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NPI 1215914585 · Englewood, CO · Clinical Medical Laboratory
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Esoterix, Inc is a clinical medical laboratory provider located in Englewood, Colorado. This profile covers 39 Medicare and 21 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 | Esoterix, Inc |
| Address | 8490 Upland Dr |
| City | Englewood |
| State | CO |
| ZIP | 80112 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | December 28, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $514.6K |
| Medicare | $157K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
39 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 86146 | The lab analyst performs the technical lab test to analyze the sample, such as serum, for the presence of beta 2 glycoprotein I antibody. Report one unit for each antibody. | 1,510 | $30 | $37.8K |
| 86147 | The lab analyst performs the technical lab test to analyze for the presence of antibodies to cardiolipin, also called antiphospholipids. Report this code once for each immunoglobulin class the… | 1,140 | $30 | $28.6K |
| 81241 | The lab analyst performs the technical lab test to detect the presence of a common change, called the Leiden variant, in the gene for coagulation factor V, also known as Factor V Leiden or F5. | 190 | $70 | $13.5K |
| 81240 | The lab analyst performs the technical lab test to detect the presence of common changes in the gene for prothrombin, coagulation factor II, also known as F2. | 190 | $60 | $11.8K |
| 85598 | The lab analyst performs a test to evaluate clotting time after adding a reagent called hexagonal phase phosphatidylethanolamine to the patient blood specimen. | 580 | $20 | $10.4K |
| 85613 | The lab analyst performs a test on patient blood to evaluate the impact on clotting time of specific concentrations of venom from a Russell’s viper. | 840 | $10 | $7.6K |
| 85597 | The lab analyst performs a test to evaluate clotting time after adding phospholipids from platelet membranes to the patient blood specimen. | 320 | $20 | $5.8K |
| 85240 | The lab analyst performs a clotting test to determine the presence of factor VIII antihemophilic globulin in the patient’s serum. | 290 | $20 | $5.2K |
| 86148 | The lab analyst performs the technical lab steps for an antiphosphatidylserine antibody test, also called APA, to detect antibodies against proteins typically found on cell membranes and platelets.… | 310 | $20 | $5K |
| 83520 | The lab analyst measures the analyte, which is not an infectious agent antibody or infectious agent antigen, by immunoassay. Use 83520 for procedures that have no specific code assigned for the… | 230 | $20 | $3.9K |
Showing 1–10 of 39
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 39 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.
21 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 86146 | The lab analyst performs the technical lab test to analyze the sample, such as serum, for the presence of beta 2 glycoprotein I antibody. Report one unit for each antibody. | 3,490 | $40 | $129.2K |
| 86147 | The lab analyst performs the technical lab test to analyze for the presence of antibodies to cardiolipin, also called antiphospholipids. Report this code once for each immunoglobulin class the… | 3,410 | $30 | $112.4K |
| 81240 | The lab analyst performs the technical lab test to detect the presence of common changes in the gene for prothrombin, coagulation factor II, also known as F2. | 1,620 | $40 | $66.5K |
| 81241 | The lab analyst performs the technical lab test to detect the presence of a common change, called the Leiden variant, in the gene for coagulation factor V, also known as Factor V Leiden or F5. | 2,280 | $20 | $38.7K |
| 85598 | The lab analyst performs a test to evaluate clotting time after adding a reagent called hexagonal phase phosphatidylethanolamine to the patient blood specimen. | 3,240 | $10 | $32.4K |
| 85597 | The lab analyst performs a test to evaluate clotting time after adding phospholipids from platelet membranes to the patient blood specimen. | 2,140 | $10 | $23.5K |
| 85613 | The lab analyst performs a test on patient blood to evaluate the impact on clotting time of specific concentrations of venom from a Russell’s viper. | 3,330 | $10 | $23.3K |
| 85730 | The analyst performs the technical lab test using plasma or whole blood to measure partial thromboplastin time, PTT, also called APTT, activated partial thromboplastin time. The PTT assay can help… | 3,890 | $1 | $15.5K |
| 85240 | The lab analyst performs a clotting test to determine the presence of factor VIII antihemophilic globulin in the patient’s serum. | 1,090 | $10 | $15.2K |
| 86148 | The lab analyst performs the technical lab steps for an antiphosphatidylserine antibody test, also called APA, to detect antibodies against proteins typically found on cell membranes and platelets.… | 870 | $10 | $11.3K |
Showing 1–10 of 21
How this provider's Medicaid billing volume and revenue compare to other Colorado providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Colorado median
21 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 86146 | The lab analyst performs the technical lab test to analyze the sample, such as serum, for the presence of beta 2 glycoprotein I antibody. Report one unit for each antibody. | 1 | 10 | 1,120 | $40 | $52.1K |
| 86147 | The lab analyst performs the technical lab test to analyze for the presence of antibodies to cardiolipin, also called antiphospholipids. Report this code once for each immunoglobulin class the… | 1 | 10 | 1,210 | $30 | $45.3K |
| 81240 | The lab analyst performs the technical lab test to detect the presence of common changes in the gene for prothrombin, coagulation factor II, also known as F2. | 1 | 10 | 300 | $40 | $27.5K |
| 85598 | The lab analyst performs a test to evaluate clotting time after adding a reagent called hexagonal phase phosphatidylethanolamine to the patient blood specimen. | 1 | 10 | 2,630 | $10 | $24.6K |
| 81241 | The lab analyst performs the technical lab test to detect the presence of a common change, called the Leiden variant, in the gene for coagulation factor V, also known as Factor V Leiden or F5. | 1 | 10 | 450 | $20 | $17K |
| 85597 | The lab analyst performs a test to evaluate clotting time after adding phospholipids from platelet membranes to the patient blood specimen. | 1 | 10 | 1,480 | $10 | $15.4K |
| 85613 | The lab analyst performs a test on patient blood to evaluate the impact on clotting time of specific concentrations of venom from a Russell’s viper. | 1 | 10 | 2,150 | $10 | $12.3K |
| 86148 | The lab analyst performs the technical lab steps for an antiphosphatidylserine antibody test, also called APA, to detect antibodies against proteins typically found on cell membranes and platelets.… | 1 | 10 | 870 | $10 | $11.4K |
| 83090 | The lab analyst measures the amount of homocysteine, typically in a plasma, serum, or urine sample. Testing is related to many inherited disorders of metabolism as homocysteine is an important amino… | 3 | 10 | 230 | $10 | $10.3K |
| 85240 | The lab analyst performs a clotting test to determine the presence of factor VIII antihemophilic globulin in the patient’s serum. | 1 | 10 | 740 | $10 | $7.4K |
Showing 1–10 of 21
Other providers in the same ZIP code as Esoterix, Inc, ranked by combined Medicare and Medicaid revenue.
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