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NPI 1053335729 · Maryville, TN · Clinical Medical Laboratory
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Molecular Pathology Laboratory Network Inc is a clinical medical laboratory provider located in Maryville, Tennessee. This profile covers 26 Medicare and 5 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 | Molecular Pathology Laboratory Network Inc |
| Address | 250 E Broadway Ave |
| City | Maryville |
| State | TN |
| ZIP | 37804 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | July 27, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $369.4K |
| Medicaid | $60.8K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
26 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 88374 | The lab analyst applies a single multiplex in situ hybridization probe stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. The lab analyst processes the slides… | 650 | $180 | $113.9K |
| 81450 | The lab analyst performs a genomic sequence analysis panel to evaluate the patient specimen, such as blood or bone marrow, for DNA and possibly RNA alterations in five to 50 genes known to impact… | 50 | $740 | $37.7K |
| 88189 | The clinician, typically a pathologist, interprets flow cytometry results of 16 or more markers. | 470 | $60 | $28K |
| 88313 | The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,… | 450 | $60 | $24.7K |
| 88341 | The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified… | 320 | $60 | $19.2K |
| 88377 | The lab analyst applies a single multiplex in situ hybridization probe stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a… | 90 | $210 | $19K |
| 88237 | The lab analyst performs a procedure to grow a culture of cells from bone marrow or blood in a neoplastic disorder. | 120 | $140 | $16.4K |
| 88264 | The analyst performs a chromosome analysis and analyzes 20 to 25 cells. The analysis includes counting the number of chromosomes in each cell and preparing a karyotype for each cell examined. | 110 | $140 | $16.2K |
| 88120 | The lab analyst performs a technical lab test on a urinary tract specimen using in situ hybridization and three to five molecular probes for manual morphometric analysis, looking at the number and… | 40 | $420 | $14.5K |
| 88305 | The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 270 | $50 | $13.3K |
Showing 1–10 of 26
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
26 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 81450 | 4 | 10 | 320 | $740 | $219.7K |
| 88120 | 6 | 10 | 240 | $420 | $145.6K |
| 88305 | 284 | 420 | 500 | $30 | $55.1K |
| 88185 | 29 | 30 | 690 | $20 | $51.2K |
| 88237 | 3 | 10 | 110 | $140 | $50K |
| 81263 | 3 | 10 | 80 | $290 | $42.5K |
| 88374 | 6 | 20 | 180 | $80 | $36.7K |
| 88264 | 3 | 10 | 60 | $140 | $36.1K |
| 88189 | 8 | 50 | 50 | $60 | $12.6K |
| 88342 | 112 | 310 | 120 | $50 | $11.6K |
Showing 1–10 of 26
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| U0003 | Infectious 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… | 600 | $60 | $38.3K |
| U0005 | Infectious 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,… | 580 | $20 | $11.6K |
| 88189 | The clinician, typically a pathologist, interprets flow cytometry results of 16 or more markers. | 450 | $20 | $8.9K |
| 87624 | The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result. | 40 | $30 | $900 |
| 81270 | The lab analyst performs the technical lab test to detect the presence of a common change in the gene for Janus kinase 2, also known as JAK2. | 10 | $60 | $700 |
How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Tennessee median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| U0003 | Infectious 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… | 46 | 100 | 400 | $60 | $524.7K |
| 87624 | The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result. | 28 | 30 | 390 | $20 | $169.8K |
| U0005 | Infectious 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,… | 23 | 50 | 540 | $20 | $152.7K |
| 88189 | The clinician, typically a pathologist, interprets flow cytometry results of 16 or more markers. | 4 | 10 | 210 | $30 | $50.8K |
| 81270 | The lab analyst performs the technical lab test to detect the presence of a common change in the gene for Janus kinase 2, also known as JAK2. | 4 | 10 | 60 | $20 | $7.9K |
Other providers in the same ZIP code as Molecular Pathology Laboratory Network Inc, ranked by combined Medicare and Medicaid revenue.
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