Loading...
NPI 1073863270 · Elmwood Park, NJ · Clinical Medical Laboratory
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Bioreference Health, LLC is a clinical medical laboratory provider located in Elmwood Park, New Jersey. This profile covers 8 Medicare and 64 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 | Bioreference Health, LLC |
| Address | 481 Edward H Ross Dr Ste A |
| City | Elmwood Park |
| State | NJ |
| ZIP | 07407 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | September 14, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $175.3K |
| Medicare | $161.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 82668 | The lab analyst measures the level of erythropoietin, a glycoprotein hormone secreted by the kidney. Testing aids in the differentiation of primary and secondary polycythemia and other conditions… | 7,530 | $20 | $135.5K |
| 86340 | The lab analyst performs a test to measure the amount of intrinsic factor antibodies, typically in patient blood. | 720 | $20 | $10.8K |
| 84432 | The lab analyst performs a test, typically on serum or plasma, for thyroglobulin, sometimes called thyroglobulin tumor marker (Tg). Thyroglobulin is a protein produced only in the thyroid gland and… | 230 | $20 | $3.7K |
| 83529 | Code 83529 describes a chemistry test to measure the level of interleukin–6 (IL–6) in a specimen such as serum or plasma. A common lab method for this test is immunoassay, which uses an… | 180 | $20 | $3K |
| 84080 | The lab analyst performs a test to evaluate the level of different forms of the enzyme alkaline phosphatase, or ALP, called isoenzymes, in the patient specimen. | 120 | $10 | $1.6K |
| 82677 | The lab analyst measures the level of estriol, a weak estrogen hormone, which is usually in high concentrations only during pregnancy. | 60 | $20 | $1.5K |
| 86336 | The lab analyst performs a test to identify the levels of inhibin A, typically in a pregnant patient’s serum, to determine the risk for Down syndrome in the fetus. The specimen is blood which the lab… | 80 | $20 | $1.2K |
| 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… | 70 | $10 | $990 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.
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.
64 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 2,530 | $10 | $20.3K |
| 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. | 3,100 | $10 | $18.6K |
| 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… | 1,290 | $10 | $16.8K |
| 82607 | The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood. | 2,050 | $10 | $14.4K |
| 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. | 2,540 | $10 | $12.7K |
| 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… | 2,960 | $1 | $11.8K |
| 82746 | The lab analyst measures the folic acid level in serum to determine if there is a deficiency. Folic acid deficiency is attributed to many conditions such as malabsorption, Crohn’s disease, celiac… | 1,530 | $10 | $10.7K |
| 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).… | 2,600 | $1 | $10.4K |
| 82043 | The lab analyst quantitates a timed or random urine specimen for the measurement of albumin. Random means the specimen collection may occur without respect to the time of day. This is a valuable… | 1,730 | $1 | $5.2K |
| 84439 | The lab analyst performs a test to measure free thyroxine, or free T4, typically in patient serum. | 1,180 | $1 | $4.7K |
Showing 1–10 of 64
How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Jersey median
64 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 119 | 120 | 900 | $20 | $971.9K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 114 | 120 | 940 | $20 | $957.4K |
| 82107 | The lab analyst performs the technical lab test to measure the total alpha fetoprotein, called AFP, typically in the serum. He also measures the amount of AFP L3 fraction present and determines the… | 5 | 10 | 1,570 | $40 | $755.3K |
| 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… | 61 | 70 | 510 | $10 | $610.7K |
| 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… | 58 | 140 | 870 | $10 | $605.2K |
| 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. | 114 | 190 | 7,750 | $10 | $466.9K |
| 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. | 68 | 160 | 2,310 | $1 | $395.6K |
| 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… | 87 | 140 | 3,760 | $10 | $315.8K |
| 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… | 145 | 310 | 2,240 | $1 | $184.2K |
| 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).… | 77 | 220 | 900 | $1 | $180.8K |
Showing 1–10 of 64
Other providers in the same ZIP code as Bioreference Health, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Atmiya Adult Day Care LLC | NJ | Adult Day Care Clinic/Center | $0 | $19.9M |
| Careway Medical Adult Day Care Corp | NJ | Adult Day Care Clinic/Center | $0 | $16.9M |
| River Drive Surgery Center, LLC | NJ | Ambulatory Surgical Clinic/Center | $8M | $8.8M |
| Garden State Rehab Services | NJ | Rehabilitation Clinic/Center | $0 | $12.3M |
| Preferred Home Health Care & Nursing Services, Inc. | NJ | Home Health Agency | $0 | $11.5M |
| Biogenica Laboratories LLC | NJ | Clinical Medical Laboratory | $149K | $2.3M |
| Masters Ambulance Service | NJ | Non-emergency Medical Transport (VAN) | $801K | $382.8K |
| Global Health Ems Inc | NJ | Land Ambulance | $570.3K | $317K |
| Pinnacle Mri Group, LLC | NJ | Radiology Clinic/Center | $8.5K | $813.6K |
| Hadley Phillips | NJ | Ophthalmology Physician | $382.2K | $0 |
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.