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NPI 1053493460 · Hattiesburg, MS · Clinical Medical Laboratory
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Hattiesburg Clinic PA is a clinical medical laboratory provider located in Hattiesburg, Mississippi. This profile covers 120 Medicare and 116 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 | Hattiesburg Clinic PA |
| Address | 415 S 28th Ave |
| City | Hattiesburg |
| State | MS |
| ZIP | 39401 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | October 19, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $3.3M |
| Medicare | $2.2M |
HATTIESBURG CLINIC PA presents as a clinical medical laboratory focused on high-volume routine chemistry, endocrine, and hematology testing; its top paid procedures include common panels and screening assays such as 80053, 80061, 84443 and the obstetric panel 80081, along with CBC (85025) and A1C (83036) testing, which together indicate a broad outpatient diagnostic lab operation rather than a narrowly specialized reference lab. The mix of codes across Medicare and Medicaid — routine metabolic panels, lipid panels, thyroid tests, and infectious disease serologies — points to an operation embedded in primary care and prenatal workflows as well as chronic disease monitoring.
Medicare activity totals $2.2M in revenue and shows concentration: the precomputed top three Medicare codes account for 36.1% of Medicare revenue, led by 80053 ($282.4K, 15.2%), 80061 ($212K, 11.4%), and 84443 ($176.5K, 9.5%). This concentration on a few routine chemistry and endocrine tests suggests that Medicare revenue is driven by repeat, episodic outpatient testing rather than large, high-cost single procedures.
Medicaid activity totals $3.3M and likewise exhibits concentration, with the precomputed top three Medicaid codes accounting for 37.9% of Medicaid revenue; the highest Medicaid contributors are 80081 ($386.9K, 15.3%), 80053 ($320.1K, 12.7%), and 84443 ($249.6K, 9.9%). The prominence of 80081 (obstetric panel) and routine chemistry tests under Medicaid indicates heavy sampling of prenatal and outpatient populations in the state payer mix.
Payer mix is skewed toward Medicaid in scale: reported Medicaid revenue ($3.3M) exceeds Medicare revenue ($2.2M), so this provider is not single-payer and derives a larger share of its billed volume and dollars from state Medicaid. That imbalance suggests business exposure and operational reliance on Medicaid volume and reimbursement policies.
National competitive standing on Medicare is mostly descriptive of typical, broad participation: top Medicare codes such as 80053, 80061 and 84443 are characterized as "typical, unremarkable volume" at high national percentiles, indicating the provider’s volumes are within the common range for community labs nationally. However, certain Medicare codes stand out as above-typical or extreme relative to peers — for example, 80048 and 80069 are flagged as "notably above typical" national volume and 82565 is labeled an "extreme outlier, far above typical national volume" — which identifies specific analytes where the clinic punches above its overall national footprint.
Within the state Medicaid market the provider appears as a major player for particular tests: 80081 ranks #1 of 9 in-state (100th percentile; notably above typical state volume) and codes including 80061 (99th percentile; extreme outlier, far above typical state volume), 86803 (98th percentile; extreme outlier, far above typical state volume), 86769 (100th percentile; extreme outlier, far above typical state volume), and 86703 (100th percentile; notably above typical state volume) indicate dominant or outsized state-level volumes for obstetric, viral, and infectious disease assays. These state-level outlier ranks signal that HATTIESBURG CLINIC PA is a significant in-state source for prenatal panels and selected serologies.
Multiple statistical outliers across both payers point to narrow strengths: on Medicaid there are extreme/state outliers (80061, 86803, 86769, 86703, 82565, 82570) and on Medicare the label "extreme outlier" appears for 82565, while other codes like 80048 and 80069 are "notably above typical" nationally. These labeled outliers identify the specific assays contributing disproportionate volume relative to peers and may explain concentration in certain clinical areas (prenatal screening, hepatitis/COVID/HIV serologies, and specific chemistry tests).
The provider’s NPI was enumerated 2006-10-19 (~20 years ago), indicating long tenure in the market; combined with steady, high-volume routine testing for both Medicare and Medicaid, that tenure suggests an established operational footprint and sustained referral relationships in the HATTIESBURG area.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
120 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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. | 28,240 | $10 | $282.4K |
| 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. | 16,310 | $10 | $212K |
| 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… | 11,030 | $20 | $176.5K |
| 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… | 5,290 | $30 | $153.4K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 16,990 | $10 | $135.9K |
| 83970 | Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function. | 2,970 | $40 | $118.8K |
| 84153 | The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and… | 5,310 | $20 | $95.6K |
| 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… | 11,690 | $10 | $93.5K |
| 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).… | 9,190 | $10 | $82.7K |
| 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… | 8,240 | $10 | $65.9K |
Showing 1–10 of 120
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 120 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
116 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 80081 | The lab analyst performs an obstetric panel; this panel must include tests for a complete blood count with differential, a hepatitis B surface antigen test, a single–result test for HIV–1 antigens… | 6,140 | $60 | $386.9K |
| 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. | 40,010 | $10 | $320.1K |
| 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… | 20,800 | $10 | $249.6K |
| 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. | 20,600 | $10 | $205.9K |
| 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… | 23,130 | $10 | $138.8K |
| 83970 | Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function. | 4,410 | $30 | $127.7K |
| 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… | 5,600 | $20 | $117.7K |
| 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).… | 11,730 | $10 | $82.1K |
| 86803 | Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody | 7,000 | $10 | $76.9K |
| 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… | 14,090 | $10 | $70.4K |
Showing 1–10 of 116
How this provider's Medicaid billing volume and revenue compare to other Mississippi providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Mississippi median
116 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… | 20 | 30 | 240 | $260 | $353.3K |
| 86900 | The lab analyst performs a test to determine the patient’s blood type within the ABO blood group system using serum plasma as the specimen. | 39 | 60 | 2,370 | $50 | $181K |
| 80081 | The lab analyst performs an obstetric panel; this panel must include tests for a complete blood count with differential, a hepatitis B surface antigen test, a single–result test for HIV–1 antigens… | 1 | 10 | 240 | $60 | $89.5K |
| 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. | 14 | 230 | 1,870 | $10 | $70.1K |
| 86850 | The lab analyst performs a screening test using patient blood to determine the presence of any antibodies to red blood cells, called RBCs, other than the A and B antigens. | 22 | 50 | 2,190 | $20 | $65.8K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 37 | 90 | 460 | $30 | $63.6K |
| 86901 | The lab analyst performs a test to determine the patient’s blood type within the Rh blood group system using serum plasma as the specimen. | 38 | 60 | 2,410 | $10 | $56.2K |
| 83880 | The lab analyst measures the amount of natriuretic peptide, a hormone made by heart muscle cells, in the patient specimen. Blood levels of the hormone increase in patients with congestive heart… | 66 | 100 | 1,620 | $20 | $52.2K |
| 87389 | The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an… | 19 | 40 | 410 | $20 | $47.2K |
| 83970 | Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function. | 12 | 100 | 1,660 | $20 | $45.2K |
Showing 1–10 of 116
Other providers in the same ZIP code as Hattiesburg Clinic PA, ranked by combined Medicare and Medicaid revenue.
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