Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New York for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New York only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New York (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Acm Medical Laboratory Inc (NPI 1174517353)

Field	Value
Entity Type	Organization
Organization	Acm Medical Laboratory Inc
Address	160 Elmgrove Park
City	Rochester
State	NY
ZIP	14624
Taxonomy	Clinical Medical Laboratory
NPI Enumerated	September 2, 2005

Payer Source	Total Paid
Medicaid	$40.9M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

266 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	364,440	$40	$12.8M
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…	138,570	$50	$7.5M
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…	28,330	$90	$2.6M
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	74,800	$30	$2.2M
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	74,090	$30	$2.1M
87480	The lab analyst performs a test for Candida species using direct nucleic acid probe technique.	46,250	$20	$786.3K
87660	The lab analyst performs a test for Trichomonas vaginalis using direct nucleic acid probe technique.	46,070	$20	$783.2K
87510	The lab analyst performs a test for Gardnerella vaginalis using direct nucleic acid probe technique. Gardnerella vaginalis typically causes bacterial vaginosis, an infection of the vagina that…	45,840	$20	$779.2K
87631	The lab analyst performs the technical steps to detect three to five types or subtypes of pathogens, such as adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,…	6,680	$110	$734.7K
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…	25,960	$30	$674.8K

Showing 1–10 of 266

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New York Distribution

Acm Medical Laboratory Inc — 13 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. New York median

266 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	35	340	1,090	$70	$1.4M
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…	8	40	440	$90	$511.9K
U0005	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, cdc or non-cdc,…	214	300	1,710	$20	$458.6K
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…	3	110	690	$50	$442K
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.	3	290	1,900	$30	$390.6K
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…	25	60	230	$370	$340.9K
86481	The lab analyst performs a test to evaluate an antigen response to certain tuberculosis (TB) antibodies by enumerating T cells that produce gamma interferon.	11	30	1,350	$40	$300.8K
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.	46	590	1,160	$20	$277.2K
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…	493	640	1,080	$60	$251.5K
87536	A lab tests a patient’s specimen to measure the amount of HIV–1 present. This may be referred to as viral load.	50	80	1,280	$80	$225K

Showing 1–10 of 266

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Unity Hospital Of Rochester	NY	General Acute Care Hospital	$0	$55.3M
The Unity Hospital Of Rochester	NY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$36.8M
The Unity Hospital Of Rochester	NY	Substance Use Disorder Rehabilitation Clinic/Center	$0	$28.3M
The Unity Hospital Of Rochester	NY	General Acute Care Hospital	$0	$25.9M
Fletcher Hospital Inc.	NC	Rural Acute Care Hospital	$0	$12M
B & R Dental, LLC	CT	General Practice Dentistry	$0	$2.8M
Michael Fazio	IL	Diagnostic Radiology Physician	$294.3K	$184.3K
Wesley Pruett	MN	Diagnostic Radiology Physician	$441.3K	$770
Ayhan Yoruk	CA	Clinical Cardiac Electrophysiology Physician	$338.3K	$0
Joshua Albrektson	MN	Diagnostic Radiology Physician	$264.9K	$2K

Nearby Providers

Other providers in the same ZIP code as Acm Medical Laboratory Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chhuny, LLC	NY	Case Management Agency	$0	$331.1M
Depaul Adult Care	NY	Assisted Living Facility	$0	$37.6M
Healthdirect Institutional Pharmacy Services, Inc.	NY	Long Term Care Pharmacy	$111.8K	$0

Acm Medical Laboratory Inc — Billing Profile & Reimbursement Data

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Acm Medical Laboratory Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References