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NPI 1275124752 · Kapolei, HI · Clinical Medical Laboratory
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Kaiser Foundation Health Plan Inc is a clinical medical laboratory provider located in Kapolei, Hawaii. This profile covers 13 Medicare and 18 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 | Kaiser Foundation Health Plan Inc |
| Address | 401 Kamokila Blvd |
| City | Kapolei |
| State | HI |
| ZIP | 96707 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | January 28, 2021 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $631.1K |
| Medicare | $2.7K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 80051 | The lab analyst performs an electrolyte panel; this panel must include measurement of carbon dioxide, chloride, potassium, and sodium. | 90 | $10 | $550 |
| 82565 | The lab analyst measures the amount of creatinine in a patient specimen, typically of blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine… | 100 | $1 | $410 |
| 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… | 40 | $10 | $300 |
| 84460 | The lab analyst performs the technical lab test, typically using serum or plasma, to quantitate the enzyme alanine amino transferase, or ALT, also called SGPT, serum glutamate pyruvate transaminase.… | 60 | $10 | $300 |
| 81001 | Urinalysis 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… | 80 | $1 | $250 |
| 84484 | The lab analyst performs the technical lab test typically using serum, plasma, or whole blood to quantitate troponin. Troponin is a protein labs commonly measure to verify a myocardial infarction and… | 20 | $10 | $170 |
| 84450 | The lab analyst performs the technical lab test, typically using serum or plasma, to quantitate the enzyme aspartate amino transferase, or AST, also called SGOT, serum glutamic oxaloacetic… | 40 | $1 | $140 |
| 82247 | The lab analyst measures the amount of total bilirubin in a patient’s blood. Bilirubin is the yellow color pigment found in the bile, a fluid made by the liver. | 30 | $1 | $130 |
| 84520 | The lab analyst performs a test to measure the amount of urea nitrogen in patient blood. | 40 | $1 | $110 |
| 85610 | Prothrombin 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… | 20 | $1 | $80 |
Showing 1–10 of 13
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 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.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 0241U | N/A | 1,810 | $250 | $446.2K |
| 80051 | The lab analyst performs an electrolyte panel; this panel must include measurement of carbon dioxide, chloride, potassium, and sodium. | 1,250 | $20 | $28.8K |
| 81025 | The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout. | 720 | $30 | $24.5K |
| 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… | 820 | $30 | $22K |
| 82565 | The lab analyst measures the amount of creatinine in a patient specimen, typically of blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine… | 1,320 | $10 | $18.4K |
| 87428 | The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2… | 660 | $30 | $18.4K |
| 81001 | Urinalysis 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… | 1,660 | $10 | $14.9K |
| 84460 | The lab analyst performs the technical lab test, typically using serum or plasma, to quantitate the enzyme alanine amino transferase, or ALT, also called SGPT, serum glutamate pyruvate transaminase.… | 770 | $20 | $13.8K |
| 84450 | The lab analyst performs the technical lab test, typically using serum or plasma, to quantitate the enzyme aspartate amino transferase, or AST, also called SGOT, serum glutamic oxaloacetic… | 550 | $20 | $9.4K |
| 82247 | The lab analyst measures the amount of total bilirubin in a patient’s blood. Bilirubin is the yellow color pigment found in the bile, a fluid made by the liver. | 490 | $20 | $7.3K |
Showing 1–10 of 18
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
18 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 0241U | N/A | 5 | 20 | 730 | $50 | $100K |
| 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… | 54 | 90 | 1,810 | $1 | $65.6K |
| 81001 | Urinalysis 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… | 22 | 30 | 4,340 | $1 | $30K |
| 85027 | The 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… | 24 | 30 | 700 | $10 | $28.5K |
| 85610 | Prothrombin 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… | 22 | 30 | 2,350 | $1 | $12.5K |
| 87428 | The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2… | 7 | 30 | 190 | $20 | $10.9K |
| 80051 | The lab analyst performs an electrolyte panel; this panel must include measurement of carbon dioxide, chloride, potassium, and sodium. | 15 | 50 | 430 | $1 | $9.8K |
| 82247 | The lab analyst measures the amount of total bilirubin in a patient’s blood. Bilirubin is the yellow color pigment found in the bile, a fluid made by the liver. | 9 | 10 | 900 | $1 | $9.4K |
| 84460 | The lab analyst performs the technical lab test, typically using serum or plasma, to quantitate the enzyme alanine amino transferase, or ALT, also called SGPT, serum glutamate pyruvate transaminase.… | 10 | 30 | 400 | $1 | $8.3K |
| 83690 | The lab analyst measures the amount of lipase enzyme in the patient specimen. Lipase is an enzyme that the pancreas secretes to help in the absorption of fat. | 24 | 30 | 3,770 | $1 | $6.7K |
Showing 1–10 of 18
Other providers in the same ZIP code as Kaiser Foundation Health Plan Inc, ranked by combined Medicare and Medicaid revenue.
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