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    OpenPayerNPI Medicare & MedicaidLaboratory Corporation Of America
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    Laboratory Corporation Of America — Billing Profile & Reimbursement Data

    NPI 1043891336 · South Bend, IN · Clinical Medical Laboratory

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    Laboratory Corporation Of America is a clinical medical laboratory provider located in South Bend, Indiana. This profile covers 58 Medicare and 54 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)

    FieldValue
    Entity TypeOrganization
    OrganizationLaboratory Corporation Of America
    Address3575 Moreau Ct
    CitySouth Bend
    StateIN
    ZIP46628
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedApril 19, 2021

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

    Payer SourceTotal Paid
    Medicaid$2.5M
    Medicare$233.5K

    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.

    58 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    87086Culture, bacterial; quantitative, colony count, urine.3,480$10$27.8K
    84443The 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…1,240$20$19.8K
    87186The lab analyst performs the technical steps to evaluate a culture isolate’s susceptibility, or sensitivity, to multiple antimicrobial agents, commonly called antibiotics, by observing growth of the…2,380$10$19K
    87088The lab analyst or microbiologist observes a urine culture with an unknown organism or organisms and makes a presumptive identification of each organism that needs identification.2,190$10$17.5K
    82728The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…1,280$10$16.7K
    82784The lab analyst performs the technical lab test to analyze the concentration of a particular gamma globulin in the specimen. The analyst may test for immunoglobulin A, immunoglobulin D,…1,650$10$14.9K
    86334The lab analyst performs immunofixation electrophoresis, typically on the patient’s serum, to diagnose and or monitor monoclonal gammopathies or myeloma, a bone marrow tumor.550$20$12.1K
    83550The 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…1,200$10$10.8K
    87077The lab analyst performs additional tests on a presumptively identified aerobic isolate to definitively, which means more specifically, identify the organism, such as to the level of species.1,340$10$10.7K
    80053The 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.960$10$9.6K

    Showing 1–10 of 58

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 58 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    58 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    823064411050$30$11.7K
    84443719070$20$8.6K
    800531823090$10$8.5K
    800613423070$10$7.3K
    83880162020$40$6.8K
    850258829090$10$5.7K
    826071310050$10$5.5K
    827461440100$10$4.6K
    841551120870$1$4.3K
    82728370120$10$4.3K

    Showing 1–10 of 58

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    54 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…36,090$50$1.8M
    U0005Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc,…27,120$20$406.7K
    87086Culture, bacterial; quantitative, colony count, urine.9,850$10$49.2K
    87088The lab analyst or microbiologist observes a urine culture with an unknown organism or organisms and makes a presumptive identification of each organism that needs identification.4,140$10$20.7K
    87186The lab analyst performs the technical steps to evaluate a culture isolate’s susceptibility, or sensitivity, to multiple antimicrobial agents, commonly called antibiotics, by observing growth of the…2,880$10$17.3K
    80053The 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.3,300$10$16.5K
    82728The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…2,630$10$15.8K
    87077The lab analyst performs additional tests on a presumptively identified aerobic isolate to definitively, which means more specifically, identify the organism, such as to the level of species.2,450$10$12.2K
    87801The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.240$50$11.9K
    87150The lab analyst performs an analysis using amplified DNA or RNA probe technique on a previously isolated and identified organism to categorize the organism more specifically, such as to the taxonomic…420$30$10.9K

    Showing 1–10 of 54

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Indiana median

    54 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.140190800$40$344.7K
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…4901,150$60$289.6K
    87798The 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…1940160$80$173.2K
    G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…5990390$40$171.1K
    87150The lab analyst performs an analysis using amplified DNA or RNA probe technique on a previously isolated and identified organism to categorize the organism more specifically, such as to the taxonomic…31070$50$145.9K
    80050The 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…7880340$70$139.8K
    87801The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.196080$60$104.7K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.59110490$30$88.4K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.59110520$20$87.5K
    80053The 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.1232105,200$10$83.7K

    Showing 1–10 of 54

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Laboratory Corporation Of America, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Laboratory Corporation Of America HoldingsNCClinical Medical Laboratory$214.6M$1.4B
    Laboratory Corporation Of America HoldingsNJClinical Medical Laboratory$143.3M$717.5M
    Natera, Inc.CAClinical Medical Laboratory$133.1M$641.5M
    Unilab CorporationCAClinical Medical Laboratory$94M$668.5M
    Quest Diagnostics IncorporatedNJClinical Medical Laboratory$111.2M$637.7M
    Bioreference Health, LLCNJClinical Medical Laboratory$66.8M$620.1M
    Laboratory Corporation Of America HoldingsOHClinical Medical Laboratory$56.9M$617M
    Exact Sciences Laboratories, LLCWIClinical Medical Laboratory$299.3M$276.5M
    Laboratory Corporation Of America HoldingsALClinical Medical Laboratory$60.5M$289.1M
    Laboratory Corporation Of AmericaAZClinical Medical Laboratory$38.5M$265.9M

    Nearby Providers

    Other providers in the same ZIP code as Laboratory Corporation Of America, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dungarvin Indiana, LLCINIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$66.4M
    Partners In Opportunities, Inc.INIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$26M
    Michiana Family Dental LLCINDentist$0$3M
    Syed RizviINNephrology Physician$202K$0
    Arif GorejaINNephrology Physician$180.2K$0
    Shamiram BadalINFamily Medicine Physician$86.9K$0
    Vpa PCINPortable X-ray and/or Other Portable Diagnostic Imaging Supplier$22K$19K
    Alice ShawINFamily Nurse Practitioner$33.5K$0

    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. Indiana Distribution
    Laboratory Corporation Of America — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana
    Medicaid Revenue by Year vs. Indiana Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Indiana Distribution
    Laboratory Corporation Of America — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana