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    OpenPayerNPI Medicare & MedicaidSpectra East, Inc.
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    Spectra East, Inc. — Billing Profile & Reimbursement Data

    NPI 1124024922 · Rockleigh, NJ · Clinical Medical Laboratory

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    Spectra East, Inc. is a clinical medical laboratory provider located in Rockleigh, New Jersey. This profile covers 74 Medicare and 112 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
    OrganizationSpectra East, Inc.
    Address8 King Rd
    CityRockleigh
    StateNJ
    ZIP07647
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedJune 27, 2005

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

    Payer SourceTotal Paid
    Medicaid$19.8M
    Medicare$1.1M

    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.

    74 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    83036Sugar 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).…49,670$10$496.7K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.7,960$10$103.5K
    83615The lab analyst measures the lactate dehydrogenase, typically in a serum sample. Lactate dehydrogenase is found in many body tissues, especially in the liver, kidney, and heart, and also in red blood…12,240$10$73.4K
    80202The lab analyst performs the technical lab test to analyze a specimen to quantitate the amount of vancomycin present, which is an antibiotic.4,680$10$60.9K
    85610Prothrombin time is most commonly measured using the blood plasma. Chemicals like calcium and tissue factor are added to the plasma sample and then the time is noted when the plasma clots. To analyze…12,220$1$48.9K
    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…630$70$46.5K
    84443The 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…2,800$20$44.8K
    86803Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody2,390$10$33.5K
    87522A lab tests a patient’s specimen to measure the amount of hepatitis C virus present. This may be referred to as viral load.650$40$27.2K
    86140The lab analyst performs the technical lab test to analyze a specimen, typically serum, for the presence of C reactive protein.4,530$10$22.6K

    Showing 1–10 of 74

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    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 74 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    74 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    U00032080110$70$101.7K
    83880435070$40$83.4K
    8444312380100$20$65.5K
    800618370130$10$65.4K
    80197510580$10$54.9K
    839706612060$40$54.3K
    87522410310$40$46.4K
    8738982070$20$37.3K
    86803530130$10$36K
    U00052790120$20$35.3K

    Showing 1–10 of 74

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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.

    112 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    83970Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.193,820$30$6.6M
    82728The 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…146,100$10$1.3M
    83550The lab analyst measures the iron binding capacity, typically in a serum sample. This analyte is an important measurement of the capacity of iron to bind to transferrin. That capacity is also known…210,210$10$1.3M
    87340The lab analyst performs a test to detect hepatitis B surface antigen, also called HBsAg, using an immunoassay technique, such as EIA.151,220$10$1.2M
    83540The lab analyst measures the iron level, primarily in serum. Iron is one of the essential elements in the body, and the greatest portion is present combined with hemoglobin within the red blood cells.242,960$1$971.9K
    82306The 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…39,240$20$902.5K
    82108The lab analyst performs a quantitative measurement of the element aluminum. Most commonly the source is serum or urine. This quantitation is important in patients on kidney dialysis or medications…36,830$20$662.9K
    86706The lab analyst performs an immunoassay to evaluate the patient’s specimen, typically serum, for hepatitis B surface antibody.59,850$10$478.8K
    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…18,210$20$400.6K
    85018The lab analyst measures the hemoglobin in a whole blood sample. Hemoglobin is the red pigmented iron compound contained in the red blood cell that combines with oxygen needed by the body tissue.186,740$1$373.5K

    Showing 1–10 of 112

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    Medicaid: Competitive Analysis & Benchmarks

    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

    112 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…341303,180$60$4.2M
    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,…621405,590$20$823.1K
    86769The lab analyst performs a multiple–step immunoassay to evaluate the patient’s serum for antibodies to severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), which causes coronavirus disease…3960280$40$728.3K
    82306The 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…8140870$10$605.2K
    80053The 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.881907,750$10$466.9K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.111602,310$1$395.6K
    84443The 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…411403,760$10$315.8K
    86765The lab analyst performs an immunoassay to evaluate the patient’s serum for antibodies to rubeola.2220500$10$277.9K
    87522A lab tests a patient’s specimen to measure the amount of hepatitis C virus present. This may be referred to as viral load.830490$20$198.3K
    85025A 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…343102,240$1$184.2K

    Showing 1–10 of 112

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Spectra East, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Spectra Laboratories IncMSClinical Medical Laboratory$1.8M$6.2M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    New Jersey Cvs Pharmacy LLCNJPharmacy$141.2K$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. New Jersey Distribution
    Spectra East, Inc. — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey
    Medicaid Revenue by Year vs. New Jersey Providers
    4 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Jersey Distribution
    Spectra East, Inc. — 20 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey