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    Biocorp Clinical Lab Inc — Billing Profile & Reimbursement Data

    NPI 1245275106 · Whittier, CA · Clinical Medical Laboratory

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    Biocorp Clinical Lab Inc is a clinical medical laboratory provider located in Whittier, California. This profile covers 144 Medicare and 148 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
    OrganizationBiocorp Clinical Lab Inc
    Address9825 Painter Ave
    CityWhittier
    StateCA
    ZIP90605
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedJune 17, 2006

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

    Payer SourceTotal Paid
    Medicaid$18.7M
    Medicare$6.1M

    Key Findings

    Provider is primarily a laboratory service operator: its taxonomy is Clinical Medical Laboratory and its paid claims mix shows heavy volumes of routine chemistry and hematology panels (80061, 80053, 85025, 83036, 84443) alongside high-volume nucleic acid amplification tests (87150, 87798, 87491, 87591 and U0003). This combination indicates an operation that handles both large-scale outpatient screening/monitoring panels and molecular infectious-disease testing rather than point-of-care or single-specialty clinical services.

    Medicaid is the larger payer relationship by scale: the file shows $18.7M in total Medicaid revenue versus $6.1M in total Medicare revenue, so Medicaid dominates this provider’s lifetime billed revenue. The provider therefore appears to be more dependent on state Medicaid volumes (and Medicaid-covered screening and infectious-disease testing) than on Medicare fee-for-service.

    Revenue concentration is moderate at the top for each payer: the top 3 Medicare codes account for 32.2% of this provider’s total Medicare revenue, driven by 82306, 87150, and 87798 which individually generate $532.9K, $499.4K, and $457.3K respectively. Likewise, the top 3 Medicaid codes account for 36.4% of total Medicaid revenue, concentrated in STD and COVID diagnostics (87491, U0003, 87591), each contributing roughly $1.8M in revenue. These precomputed top-three shares indicate meaningful revenue dependence on a small set of high-volume molecular and NAAT services.

    Competitive standing on Medicare: for many routine chemistry and panel codes this provider ranks at or near the top nationally — examples include 82306 (ranks #50 of 12453, 100th percentile; labeled notably above typical national volume), 84443 (ranks #69 of 19722, 100th percentile), 80061 (ranks #74 of 21671, 100th percentile), 80053 (ranks #92 of 26416, 100th percentile), and 85025 (ranks #89 of 32833, 100th percentile). The provider is a major national volume contributor for common outpatient lab tests and is characterized repeatedly as “notably above typical national volume,” and for 83036 specifically as an “extreme outlier,” signaling outsized market share for hemoglobin A1c testing versus national peers.

    Competitive standing in-state on Medicaid: the provider shows high percentile ranks for STD molecular testing and HIV screening — 87491 ranks #23 of 1271 in-state (98th percentile) and 87591 ranks #24 of 1137 in-state (98th percentile) — and U0003 (COVID PCR high-throughput) ranks #56 of 751 in-state (93rd percentile). These ranks position the lab as a significant in-state player for public-health–oriented molecular testing, even where the descriptor notes volumes as “typical, unremarkable” at high percentiles for the state.

    Service-line nuance: the claim-level mix includes both high-volume, low-unit-payment panels (e.g., 80053 CMP at $10 avg paid/claim on Medicare, 80061 lipid panel at $13 avg paid/claim on Medicare) and higher-paid molecular/definitive assays (e.g., Medicare G0483 with $242 avg paid/claim and Medicaid 87798 with $226 avg paid/claim). This suggests the lab operates throughput-driven workflows for routine testing while also performing more complex molecular or definitive toxicology assays that drive outsized per-claim revenue.

    Statistical outlier signals and interpretation: several Medicare codes are labeled “notably above typical national volume” and one is an “extreme outlier” (83036), indicating unusually high test volumes versus national peers for common monitoring tests such as A1C and vitamin levels. On Medicaid many top codes are high-percentile in-state (e.g., 87491 and 87591 at the 98th percentile) but are described as “typical, unremarkable volume,” suggesting that high absolute counts are consistent with state-level testing patterns rather than unique billing behavior.

    Tenure and operational longevity: the provider’s NPI was enumerated on 2006-06-17 (~20 years ago), indicating roughly two decades of registration which supports the profile of an established laboratory possibly integrated into long-standing referral or public-health testing networks. This length of activity aligns with the high longitudinal volumes observed across both Medicare and Medicaid data.

    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.

    144 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    82306The 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…18,380$30$532.9K
    87150The lab analyst performs an analysis using amplified DNA or RNA probe technique on a previously isolated and identified organism to categorize the organism more specifically, such as to the taxonomic…14,690$30$499.4K
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…13,450$30$457.3K
    84443The 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…25,830$20$413.3K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.28,040$10$364.6K
    80053The 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.32,450$10$324.5K
    85025A 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…33,940$10$271.5K
    83036Sugar 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).…23,630$10$236.3K
    82607The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.12,980$20$194.8K
    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…2,230$60$131.3K

    Showing 1–10 of 144

    • More pages

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 144 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    144 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G04833970360$240$427.9K
    87798261101,340$30$338.2K
    U0003104130730$70$246.4K
    871504301,690$30$222.6K
    G202381901,030$20$110.9K
    8623534601,220$20$75.7K
    U0005129150780$20$75.1K
    8748118100270$30$72.7K
    80307118150220$60$69.2K
    876313740140$140$63.8K

    Showing 1–10 of 144

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    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.

    148 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.63,460$30$1.8M
    U0003Infectious 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…29,770$60$1.8M
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.63,620$30$1.8M
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…4,190$230$947.6K
    87389The 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…48,390$20$919.5K
    87150The lab analyst performs an analysis using amplified DNA or RNA probe technique on a previously isolated and identified organism to categorize the organism more specifically, such as to the taxonomic…4,090$200$830.7K
    82306The 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…49,980$20$799.6K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.14,960$50$717.9K
    84443The 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…62,020$10$558.2K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.68,220$10$545.7K

    Showing 1–10 of 148

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. California median

    148 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…36100520$120$2.4M
    U0003Infectious 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…56750950$50$890K
    U00042019-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…59150580$60$608.7K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.526601,490$30$417.2K
    81513The lab analyst performs the technical lab test on a vaginal fluid specimen for quantitative real–time amplification of RNA markers for three bacterial species listed in the code descriptor, and…2750670$40$282.6K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.241,140530$20$195.6K
    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…261830880$40$195.6K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.231,270450$20$183.5K
    80053The 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.1011,7201,360$10$165.3K
    86003The 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…36170260$30$146K

    Showing 1–10 of 148

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    Nearby Providers

    Other providers in the same ZIP code as Biocorp Clinical Lab Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Amish PatelCADiagnostic Radiology Physician$75K$650

    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. California Distribution
    Biocorp Clinical Lab Inc — 18 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California
    Medicaid Revenue by Year vs. California Providers
    4 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Biocorp Clinical Lab Inc — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California