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    OpenPayerNPI Medicare & MedicaidClinicore
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    Clinicore — Billing Profile & Reimbursement Data

    NPI 1073023487 · Mandeville, LA · Clinical Medical Laboratory

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    Clinicore is a clinical medical laboratory provider located in Mandeville, Louisiana. This profile covers 115 Medicare and 110 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
    OrganizationClinicore
    Address800 N Causeway Blvd Ste 300
    CityMandeville
    StateLA
    ZIP70448
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedOctober 11, 2017

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

    Payer SourceTotal Paid
    Medicare$938.2K
    Medicaid$910.6K

    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.

    115 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…7,980$30$271.4K
    87799The lab analyst performs a test to quantify infection with an infectious agent, not otherwise specified in another code, using a nucleic acid probe technique. Use this code if you know the laboratory…2,130$40$89.6K
    87482The lab analyst performs a test to quantify infection with Candida species using nucleic acid probe technique.660$60$36.1K
    87552The lab analyst performs a test to quantify infection with Mycobacterium species using nucleic acid probe technique. Mycobacteria are bacteria, sometimes called acid fast bacteria, because of the…650$40$27.1K
    87652The lab analyst performs a test to quantify infection with Streptococcus, group A, using nucleic acid probe technique.660$40$26.9K
    87641The lab analyst performs a test for methicillin–resistant Staphylococcus aureus (MRSA) using an amplified nucleic acid probe technique.710$30$24K
    87500The lab analyst performs a test for vancomycin resistance in an infectious organism’s nucleic acid using amplified probe technique. VRE, vancomycin resistant enterococcus, is the most common organism…710$30$24K
    87640The lab analyst performs the technical lab test to look for Staphylococcus aureus nucleic acid using an amplified probe technique.660$30$22.5K
    87653The lab analyst performs a test for Streptococcus, group B, using amplified nucleic acid probe technique. The amplified probe provides a rapid means to assess colonization by Streptococcus, group B,…660$30$22.3K
    G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…140$150$21.7K

    Showing 1–10 of 115

    • More pages

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 115 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    115 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    877984201,390$30$352.3K
    87500320110$30$43.5K
    87641320130$30$38.9K
    87482110660$50$35.8K
    87640320120$30$34.3K
    8779911060$40$31K
    87552110650$40$27.1K
    87653210100$30$24.6K
    G048182060$150$22.4K
    87530110450$40$18.7K

    Showing 1–10 of 115

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    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.

    110 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…3,560$50$170.6K
    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…2,020$60$121K
    87799The lab analyst performs a test to quantify infection with an infectious agent, not otherwise specified in another code, using a nucleic acid probe technique. Use this code if you know the laboratory…2,890$20$46.3K
    G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…1,340$30$44.1K
    87482The lab analyst performs a test to quantify infection with Candida species using nucleic acid probe technique.2,610$10$28.7K
    87552The lab analyst performs a test to quantify infection with Mycobacterium species using nucleic acid probe technique. Mycobacteria are bacteria, sometimes called acid fast bacteria, because of the…2,580$10$28.4K
    87500The lab analyst performs a test for vancomycin resistance in an infectious organism’s nucleic acid using amplified probe technique. VRE, vancomycin resistant enterococcus, is the most common organism…2,980$10$26.8K
    87641The lab analyst performs a test for methicillin–resistant Staphylococcus aureus (MRSA) using an amplified nucleic acid probe technique.2,960$10$26.6K
    87652The lab analyst performs a test to quantify infection with Streptococcus, group A, using nucleic acid probe technique.2,600$10$26K
    87653The lab analyst performs a test for Streptococcus, group B, using amplified nucleic acid probe technique. The amplified probe provides a rapid means to assess colonization by Streptococcus, group B,…2,860$10$25.8K

    Showing 1–10 of 110

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Louisiana median

    110 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    83789The lab analyst performs the technical lab test to evaluate the specimen for the presence or amount of a nondrug analyte by using mass spectrometry and tandem mass spectrometry.210450$20$1.2M
    87633The 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…6670620$230$913.4K
    87507The lab analyst performs a test to detect 12 to 25 types or subtypes of a pathogen, such as Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia, that affects the gastrointestinal…1010210$280$667.5K
    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…26100620$40$560K
    G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…17301,340$60$499.3K
    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…1790650$40$404.2K
    87640The lab analyst performs the technical lab test to look for Staphylococcus aureus nucleic acid using an amplified probe technique.620690$20$359.2K
    87653The lab analyst performs a test for Streptococcus, group B, using amplified nucleic acid probe technique. The amplified probe provides a rapid means to assess colonization by Streptococcus, group B,…630390$20$285.9K
    87496The lab analyst performs a test for cytomegalovirus, or CMV, using amplified nucleic acid probe technique. CMV may cause severe illness in newborns and immunocompromised patients.310410$20$259.5K
    87481The lab analyst performs a test for Candida species using amplified nucleic acid probe technique.3350530$20$237.6K

    Showing 1–10 of 110

    • More pages

    Nearby Providers

    Other providers in the same ZIP code as Clinicore, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Fphsa Fontainebleau Treatment CenterLASubstance Abuse Rehabilitation Facility$0$5.8M
    Volunteers Of America Southeast Louisiana, Inc.LADevelopmentally Disabled Services Day Training Agency$0$5.7M
    Melissa BrownLAAdult Health Nurse Practitioner$3M$0
    St. Tammany Parish Fire Protection District No 4LALand Ambulance$424.3K$1.7M
    Randall JuleffLAThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$510.6K$0
    Hyon KimLAPsychiatry Physician$125.8K$138.2K
    Brandon LeeLAPhysical Therapist$192.9K$0
    Bruce EnnisLAInterventional Cardiology Physician$154.3K$1.5K
    Thomas MyersLAPain Medicine (Anesthesiology) Physician$138.1K$0
    Hayden IngramLAPhysician Assistant$23.6K$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. Louisiana Distribution
    Clinicore — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana
    Medicaid Revenue by Year vs. Louisiana Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Louisiana Distribution
    Clinicore — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana