Loading...
NPI 1225776875 · Addison, IL · Clinical Medical Laboratory
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Century Clinics LLC is a clinical medical laboratory provider located in Addison, Illinois. This profile covers 1 Medicare and 2 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 | Century Clinics LLC |
| Address | 625 W Factory Rd Ste C |
| City | Addison |
| State | IL |
| ZIP | 60101 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | May 24, 2022 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $10M |
| Medicaid | $21.2K |
CENTURY CLINICS LLC’s Medicare revenue is concentrated entirely in a single service line: K1034 (Provision of covid-19 test, nonprescription self-administered and self-collected use), which accounts for $10M and represents 100.0% of the provider's total Medicare revenue. The provider reported 833.8K Medicare claims for K1034 at an average paid per claim of $12, consistent with an operation focused on high-volume distribution or billing of self-administered COVID-19 tests rather than a broad laboratory test mix. This code alignment matches the listed taxonomy of Clinical Medical Laboratory but indicates a narrow, COVID-test–centric business model on the Medicare side.
On Medicaid the revenue mix is similarly concentrated: the top 3 Medicaid codes account for 100.0% of total Medicaid revenue, with K1034 responsible for $20.8K or 98.3% of the provider’s $21.2K Medicaid revenue. Medicaid billing shows 2.3K claims for K1034 at an average paid per claim of $9, plus a small contribution from 87426 (24 claims, $360 total), indicating Medicaid activity is minimal and dominated by the same COVID self-test code rather than a diverse set of laboratory services. The Medicaid code 87426 appears but represents only 1.7% of Medicaid revenue, confirming the narrow scope of billable services to public payers.
Payer mix is effectively single-payer: Medicare accounts for $10M in lifetime revenue versus $21.2K from Medicaid, so the provider operates at a dramatically larger scale on Medicare. This disparity indicates CENTURY CLINICS LLC is not a balanced Medicare/Medicaid operator but rather is overwhelmingly driven by Medicare reimbursement for K1034. Strategic or reimbursement changes affecting Medicare payment or coverage for K1034 would therefore disproportionately affect the provider’s overall revenue.
CENTURY CLINICS LLC is a national outlier on its Medicare top code: K1034 ranks #52 of 30143 providers nationally and is labeled an "extreme outlier," placing the provider in the 100th percentile for volume on that code. That national standing indicates the firm is an unusually prolific biller of K1034 relative to peers and likely one of the largest single-code Medicare reporters for COVID self-tests in the country. In contrast, the same K1034 code on Medicaid ranks #16 of 59 in-state (74th percentile) and is characterized as "typical, unremarkable volume," so the provider is not an extreme outlier within its state Medicaid market.
The Medicaid rankings for the secondary code 87426 (24 claims, $15 avg paid/claim, $360 revenue) place the provider at #759 of 910 in-state (16th percentile) and the metric is described as "typical, unremarkable volume." This underscores that apart from K1034 the provider has only token Medicaid activity in conventional laboratory antigen testing, and that those services are not a material revenue driver. Analysts should treat Medicaid as operationally peripheral when modeling the provider’s service mix or market footprint.
Given the NPI enumeration date of 2022-05-24 (~4 years ago), CENTURY CLINICS LLC achieved its high Medicare volume in a relatively short operational window. Rapid scaling to 833.8K Medicare claims for K1034 since enumeration suggests a focused buildout around COVID self-test distribution or billing processes rather than a long-established, diversified clinical laboratory practice. This tenure context heightens sensitivity to policy and reimbursement changes for the single dominant code.
The extreme revenue concentration — with the top 3 Medicare codes comprising 100.0% of Medicare revenue and the top 3 Medicaid codes comprising 100.0% of Medicaid revenue — creates high operational and reimbursement concentration risk. Any changes to payment policy, billing guidance, or coding for K1034 would materially affect the provider’s entire reported revenue base across both payers, since K1034 alone constitutes the entirety of Medicare revenue and virtually all Medicaid revenue. Analysts should flag the provider as highly exposed to single-code reimbursement dynamics when assessing business continuity and competitive vulnerability.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 833,770 | $10 | $10M |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
1 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| K1034 | 20 | 1,150 | 720 | $10 | $414.9K |
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.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 2,310 | $10 | $20.8K |
| 87426 | The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,… | 20 | $20 | $360 |
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 87426 | The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,… | 759 | 910 | 110 | $30 | $14.4K |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 16 | 60 | 660 | $1 | $3.2K |
Other providers in the same ZIP code as Century Clinics LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Star Labs LLC | IL | Clinical Medical Laboratory | $9M | $2.5K |
| Addison Fire Protection District No 1 | IL | Land Ambulance | $345.9K | $7.7M |
| Family Home Health Services, Inc. | IL | Home Health Agency | $0 | $5.7M |
| County Of Dupage Department Of Health | IL | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $5.2M |
| Ylab180 Inc | IL | Clinical Medical Laboratory | $612.7K | $4.6M |
| Hamdard Health Alliance | IL | Federally Qualified Health Center (FQHC) | $0 | $4M |
| Renu Jain | IL | Pediatrics Physician | $0 | $3.6M |
| Access Community Health Network | IL | Federally Qualified Health Center (FQHC) | $0 | $2.9M |
| Star Medical Lab LLC | IL | Clinical Medical Laboratory | $468.3K | $1.2M |
| Utpal Parekh | IL | Gastroenterology Physician | $144.6K | $806.5K |
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.