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NPI 1215930987 · Aiea, HI · Clinical Medical Laboratory
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Diagnostic Laboratory Services, Inc is a clinical medical laboratory provider located in Aiea, Hawaii. This profile covers 388 Medicare and 300 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 | Diagnostic Laboratory Services, Inc |
| Address | 99-859 Iwaiwa St |
| City | Aiea |
| State | HI |
| ZIP | 96701 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | May 24, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $46M |
| Medicare | $10.5M |
DIAGNOSTIC LABORATORY SERVICES, INC operates as a high-volume clinical medical laboratory focused on routine phlebotomy and common chemistry/hematology panels: Medicare billing is led by 36415 (1.2M revenue, 15.1%), 80061 (1.1M revenue, 14.0%) and 80053 (867K revenue, 11.2%), and Medicaid volumes likewise show heavy use of 80061, 83036 and 85025. The presence of both high-volume specimen collection codes (36415) and broad panels (80061, 80053, 85025, 83036) indicates a large draw for outpatient/ambulatory testing and centralized processing of routine labs.
Medicare revenue is concentrated: the provider’s top three Medicare codes account for 40.3% of its $10.5M Medicare revenue, driven by blood collection and routine panels (36415, 80061, 80053). This concentration shows reliance on a small set of high-throughput services for a large share of Medicare receipts.
Medicaid billing shows a different but still concentrated mix: the top three Medicaid codes account for 27.0% of the provider’s $46M Medicaid revenue, with particularly large Medicaid receipts for 80061 ($3.4M, 11.4%), U0003 ($2.5M, 8.1%) and 83036 ($2.3M, 7.5%). The Medicaid portfolio emphasizes high-volume screening and diagnostic panels plus substantial SARS‑CoV‑2 testing (U0003), reflecting payer-driven demand in-state.
The provider’s payer mix is Medicaid-dominant in scale: Medicaid revenue ($46M) is substantially larger than Medicare revenue ($10.5M), indicating the business relies more heavily on state Medicaid volume than on Medicare. This asymmetry suggests operational priorities and capacity are likely aligned to meet high-volume state contracts and community testing demand.
DIAGNOSTIC LABS is a competitive outlier on volume for many routine tests nationally: several Medicare codes rank in the 100th percentile and are labeled “extreme outlier” or “notably above typical national volume,” for example 36415 ranks #31 of 86467 (100th percentile; extreme outlier) and 80061 ranks #36 of 21671 (100th percentile; extreme outlier). Those national percentiles indicate the provider is operating at volumes far above typical peers for core outpatient laboratory services.
Within Hawaii, the provider is frequently the statewide volume leader: multiple Medicaid codes rank #1 in-state (100th percentile) including 80061, 83036, 85025, 80053, 82306 and 36415, demonstrating dominant in-state market share for routine chemistry, hematology and collection services. These in-state #1 rankings show it is a primary laboratory resource for Medicaid-managed testing in Hawaii.
Service breadth includes both very high-volume routine assays and lower-volume, high-paid specialized tests: Medicare shows molecular/other specialty activity with 81479 (77 claims, $3012 avg paid/claim, $231.9K revenue) and HLA immunoassay codes 86834/86835 (229 claims each, $345/$311 avg paid/claim, $79K/$71.2K revenue), while Medicaid shows elevated allergen IgE (86003, $1.6M revenue) and multiple infectious disease panels (U0003, 87491, 87591). This mix points to a core high-throughput clinical lab supported by capacity for molecular, infectious disease, immunology and specialty testing.
The provider has an established operational history with NPI enumerated 2005-05-24 (~21 years ago); that tenure combined with very large claim volumes (for example Medicaid counts of 285.9K claims for 80061 and 419.1K claims for 36415) is consistent with a mature, centralized laboratory infrastructure capable of handling sustained high throughput. Longevity plus outsized volumes strengthen the interpretation of a stable, scale-based laboratory business model rather than a transient testing operation.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
388 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 146,440 | $10 | $1.2M |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 83,160 | $10 | $1.1M |
| 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. | 86,700 | $10 | $867K |
| 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… | 82,580 | $10 | $660.6K |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 38,780 | $20 | $620.4K |
| 83036 | Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).… | 67,990 | $10 | $611.9K |
| 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… | 14,350 | $30 | $416.2K |
| 83970 | Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function. | 6,100 | $40 | $243.8K |
| 80048 | The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood… | 29,400 | $10 | $235.2K |
| 81479 | Use 81479 to report a molecular pathology procedure that does not have a specific code. | 80 | $3,010 | $231.9K |
Showing 1–10 of 388
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 388 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
388 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 82306 | 1 | 10 | 6,730 | $30 | $203.3K |
| 80053 | 1 | 10 | 30 | $10 | $197.6K |
| 80061 | 1 | 10 | 170 | $10 | $142.4K |
| 84443 | 1 | 10 | 100 | $20 | $134.2K |
| 81479 | 1 | 10 | 50 | $2,530 | $119K |
| 83970 | 1 | 10 | 2,180 | $40 | $111.2K |
| 82043 | 1 | 10 | 18,900 | $10 | $106.3K |
| 82607 | 1 | 10 | 6,890 | $10 | $101.5K |
| 84153 | 1 | 10 | 2,630 | $20 | $79.2K |
| 86834 | 1 | 10 | 230 | $340 | $78.9K |
Showing 1–10 of 388
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.
300 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 285,860 | $10 | $3.4M |
| 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… | 38,940 | $60 | $2.5M |
| 83036 | Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).… | 250,720 | $10 | $2.3M |
| 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… | 299,070 | $10 | $2.1M |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 50,760 | $40 | $2M |
| 80050 | The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the… | 60,960 | $30 | $2M |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 49,620 | $40 | $1.9M |
| 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. | 230,790 | $10 | $1.8M |
| 86003 | The lab analyst performs the technical lab test to analyze a specimen such as serum for allergen–specific immunoglobulin E (IgE), using a crude allergen extract. The test result is quantitative or… | 12,570 | $130 | $1.6M |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 114,640 | $10 | $1.5M |
Showing 1–10 of 300
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
300 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 80050 | The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the… | 1 | 10 | 20,440 | $30 | $849.8K |
| 86003 | The lab analyst performs the technical lab test to analyze a specimen such as serum for allergen–specific immunoglobulin E (IgE), using a crude allergen extract. The test result is quantitative or… | 1 | 10 | 4,430 | $160 | $842.9K |
| 87389 | The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an… | 2 | 10 | 2,090 | $60 | $613.6K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 2 | 20 | 1,060 | $60 | $547.3K |
| 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. | 5 | 30 | 2,500 | $40 | $455.4K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 2 | 20 | 1,070 | $50 | $440.8K |
| 87624 | The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result. | 2 | 10 | 4,400 | $60 | $433K |
| 87481 | The lab analyst performs a test for Candida species using amplified nucleic acid probe technique. | 7 | 10 | 60 | $310 | $411.1K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 1 | 20 | 660 | $20 | $408.6K |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 1 | 20 | 1,050 | $30 | $375.8K |
Showing 1–10 of 300
Other providers in the same ZIP code as Diagnostic Laboratory Services, Inc, ranked by combined Medicare and Medicaid revenue.
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