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NPI 1174538789 · Honolulu, HI · Clinical Medical Laboratory
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Kaiser Foundation Health Plan Inc is a clinical medical laboratory provider located in Honolulu, Hawaii. This profile covers 15 Medicare and 20 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 | Kaiser Foundation Health Plan Inc |
| Address | 1010 Pensacola St |
| City | Honolulu |
| State | HI |
| ZIP | 96814 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | July 30, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $499.2K |
| Medicare | $4.7K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 0241U | N/A | 20 | $110 | $1.7K |
| 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… | 130 | $10 | $910 |
| 85027 | The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the… | 90 | $10 | $530 |
| 80051 | The lab analyst performs an electrolyte panel; this panel must include measurement of carbon dioxide, chloride, potassium, and sodium. | 40 | $10 | $260 |
| 81001 | Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other… | 80 | $1 | $230 |
| 82565 | The lab analyst measures the amount of creatinine in a patient specimen, typically of blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine… | 50 | $1 | $210 |
| 84484 | The lab analyst performs the technical lab test typically using serum, plasma, or whole blood to quantitate troponin. Troponin is a protein labs commonly measure to verify a myocardial infarction and… | 20 | $10 | $190 |
| 84460 | The lab analyst performs the technical lab test, typically using serum or plasma, to quantitate the enzyme alanine amino transferase, or ALT, also called SGPT, serum glutamate pyruvate transaminase.… | 20 | $1 | $90 |
| 85610 | Prothrombin 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… | 20 | $1 | $90 |
| 85007 | The lab analyst performs a technical lab test on stained blood smears to microscopically examine and manually count and differentiate white blood cells, or WBCs, also called leukocytes. The… | 30 | $1 | $80 |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
20 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 0241U | N/A | 1,290 | $230 | $301.2K |
| 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… | 2,290 | $30 | $59.5K |
| 85027 | The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the… | 1,200 | $20 | $26.5K |
| 81025 | The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout. | 570 | $30 | $19.4K |
| 81001 | Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other… | 1,570 | $10 | $14.1K |
| 82565 | The lab analyst measures the amount of creatinine in a patient specimen, typically of blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine… | 990 | $10 | $12.9K |
| 80051 | The lab analyst performs an electrolyte panel; this panel must include measurement of carbon dioxide, chloride, potassium, and sodium. | 520 | $20 | $11K |
| 84460 | The lab analyst performs the technical lab test, typically using serum or plasma, to quantitate the enzyme alanine amino transferase, or ALT, also called SGPT, serum glutamate pyruvate transaminase.… | 570 | $20 | $10.3K |
| 84450 | The lab analyst performs the technical lab test, typically using serum or plasma, to quantitate the enzyme aspartate amino transferase, or AST, also called SGOT, serum glutamic oxaloacetic… | 500 | $20 | $9K |
| 85610 | Prothrombin 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… | 590 | $10 | $5.9K |
Showing 1–10 of 20
How this provider's Medicaid billing volume and revenue compare to other Hawaii providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Hawaii median
20 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 0241U | N/A | 6 | 20 | 730 | $50 | $100K |
| 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… | 36 | 90 | 1,810 | $1 | $65.6K |
| 81001 | Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other… | 23 | 30 | 4,340 | $1 | $30K |
| 85027 | The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the… | 9 | 30 | 700 | $10 | $28.5K |
| 85610 | Prothrombin 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… | 20 | 30 | 2,350 | $1 | $12.5K |
| 87428 | The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2… | 16 | 30 | 190 | $20 | $10.9K |
| 80051 | The lab analyst performs an electrolyte panel; this panel must include measurement of carbon dioxide, chloride, potassium, and sodium. | 25 | 50 | 430 | $1 | $9.8K |
| 82247 | The lab analyst measures the amount of total bilirubin in a patient’s blood. Bilirubin is the yellow color pigment found in the bile, a fluid made by the liver. | 12 | 10 | 900 | $1 | $9.4K |
| 84460 | The lab analyst performs the technical lab test, typically using serum or plasma, to quantitate the enzyme alanine amino transferase, or ALT, also called SGPT, serum glutamate pyruvate transaminase.… | 13 | 30 | 400 | $1 | $8.3K |
| 83690 | The lab analyst measures the amount of lipase enzyme in the patient specimen. Lipase is an enzyme that the pancreas secretes to help in the absorption of fat. | 25 | 30 | 3,770 | $1 | $6.7K |
Showing 1–10 of 20
Other providers in the same ZIP code as Kaiser Foundation Health Plan Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Walgreen Co | HI | Pharmacy | $0 | $25.3M |
| Mastercare Inc | HI | Nursing Care Agency | $0 | $10.8M |
| Attention Plus Private Nursing, Inc. | HI | Nursing Care Agency | $0 | $7.7M |
| Heaven's Helpers, Inc. | HI | In Home Supportive Care Agency | $0 | $4.5M |
| Heaven's Helpers, Inc. | HI | Nursing Care Agency | $0 | $4M |
| Honolulu Imaging Center, LLC | HI | Diagnostic Radiology Physician | $2.6M | $1.1M |
| Eugene W M Ng Md LLC | HI | Ophthalmology Physician | $0 | $3.7M |
| Bayada Home Care | HI | In Home Supportive Care Agency | $0 | $3.6M |
| B Homecare L.L.C. | HI | In Home Supportive Care Agency | $0 | $3.5M |
| Hawaii Diagnostic Radiology Services LLC | HI | Diagnostic Radiology Physician | $0 | $3.2M |
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