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    OpenPayerNPI Medicare & MedicaidQuest Diagnostics Massachusetts LLC
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    Quest Diagnostics Massachusetts LLC — Billing Profile & Reimbursement Data

    NPI 1245730589 · Brockton, MA · Clinical Medical Laboratory

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    Quest Diagnostics Massachusetts LLC is a clinical medical laboratory provider located in Brockton, Massachusetts. This profile covers 35 Medicare and 23 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
    OrganizationQuest Diagnostics Massachusetts LLC
    Address1 Pearl St
    CityBrockton
    StateMA
    ZIP02301
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedFebruary 13, 2018

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

    Payer SourceTotal Paid
    Medicare$380.7K
    Medicaid$22.3K

    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.

    35 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.12,250$10$98K
    P9604Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge7,390$10$73.9K
    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.5,790$10$57.9K
    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…5,630$10$45K
    85610Prothrombin time is most commonly measured using the blood plasma. Chemicals like calcium and tissue factor are added to the plasma sample and then the time is noted when the plasma clots. To analyze…11,090$1$44.4K
    80048The 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…1,910$10$15.3K
    85027The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…1,240$10$7.4K
    83880The lab analyst measures the amount of natriuretic peptide, a hormone made by heart muscle cells, in the patient specimen. Blood levels of the hormone increase in patients with congestive heart…180$40$6.7K
    83735The lab analyst performs a test to measure the amount of magnesium in a patient specimen.830$10$5.8K
    82550The lab analyst measures the amount of total creatine kinase in a patient specimen. Creatine kinase, or CK, is an enzyme found in various tissue and cell types such as the heart, brain, or muscles…490$10$2.9K

    Showing 1–10 of 35

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 35 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    35 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    P96044105,270$10$44.4K
    83880147030$40$12K
    80053969040$10$7.8K
    85025974040$10$4.9K
    3641562,130110$10$4.6K
    80069124030$10$3.5K
    80048968040$10$3K
    8255087030$10$2.8K
    G0306310490$10$2.6K
    837351121030$10$2.4K

    Showing 1–10 of 35

    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    ATP14N/A4,780$1$4.8K
    ATP15N/A740$1$2.2K
    ATP08N/A2,150$1$2.2K
    83735The lab analyst performs a test to measure the amount of magnesium in a patient specimen.1,410$1$1.4K
    82248The lab analyst measures the amount of direct bilirubin in a patient’s blood. Bilirubin is the yellow color pigment found in the bile, a fluid made by the liver. Direct bilirubin is a water soluble…890$1$890
    ATP02N/A160$10$790
    84702The lab analyst performs the technical lab test to measure the amount of hCG, also known as beta hCG, in blood to confirm or monitor pregnancy, or to diagnose certain tumors of the testes or ovaries.130$10$650
    81001Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…280$1$570
    81015The lab analyst performs this testing based on the specific order for a microscopic urinalysis only. The lab analyst will examine a urine specimen directly under the microscope or by using the…380$1$380
    ATP07N/A30$1$50

    Showing 1–10 of 23

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Massachusetts median

    23 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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.82250970$1$96K
    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…85410820$1$95.7K
    ATP14N/A651304,660$10$74.7K
    84702The lab analyst performs the technical lab test to measure the amount of hCG, also known as beta hCG, in blood to confirm or monitor pregnancy, or to diagnose certain tumors of the testes or ovaries.741001,870$10$72K
    P9604Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge9305,180$1$57.8K
    85027The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…83200580$1$50.3K
    80048The 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…932001,340$1$49.8K
    ATP08N/A701203,740$1$47K
    83735The lab analyst performs a test to measure the amount of magnesium in a patient specimen.80180870$1$43.4K
    ATP15N/A641002,600$10$41.2K

    Showing 1–10 of 23

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Quest Diagnostics Massachusetts LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Quest Diagnostics LLCMAClinical Medical Laboratory$27.2M$209.7M
    Quest Diagnostics Massachusetts LLCMAClinical Medical Laboratory$27.8M$199.9M
    Quest Diagnostics Nichols InstituteCAClinical Medical Laboratory$5.6M$39.9M
    Specialty Laboratories IncCAClinical Medical Laboratory$90.4K$16.8M
    Med Fusion, LLCTXClinical Medical Laboratory$10.1M$4.2M
    Quest Diagnostics Massachusetts LLCMAClinical Medical Laboratory$158.1K$3.2K

    Nearby Providers

    Other providers in the same ZIP code as Quest Diagnostics Massachusetts LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Commonwealth Of MassachusettsMACase Management Agency$0$309.8M
    Old Colony Elderly Services, Inc.MACase Management Agency$0$137.5M
    South Bay Mental Health Center, Inc.MAMental Health Clinic/Center (Including Community Mental Health Center)$0$112M
    Massachusetts Mentor LLCMAFoster Care Agency$0$95.6M
    Brockton Neighborhood Health CenterMAFederally Qualified Health Center (FQHC)$0$91.2M
    Sb Transitional Sub, LLCMAMental Health Clinic/Center (Including Community Mental Health Center)$0$84.8M
    Steward Good Samaritan Medical Center, Inc.MAGeneral Acute Care Hospital$0$64.2M
    Pediatric Services Of America, LLCMANursing Care Agency$0$47.8M
    South Bay Mental Health Center, Inc.MAAdolescent and Children Mental Health Clinic/Center$0$43.2M
    Sb Transitional Sub, LLCMAEarly Intervention Provider Agency$0$35.9M

    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. Massachusetts Distribution
    Quest Diagnostics Massachusetts LLC — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts
    Medicaid Revenue by Year vs. Massachusetts Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Massachusetts Distribution
    Quest Diagnostics Massachusetts LLC — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts