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NPI 1124603071 · Plymouth, MI · Clinical Medical Laboratory
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Phenomics Health Inc is a clinical medical laboratory provider located in Plymouth, Michigan. This profile covers 4 Medicare and 10 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 | Phenomics Health Inc |
| Address | 46701 Commerce Center Dr |
| City | Plymouth |
| State | MI |
| ZIP | 48170 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | March 12, 2021 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $58.9K |
| Medicaid | $12.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 81226 | The 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. | 90 | $440 | $39.8K |
| 81225 | The 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. | 40 | $290 | $10.3K |
| 81479 | Use 81479 to report a molecular pathology procedure that does not have a specific code. | 30 | $170 | $4.4K |
| G0483 | 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… | 20 | $240 | $4.4K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 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.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 81225 | The 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. | 70 | $50 | $3.3K |
| 81226 | The 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. | 120 | $30 | $3.2K |
| 81381 | The lab analyst performs the technical lab test for high resolution assessment of human leukocyte antigen genes, called HLA, for one Class I allele or allele group of interest, typically one that is… | 70 | $20 | $1.4K |
| 81403 | The lab analyst performs the technical lab test to complete one of the specific genetic analyses listed in this Tier 2, Level 4 molecular pathology code. | 50 | $20 | $1.2K |
| 81355 | The lab analyst performs the technical lab test to detect the presence of common changes in the gene for vitamin K epoxide reductase complex, subunit 1, also known as VKORC1. | 50 | $30 | $1.1K |
| 81227 | The 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 9, also known as CYP2C9. | 60 | $20 | $1K |
| 81350 | The lab analyst performs the technical lab test to detect the presence of common changes in the gene for UDP glucuronosyltransferase 1 family, polypeptide A1, also known as UGT1A1. | 50 | $10 | $710 |
| 81291 | The lab analyst performs the technical lab test to detect the presence of common changes in the gene for 5,10–methylenetetrahydrofolate reductase, also known as MTHFR. | 50 | $10 | $560 |
| 81328 | The lab analyst performs the technical lab test to detect the presence of specific changes in the solute carrier organic anion transporter family, member 1B1 (SLCO1B) gene for common variants, such… | 10 | $0 | $0 |
| G0483 | 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… | 30 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Michigan providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Michigan median
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| G0483 | 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… | 53 | 60 | 1,310 | $130 | $1.1M |
| 81225 | The 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. | 1 | 10 | 70 | $50 | $3.4K |
| 81226 | The 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. | 1 | 10 | 120 | $30 | $3.2K |
| 81403 | The lab analyst performs the technical lab test to complete one of the specific genetic analyses listed in this Tier 2, Level 4 molecular pathology code. | 2 | 10 | 50 | $10 | $2.3K |
| 81381 | The lab analyst performs the technical lab test for high resolution assessment of human leukocyte antigen genes, called HLA, for one Class I allele or allele group of interest, typically one that is… | 1 | 10 | 70 | $20 | $1.4K |
| 81355 | The lab analyst performs the technical lab test to detect the presence of common changes in the gene for vitamin K epoxide reductase complex, subunit 1, also known as VKORC1. | 1 | 10 | 50 | $20 | $1.1K |
| 81227 | The 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 9, also known as CYP2C9. | 1 | 10 | 60 | $20 | $1K |
| 81350 | The lab analyst performs the technical lab test to detect the presence of common changes in the gene for UDP glucuronosyltransferase 1 family, polypeptide A1, also known as UGT1A1. | 1 | 10 | 50 | $10 | $740 |
| 81291 | The lab analyst performs the technical lab test to detect the presence of common changes in the gene for 5,10–methylenetetrahydrofolate reductase, also known as MTHFR. | 2 | 10 | 50 | $10 | $580 |
| 81328 | The lab analyst performs the technical lab test to detect the presence of specific changes in the solute carrier organic anion transporter family, member 1B1 (SLCO1B) gene for common variants, such… | 1 | 10 | 10 | $0 | $0 |
Other providers in the same ZIP code as Phenomics Health Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Dearborn Speech And Sensory Center, Inc | MI | Behavior Analyst | $0 | $47.6M |
| Personalized Nursing Light House, Inc. | MI | Substance Use Disorder Rehabilitation Clinic/Center | $0 | $25.6M |
| Kci Usa, Inc. | MI | Durable Medical Equipment & Medical Supplies | $0 | $9.6M |
| Transformational Services LLC | MI | Clinical Social Worker | $0 | $6.4M |
| Lincare Inc. | MI | Durable Medical Equipment & Medical Supplies | $0 | $5.8M |
| Rapid Biosense LLC | MI | Clinical Medical Laboratory | $59.1K | $1.6M |
| Ultra-x Imaging LLC | MI | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | $814.8K | $300.1K |
| Naman Jhaveri | MI | Infectious Disease Physician | $449K | $47.7K |
| Kalyani Movva | MI | Specialist | $416.2K | $0 |
| Hend Abdul-jauwad | MI | Infectious Disease Physician | $246.9K | $0 |
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