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NPI 1073642641 · San Diego, CA · Clinical Medical Laboratory
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Prometheus Laboratories Inc. is a clinical medical laboratory provider located in San Diego, California. This profile covers 18 Medicare and 28 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 | Prometheus Laboratories Inc. |
| Address | 9410 Carroll Park Dr |
| City | San Diego |
| State | CA |
| ZIP | 92121 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | March 2, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.6M |
| Medicare | $338.8K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 88346 | The analyst performs an immunofluorescent study using a single antibody stain procedure to detect autoimmune disease or an infectious organism in a tissue or cellular sample. | 690 | $110 | $77.3K |
| 83520 | The lab analyst measures the analyte, which is not an infectious agent antibody or infectious agent antigen, by immunoassay. Use 83520 for procedures that have no specific code assigned for the… | 3,750 | $20 | $63.7K |
| 82542 | The lab analyst performs the technical lab test to evaluate the specimen for the presence or amount of a nondrug analyte by using column chromatography and possibly mass spectrometry. | 2,210 | $20 | $52.9K |
| 81382 | The lab analyst performs the technical lab test for high resolution assessment of human leukocyte antigen genes, called HLA, for one Class II locus using molecular techniques. | 410 | $120 | $50.1K |
| 80230 | The lab analyst performs the technical lab test to quantify in the patient specimen, the level of infliximab, a medication that is a therapeutic antibody against tumor necrosis factor–alpha (TNF–a),… | 750 | $40 | $28.6K |
| 80280 | The lab analyst performs the technical lab test to quantify in the patient specimen, the level of vedolizumab, a medication that is a therapeutic antibody against integrin alpha 4 beta 7 (also known… | 580 | $40 | $21.9K |
| 80145 | The lab analyst performs the technical lab test to quantify in the patient specimen, the level of adalimumab, a medication that is a therapeutic antibody against tumor necrosis factor–alpha (TNF–a),… | 310 | $40 | $11.9K |
| 82397 | The lab analyst performs the technical lab test to analyze a specimen by mixing chemicals with the specimen, causing the analyte to become luminescent, or glow. The analyst uses the test to measure… | 420 | $10 | $5.8K |
| 86258 | Code 86258 describes a test to identify an antibody to gliadin (deamidated) (DGP), such as DGP IgG or DGP IgA, in a specimen such as serum. A common lab method for this test is an immunoassay, such… | 450 | $10 | $5.4K |
| 80299 | Use 80299 to report therapeutic drug quantitation procedures that do not have a specific code. | 260 | $20 | $4.6K |
Showing 1–10 of 18
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 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.
28 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 84999 | Use 84999 to report chemistry procedures that do not have a specific code. | 7,470 | $80 | $605.4K |
| 88346 | The analyst performs an immunofluorescent study using a single antibody stain procedure to detect autoimmune disease or an infectious organism in a tissue or cellular sample. | 9,280 | $20 | $195K |
| 83520 | The lab analyst measures the analyte, which is not an infectious agent antibody or infectious agent antigen, by immunoassay. Use 83520 for procedures that have no specific code assigned for the… | 27,340 | $10 | $191.4K |
| 88350 | The analyst performs an immunofluorescent study using a single antibody stain procedure to detect autoimmune disease or an infectious organism in a tissue or cellular sample. Code +88350 describes… | 6,490 | $20 | $123.3K |
| 82397 | The lab analyst performs the technical lab test to analyze a specimen by mixing chemicals with the specimen, causing the analyte to become luminescent, or glow. The analyst uses the test to measure… | 13,670 | $10 | $82K |
| 82542 | The lab analyst performs the technical lab test to evaluate the specimen for the presence or amount of a nondrug analyte by using column chromatography and possibly mass spectrometry. | 15,770 | $10 | $78.9K |
| 80230 | The lab analyst performs the technical lab test to quantify in the patient specimen, the level of infliximab, a medication that is a therapeutic antibody against tumor necrosis factor–alpha (TNF–a),… | 5,940 | $10 | $71.3K |
| 87507 | The 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… | 410 | $170 | $69.6K |
| 81382 | The lab analyst performs the technical lab test for high resolution assessment of human leukocyte antigen genes, called HLA, for one Class II locus using molecular techniques. | 1,240 | $40 | $45.9K |
| 80145 | The lab analyst performs the technical lab test to quantify in the patient specimen, the level of adalimumab, a medication that is a therapeutic antibody against tumor necrosis factor–alpha (TNF–a),… | 2,470 | $10 | $32.1K |
Showing 1–10 of 28
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
28 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 81479 | Use 81479 to report a molecular pathology procedure that does not have a specific code. | 6 | 50 | 500 | $160 | $1.1M |
| 81405 | The lab analyst performs the technical lab tests to complete one of the specific genetic analyses listed in this Tier 2, Level 6 molecular pathology code. | 5 | 10 | 470 | $20 | $670.1K |
| 81599 | Use 81599 to report a multianalyte assay with algorithmic analysis, or MAAA test, that does not have a specific Category I code or an administrative code in Appendix O. | 10 | 10 | 360 | $90 | $275.4K |
| 82542 | The lab analyst performs the technical lab test to evaluate the specimen for the presence or amount of a nondrug analyte by using column chromatography and possibly mass spectrometry. | 3 | 30 | 170 | $30 | $197.6K |
| 81382 | The lab analyst performs the technical lab test for high resolution assessment of human leukocyte antigen genes, called HLA, for one Class II locus using molecular techniques. | 1 | 10 | 780 | $200 | $149.7K |
| 87507 | The 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… | 14 | 50 | 180 | $180 | $85K |
| 88350 | The analyst performs an immunofluorescent study using a single antibody stain procedure to detect autoimmune disease or an infectious organism in a tissue or cellular sample. Code +88350 describes… | 1 | 10 | 100 | $60 | $61.5K |
| 80299 | Use 80299 to report therapeutic drug quantitation procedures that do not have a specific code. | 20 | 60 | 210 | $20 | $60K |
| 84999 | Use 84999 to report chemistry procedures that do not have a specific code. | 2 | 10 | 500 | $20 | $59K |
| 83520 | The lab analyst measures the analyte, which is not an infectious agent antibody or infectious agent antigen, by immunoassay. Use 83520 for procedures that have no specific code assigned for the… | 7 | 130 | 270 | $10 | $26.9K |
Showing 1–10 of 28
Other providers in the same ZIP code as Prometheus Laboratories Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Precision Toxicology, LLC | CA | Clinical Medical Laboratory | $13.8M | $213.8M |
| Veracyte Labs Sd Corporation | CA | Clinical Medical Laboratory | $75M | $2.4M |
| Sequenom Center For Molecular Medicine LLC | CA | Clinical Medical Laboratory | $0 | $74.1M |
| Biotheranostics, Inc. | CA | Clinical Medical Laboratory | $38.4M | $4M |
| H&m Molecular Diagnostics, LLC | CA | Clinical Medical Laboratory | $13.3M | $11.2M |
| Helix, Inc. | CA | Clinical Medical Laboratory | $169.2K | $22.6M |
| Scripps Health | CA | Clinical Medical Laboratory | $8.9M | $301.7K |
| Biocept, Inc. | CA | Clinical Medical Laboratory | $254.7K | $5.6M |
| Iain Macewan | CA | Radiation Oncology Physician | $2.2M | $0 |
| Neogenomics Laboratories Inc | CA | Clinical Medical Laboratory | $1.8M | $0 |
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