 | $20.1K |
Showing 1–10 of 94
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.
50 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 80050 | The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the… | 4,580 | $40 | $196.8K |
| 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. | 8,150 | $10 | $114.1K |
| 82306 | The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced… | 2,400 | $40 | $86.3K |
| 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… | 200 | $430 | $83.8K |
| 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. | 7,590 | $10 | $83.4K |
| 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… | 2,590 | $20 | $56.9K |
| 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… | 6,240 | $10 | $37.4K |
| 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).… | 4,340 | $10 | $30.4K |
| 82607 | The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood. | 2,210 | $10 | $26.6K |
| 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… | 1,770 | $10 | $15.9K |
Showing 1–10 of 50
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
50 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 27 | 60 | 110 | $220 | $151.2K |
| 87801 | The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique. | 27 | 30 | 220 | $30 | $139.6K |
| 87798 | The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified… | 63 | 70 | 270 | $50 | $108.2K |
| 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. | 102 | 340 | 2,320 | $10 | $88.6K |
| 80050 | The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the… | 12 | 170 | 560 | $40 | $84.2K |
| 82306 | The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced… | 33 | 220 | 310 | $20 | $62.7K |
| 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… | 46 | 260 | 690 | $10 | $57.9K |
| 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… | 137 | 450 | 1,220 | $1 | $48K |
| 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. | 25 | 410 | 320 | $10 | $37.4K |
| 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… | 109 | 260 | 1,160 | $10 | $29.3K |
Showing 1–10 of 50
Other providers in the same ZIP code as Family Practice Center, PC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Bayada Home Health Care, Inc. | PA | Home Health Agency | $0 | $19.6M |
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