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    OpenPayerNPI Medicare & MedicaidWise Diagnostic Systems, LLC
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    Wise Diagnostic Systems, LLC — Billing Profile & Reimbursement Data

    NPI 1083134209 · The Woodlands, TX · Clinical Medical Laboratory

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    Wise Diagnostic Systems, LLC is a clinical medical laboratory provider located in The Woodlands, Texas. This profile covers 21 Medicare and 38 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
    OrganizationWise Diagnostic Systems, LLC
    Address1776 Woodstead Ct Ste 107
    CityThe Woodlands
    StateTX
    ZIP77380
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedJune 20, 2017

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

    Payer SourceTotal Paid
    Medicare$2M
    Medicaid$451.8K

    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.

    21 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…20,650$30$702.1K
    87801The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.5,400$70$372.7K
    U00042019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…2,600$70$192K
    87150The lab analyst performs an analysis using amplified DNA or RNA probe technique on a previously isolated and identified organism to categorize the organism more specifically, such as to the taxonomic…4,980$30$169.3K
    87481The lab analyst performs a test for Candida species using amplified nucleic acid probe technique.4,340$30$147.6K
    81226The lab analyst performs the technical lab test to detect the presence of common changes in the gene for cytochrome P450, family 2, subfamily D, polypeptide 6, also known as CYP2D6.200$440$85.6K
    U0005Infectious 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,…2,290$30$57.3K
    81225The lab analyst performs the technical lab test to detect the presence of common changes in the gene for cytochrome P450, family 2, subfamily C, polypeptide 19, also known as CYP2C19.150$290$41.5K
    87640The lab analyst performs the technical lab test to look for Staphylococcus aureus nucleic acid using an amplified probe technique.1,070$30$36.4K
    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,…1,070$30$36.4K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    871509301,260$30$430.3K
    8779821300790$30$265.1K
    878015120170$70$86.5K
    8748124270150$30$68.8K
    874982030120$30$45.9K
    U000422050$70$40.4K
    87486366090$30$32.7K
    87581377080$30$32.2K
    8122623040$430$31.3K
    876403025070$30$25.9K

    Showing 1–10 of 21

    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.

    38 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    U00042019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…29,390$10$235.1K
    U0005Infectious 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,…23,040$1$69.1K
    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…4,840$10$67.8K
    87481The lab analyst performs a test for Candida species using amplified nucleic acid probe technique.3,710$10$22.2K
    87801The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.4,370$10$21.9K
    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…2,770$1$8.3K
    87641The lab analyst performs a test for methicillin–resistant Staphylococcus aureus (MRSA) using an amplified nucleic acid probe technique.2,230$1$4.5K
    87150The lab analyst performs an analysis using amplified DNA or RNA probe technique on a previously isolated and identified organism to categorize the organism more specifically, such as to the taxonomic…1,400$1$4.2K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…490$10$3.9K
    87640The lab analyst performs the technical lab test to look for Staphylococcus aureus nucleic acid using an amplified probe technique.3,720$1$3.7K

    Showing 1–10 of 38

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Texas median

    38 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    81408The lab analyst performs the technical lab test to complete one of the specific genetic analyses listed in this Tier 2, Level 9 molecular pathology code.840100$230$335.3K
    U00042019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…4100470$50$319.1K
    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…37240420$30$296.8K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.197290410$20$225K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.203300410$20$223.4K
    87661The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.103150320$20$184K
    87801The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.17110360$40$174.9K
    U0005Infectious 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,…14260640$20$137.2K
    87502The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…342350230$70$120.3K
    87481The lab analyst performs a test for Candida species using amplified nucleic acid probe technique.32170440$20$93.6K

    Showing 1–10 of 38

    Nearby Providers

    Other providers in the same ZIP code as Wise Diagnostic Systems, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pediatric Urgent Care PATXUrgent Care Clinic/Center$0$25.2M
    Maxim Healthcare Services, Inc.TXHome Health Agency$0$19M
    Shaun S. Varghese, M.d., PLLCTXNeurology with Special Qualifications in Child Neurology Physician$0$16.8M
    Singleton Associates PATXDiagnostic Radiology Physician$0$16.2M
    Guy BurrowsTXNeurology Physician$11.3M$0
    Trifecta Pharmacy LLCTXCommunity/Retail Pharmacy$7.9M$1.3K
    Samir ShirodkarTXUrology Physician$3.4M$0
    Randall JohnsonTXRheumatology Physician$2.5M$0
    Asit ChoksiTXMedical Oncology Physician$2.4M$0
    Carolyn ChenTXOphthalmology Physician$2M$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. Texas Distribution
    Wise Diagnostic Systems, LLC — 4 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas
    Medicaid Revenue by Year vs. Texas Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Texas Distribution
    Wise Diagnostic Systems, LLC — 1 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas