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    Washington University — Billing Profile & Reimbursement Data

    NPI 1174880629 · Saint Louis, MO · Clinical Medical Laboratory

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    Washington University is a clinical medical laboratory provider located in Saint Louis, Missouri. This profile covers 11 Medicare and 1 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
    OrganizationWashington University
    Address509 S Euclid Ave
    CitySaint Louis
    StateMO
    ZIP63110
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedApril 20, 2012

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

    Payer SourceTotal Paid
    Medicare$408.5K
    Medicaid$84.8K

    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    81450The lab analyst performs a genomic sequence analysis panel to evaluate the patient specimen, such as blood or bone marrow, for DNA and possibly RNA alterations in five to 50 genes known to impact…250$740$183.3K
    88321A qualified provider, typically a pathologist, provides consultation and a report on slides prepared elsewhere. A unit of service is the surgical case regardless of the number of slides received.1,560$70$109.4K
    81479Use 81479 to report a molecular pathology procedure that does not have a specific code.20$2,490$57.2K
    G0452Molecular pathology procedure; physician interpretation and report650$40$23.3K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…390$40$16K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…130$50$6.3K
    88323A qualified provider, typically a pathologist, provides consultation and a report on referred material, such as a tissue block, and prepares and stains slides. A unit of service is the surgical case…60$90$4.9K
    88360The lab analyst applies a single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist, evaluates the…70$60$4.5K
    88365The lab analyst applies an initial in situ hybridization single probe stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a…30$50$1.7K
    88305The 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…30$50$1.3K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    81450110250$740$183.3K
    8147911020$2,490$57.2K
    88305281290540$30$30.7K
    8834152210230$30$10.6K
    G0452210130$40$9.9K
    88342106230110$40$7.1K
    8832113020$70$6.1K
    8832321060$80$3.7K
    883604211050$30$2.5K
    8836593030$50$1.6K

    Showing 1–10 of 11

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88321A qualified provider, typically a pathologist, provides consultation and a report on slides prepared elsewhere. A unit of service is the surgical case regardless of the number of slides received.1,480$60$84.3K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Missouri median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88321A qualified provider, typically a pathologist, provides consultation and a report on slides prepared elsewhere. A unit of service is the surgical case regardless of the number of slides received.1101,480$60$84.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Washington UniversityMOMulti-Specialty Clinic/Center$0$22M
    Washington UniversityMOMulti-Specialty Clinic/Center$0$14.8M
    Washington UniversityMOMulti-Specialty Clinic/Center$0$10.4M
    Washington UniversityMOEmergency Care Clinic/Center$0$9.1M
    Washington UniversityMOEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$6.9M
    Washington UniversityMOEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$4.4M
    Washington UniversityMOMulti-Specialty Clinic/Center$0$4M
    John ViscontiILMedical Oncology Physician$2.8M$149.1K
    Peter OppeltMOMedical Oncology Physician$2.5M$15.8K
    Ronald DeanMTEmergency Medicine Physician$2.3M$2.3K

    Nearby Providers

    Other providers in the same ZIP code as Washington University, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Council For Extended CareMOIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$98.1M
    St. Louis Children's HospitalMOChildren's Hospital$0$66.9M
    Barnes Jewish HospitalMOGeneral Acute Care Hospital$0$61.4M
    Paraquad IncMOCustomized Equipment (DME)$0$56.3M
    Cooperative Home Care, Inc.MOHome Health Agency$0$20.6M
    New Beginnings In Home Services, LLCMOIn Home Supportive Care Agency$0$11.6M
    Bjc Home Care ServicesMODurable Medical Equipment & Medical Supplies$0$8.2M
    Wallace Family In Home Health LLCMOIn Home Supportive Care Agency$0$6.6M
    Cooperative Home CareMOHome Health Agency$0$5.5M
    Josephines Caring HandsMOIn Home Supportive Care Agency$0$3.4M

    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. Missouri Distribution
    Washington University — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri
    Medicaid Revenue by Year vs. Missouri Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Missouri Distribution
    Washington University — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri