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NPI 1093793200 · Worcester, MA · Clinical Medical Laboratory
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Laboratory Corporation Of America Holdings is a clinical medical laboratory provider located in Worcester, Massachusetts. This profile covers 48 Medicare and 201 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 | Laboratory Corporation Of America Holdings |
| Address | 123 Summer St |
| City | Worcester |
| State | MA |
| ZIP | 01608 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | January 6, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $3.2M |
| Medicare | $56.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
48 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. | 960 | $10 | $9.6K |
| 83521 | The lab analyst performs a chemistry test to measure the level of each immunoglobulin light chain, kappa or lambda, in a serum specimen. A common lab method for this test is turbidimetry, which uses… | 250 | $20 | $4K |
| 82784 | The lab analyst performs the technical lab test to analyze the concentration of a particular gamma globulin in the specimen. The analyst may test for immunoglobulin A, immunoglobulin D,… | 400 | $10 | $3.6K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 430 | $10 | $3.4K |
| 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… | 490 | $10 | $3.4K |
| 82657 | The lab analyst measures the enzyme activity found from within the cells, which can be from a variety of locations including tissue. He uses a nonradioactive substrate for the test. Use this code… | 130 | $20 | $2.9K |
| 88305 | The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 100 | $30 | $2.8K |
| 86334 | The lab analyst performs immunofixation electrophoresis, typically on the patient’s serum, to diagnose and or monitor monoclonal gammopathies or myeloma, a bone marrow tumor. | 110 | $20 | $2.1K |
| 82728 | The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute… | 150 | $10 | $1.9K |
| 86668 | The lab analyst performs an immunoassay to evaluate the patient’s serum for antibodies to the bacterium Francisella tularensis. | 130 | $10 | $1.8K |
Showing 1–10 of 48
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 48 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
48 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 83520 | 6 | 10 | 2,590 | $20 | $74.7K |
| 83521 | 3 | 10 | 3,540 | $20 | $66K |
| 88305 | 449 | 520 | 530 | $40 | $53.4K |
| 80197 | 5 | 10 | 130 | $10 | $33.6K |
| 84165 | 38 | 60 | 250 | $10 | $13.7K |
| 86334 | 36 | 60 | 160 | $20 | $12.8K |
| 82784 | 5 | 20 | 100 | $10 | $12.6K |
| 82306 | 183 | 440 | 40 | $30 | $10.1K |
| 84443 | 207 | 650 | 50 | $20 | $8.2K |
| 82378 | 8 | 10 | 170 | $20 | $8.2K |
Showing 1–10 of 48
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.
201 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| U0003 | Infectious 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… | 3,240 | $80 | $271.7K |
| 87798 | The 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… | 6,210 | $40 | $260.6K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 6,630 | $30 | $192.2K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 6,520 | $30 | $189.1K |
| 87801 | The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique. | 2,950 | $60 | $165.4K |
| 87661 | The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique. | 3,640 | $30 | $101.9K |
| 87637 | The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)… | 680 | $140 | $96.5K |
| 81420 | The lab analyst performs a genomic sequence analysis panel to evaluate circulating cell free fetal DNA in maternal blood for genetic sequences of at least the genes on chromosomes 13, 18, and 21,… | 120 | $800 | $96.2K |
| 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. | 11,480 | $10 | $68.8K |
| 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… | 3,590 | $20 | $68.1K |
Showing 1–10 of 201
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
201 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 81220 | The lab analyst performs the technical lab test to detect the presence of changes in the gene for cystic fibrosis transmembrane conductance regulator, also known as CFTR. The test evaluates the CFTR… | 15 | 20 | 310 | $260 | $2.1M |
| 81420 | The lab analyst performs a genomic sequence analysis panel to evaluate circulating cell free fetal DNA in maternal blood for genetic sequences of at least the genes on chromosomes 13, 18, and 21,… | 7 | 10 | 1,720 | $430 | $1.2M |
| U0003 | Infectious 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… | 57 | 130 | 1,830 | $60 | $974.3K |
| 81329 | The lab analyst performs the technical lab test to detect deletions in the survival of motor neuron 1 (SMN1), telomeric, gene and may also analyze the survival of motor neuron 2 (SMN2), centromeric,… | 9 | 10 | 1,210 | $50 | $714K |
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 151 | 370 | 500 | $40 | $605.1K |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but… | 94 | 200 | 450 | $30 | $511.5K |
| 87637 | The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)… | 44 | 100 | 290 | $120 | $356.6K |
| 87636 | The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic… | 34 | 60 | 200 | $120 | $310K |
| 86480 | The lab analyst performs a test to evaluate a cell mediated immunity gamma interferon antigen response to certain tuberculosis, or TB, antibodies. | 20 | 40 | 520 | $40 | $303.2K |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but… | 33 | 40 | 990 | $70 | $257.1K |
Showing 1–10 of 201
Other providers in the same ZIP code as Laboratory Corporation Of America Holdings, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Vhs Acquisition Subsidiary Number 7 Inc | MA | General Acute Care Hospital | $0 | $67.7M |
| Centro Las Americas | MA | Community Health Worker | $0 | $43.7M |
| Worcester Adult Day Care Center | MA | Adult Day Care Clinic/Center | $0 | $15.5M |
| Center For Living And Working, Inc | MA | Home Health Agency | $0 | $14.5M |
| Secon Of New England LLC | MA | Clinical Medical Laboratory | $0 | $8.8M |
| Arca Adult Day Health Center | MA | Adult Day Care Clinic/Center | $0 | $7.2M |
| Saint Vincent Physician Services, Inc. | MA | Family Medicine Physician | $0 | $6.1M |
| Imaging Consultants Inc | MA | Radiology Clinic/Center | $423.5K | $658.5K |
| Tony Samaha | MA | Hematology & Oncology Physician | $813.5K | $0 |
| Seth Kates | MA | Dermatology Physician | $667.9K | $35K |
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