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    OpenPayerNPI Medicare & MedicaidQuest Diagnostics Clinical Laboratories Inc
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    Quest Diagnostics Clinical Laboratories Inc — Billing Profile & Reimbursement Data

    NPI 1285652800 · Roseburg, OR · Clinical Medical Laboratory

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    Quest Diagnostics Clinical Laboratories Inc is a clinical medical laboratory provider located in Roseburg, Oregon. This profile covers 12 Medicare and 3 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 Clinical Laboratories Inc
    Address2410 Nw Edenbower Blvd
    CityRoseburg
    StateOR
    ZIP97471
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedJuly 18, 2006

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

    Payer SourceTotal Paid
    Medicare$8.4K
    Medicaid$0

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    80069The lab analyst performs a renal function panel test in which he measures the blood level of certain chemicals the descriptor lists to evaluate how well the kidney is functioning.280$10$2.5K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.230$10$1.9K
    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…280$1$1.1K
    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.80$10$750
    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…80$10$640
    85018The lab analyst measures the hemoglobin in a whole blood sample. Hemoglobin is the red pigmented iron compound contained in the red blood cell that combines with oxygen needed by the body tissue.260$1$520
    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…80$10$400
    84100The lab analyst performs a test to evaluate the level of phosphate, which is phosphorus not contained in biological compounds, in a patient specimen such as serum.70$10$360
    83735The lab analyst performs a test to measure the amount of magnesium in a patient specimen.10$10$90
    85730The analyst performs the technical lab test using plasma or whole blood to measure partial thromboplastin time, PTT, also called APTT, activated partial thromboplastin time. The PTT assay can help…10$10$80

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8005323149070$10$4.4K
    8502518546050$10$3K
    364151921,03060$10$2.5K
    8006985050$10$1.9K
    83735455040$10$1.9K
    8561021110140$1$1.2K
    84100144040$1$740
    84550426020$1$740
    8573071040$10$430
    8224861070$1$410

    Showing 1–10 of 12

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.10$0$0
    80069The lab analyst performs a renal function panel test in which he measures the blood level of certain chemicals the descriptor lists to evaluate how well the kidney is functioning.110$0$0
    85018The lab analyst measures the hemoglobin in a whole blood sample. Hemoglobin is the red pigmented iron compound contained in the red blood cell that combines with oxygen needed by the body tissue.90$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Oregon median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.394420520$1$20K
    80069The lab analyst performs a renal function panel test in which he measures the blood level of certain chemicals the descriptor lists to evaluate how well the kidney is functioning.2540220$10$7.4K
    85018The lab analyst measures the hemoglobin in a whole blood sample. Hemoglobin is the red pigmented iron compound contained in the red blood cell that combines with oxygen needed by the body tissue.65100260$1$1.1K

    Nearby Providers

    Other providers in the same ZIP code as Quest Diagnostics Clinical Laboratories Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Commonspirit OregonORGeneral Acute Care Hospital$0$29.3M
    Centennial Medical Group East, LLCORRural Health Clinic/Center$0$15.3M
    Roseburg Therapy LLCORMental Health Counselor$0$14.2M
    Rick's Medical Supply, LLCORDurable Medical Equipment & Medical Supplies$0$9.6M
    Cep America LLCOREmergency Medicine Physician$0$4.5M
    Humberto VillalvazoORFamily Medicine Physician$4.3M$0
    Liann W Drechsel Dmd PCORPediatric Dentistry$0$3.9M
    Centennial Medical Group Inc.ORSurgery Physician$0$3.8M
    Cow Creek Band Of Umpqua Tribe Of IndiansORFederally Qualified Health Center (FQHC)$0$3.4M
    Valley View Mental Health Services, IncORProfessional Counselor$0$3.1M

    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. Oregon Distribution
    Quest Diagnostics Clinical Laboratories Inc — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oregon
    Medicaid Revenue by Year vs. Oregon Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Oregon Distribution
    Quest Diagnostics Clinical Laboratories Inc — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oregon