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NPI 1225035132 · Bangor, ME · Clinical Medical Laboratory
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Affiliated Laboratory, Inc. is a clinical medical laboratory provider located in Bangor, Maine. This profile covers 121 Medicare and 188 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 | Affiliated Laboratory, Inc. |
| Address | 417 State St |
| City | Bangor |
| State | ME |
| ZIP | 04401 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | July 7, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $6.5M |
| Medicare | $251K |
This provider is effectively Medicaid-focused: lifetime Medicaid revenue is $6.5M compared with total Medicare revenue of $251K, indicating the business derives the vast majority of its billed volume and dollars from Medicaid payers. The scale difference suggests contracts, client relationships, and operational capacity are oriented largely toward state Medicaid work rather than Medicare-focused account growth.
Revenue concentration differs by payer but is meaningful in both: the top three Medicare codes by revenue account for 32.6% of this provider's Medicare revenue, while the top three Medicaid codes by revenue account for 34.1% of its Medicaid revenue. The highest‑revenue Medicare codes include 80053 ($24.9K), 84443 ($21.9K), and 36415 ($20.1K); the top Medicaid revenue drivers are U0004 ($621.4K), 84443 ($519K), and 80053 ($475.5K).
The code mix confirms a full‑service clinical laboratory footprint focused on routine chemistry and hematology plus high-throughput molecular and infectious disease testing. High-volume routine panels and draws such as 80053, 80061, 85025, and 36415 appear throughout the lists, while significant Medicaid volume in U0004, U0005, 87631 and STI panels (87491, 87591) indicates capacity for molecular diagnostics and public-health testing. This blend points to a lab that supports both primary care screening and centralized infectious-disease workflows.
Medicare competitive standing is modest at the national level despite nontrivial per-code rankings: many Medicare codes (for example 80053 at rank #511 of 26416, 98th percentile; 84443 at rank #472 of 19722, 98th percentile) are labeled in the source as "typical, unremarkable volume" for their national peer groups. Combined with a relatively small Medicare revenue base of $251K, these rankings imply the provider participates at routine volumes nationally but is not a large national laboratory for Medicare business.
In contrast, the provider is a major in-state Medicaid participant for several assays. Several Medicaid codes are ranked at or near the top of state peers—84443 is #2 of 54 in-state (98th percentile, "notably above typical state volume"), 80061 is #2 of 56 (98th percentile, described as an "extreme outlier, far above typical state volume"), 82306 is #2 of 47 (98th percentile, "notably above typical state volume"), and 80074 is #1 of 8 in-state (100th percentile). These positions, together with large claim counts (e.g., 51.9K claims for 84443 and 79.3K claims for 80053 on Medicaid), indicate state-level leadership on core chemistry and endocrine testing.
SARS-CoV-2 and other high-throughput molecular testing are material Medicaid revenue lines and reflect public health testing capacity: U0004 accounts for $621.4K and 11.1K claims (13.1% of Medicaid revenue) and U0005 contributes $123.7K and 8.8K claims. The provider ranks #3 of 20 in-state for U0004 (89th percentile), showing above-typical state activity in pandemic-era molecular testing and sustained throughput in nucleic-acid based assays.
The practice offers a substantive toxicology and definitive drug-testing capability that contributes meaningfully to Medicaid revenue: G0480 ($183.3K, 3.9% of Medicaid revenue) and presumptive screens 80307 ($198.8K, 4.2% of Medicaid revenue) are both present at scale in the Medicaid portfolio. On Medicare, definitive drug testing (G0480) appears with modest national presence and lower percentile placement, underscoring the lab’s stronger role in these services within the state Medicaid market than in Medicare.
The provider has long tenure in the NPI registry (enumerated 2005-07-07, ~21 years ago), which aligns with an established operational footprint and the depth of Medicaid relationships reflected in the $6.5M lifetime Medicaid revenue. That longevity combined with concentrated in-state Medicaid leadership on several core tests suggests a stable regional laboratory with entrenched payer contracts and workflows oriented toward state public health and primary-care testing demand.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
121 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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. | 2,490 | $10 | $24.9K |
| 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… | 1,370 | $20 | $21.9K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 2,510 | $10 | $20.1K |
| 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. | 1,460 | $10 | $18.9K |
| 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… | 2,100 | $10 | $16.8K |
| 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… | 550 | $30 | $15.9K |
| 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).… | 950 | $10 | $8.5K |
| 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,… | 60 | $140 | $7.8K |
| 82607 | The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood. | 460 | $20 | $6.9K |
| 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. | 170 | $40 | $6.7K |
Showing 1–10 of 121
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 121 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.
188 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by… | 11,100 | $60 | $621.4K |
| 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… | 51,900 | $10 | $519K |
| 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. | 79,250 | $10 | $475.5K |
| 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. | 48,810 | $10 | $390.5K |
| 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… | 19,860 | $20 | $337.6K |
| 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… | 72,490 | $1 | $290K |
| 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. | 6,630 | $30 | $198.8K |
| 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,… | 3,180 | $60 | $191K |
| 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… | 3,400 | $50 | $183.3K |
| 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).… | 33,190 | $10 | $165.9K |
Showing 1–10 of 188
How this provider's Medicaid billing volume and revenue compare to other Maine providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Maine median
188 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… | 25 | 40 | 1,090 | $50 | $285.2K |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by… | 3 | 20 | 3,330 | $40 | $171.1K |
| 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… | 13 | 40 | 1,260 | $20 | $96.8K |
| 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. | 9 | 40 | 2,130 | $20 | $89.9K |
| 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,… | 5 | 30 | 2,400 | $10 | $75.3K |
| 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… | 2 | 50 | 7,130 | $10 | $58.6K |
| 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. | 6 | 60 | 12,710 | $1 | $57.8K |
| 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. | 2 | 60 | 6,050 | $10 | $47.4K |
| 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… | 2 | 50 | 3,090 | $10 | $45.8K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 8 | 40 | 1,700 | $10 | $38.9K |
Showing 1–10 of 188
Other providers in the same ZIP code as Affiliated Laboratory, Inc., ranked by combined Medicare and Medicaid revenue.
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