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NPI 1285805119 · Renton, WA · Clinical Medical Laboratory
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Kaiser Foundation Health Plan Of Washington is a clinical medical laboratory provider located in Renton, Washington. This profile covers 176 Medicare and 176 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 Of Washington |
| Address | 2921 Naches Ave Sw |
| City | Renton |
| State | WA |
| ZIP | 98057 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | March 19, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $11.8M |
| Medicare | $587K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
176 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but… | 380 | $110 | $41.1K |
| 84443 | The 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… | 2,210 | $20 | $33.1K |
| 88305 | The 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… | 640 | $50 | $29.4K |
| 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… | 3,860 | $10 | $27K |
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 510 | $50 | $25.9K |
| 80053 | The 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. | 2,800 | $10 | $25.2K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 2,060 | $10 | $24.8K |
| 83036 | Sugar 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).… | 2,990 | $10 | $23.9K |
| 82306 | The 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… | 910 | $30 | $23.8K |
| 83970 | Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function. | 620 | $40 | $21.7K |
Showing 1–10 of 176
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 176 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
176 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 83521 | 5 | 10 | 1,460 | $20 | $44.4K |
| G0480 | 5 | 40 | 50 | $110 | $40.5K |
| 86480 | 6 | 10 | 80 | $60 | $39.5K |
| 88305 | 149 | 340 | 530 | $40 | $39.4K |
| 84402 | 4 | 10 | 760 | $20 | $37.5K |
| 86235 | 10 | 10 | 260 | $20 | $27.1K |
| 83880 | 7 | 30 | 60 | $40 | $22.7K |
| 83921 | 4 | 10 | 1,320 | $20 | $21.9K |
| 80307 | 12 | 110 | 110 | $60 | $20.5K |
| 84403 | 7 | 20 | 70 | $30 | $20.5K |
Showing 1–10 of 176
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.
176 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| U0004 | 2019-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… | 26,380 | $80 | $2.2M |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 20,150 | $40 | $826K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 20,110 | $40 | $824.3K |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but… | 7,280 | $110 | $815.2K |
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 9,950 | $60 | $616.6K |
| 84443 | The 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… | 27,130 | $20 | $434.1K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 22,360 | $10 | $313K |
| 87389 | The 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… | 11,880 | $20 | $285K |
| 88305 | The 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… | 5,230 | $50 | $271.8K |
| 83036 | Sugar 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).… | 33,480 | $10 | $267.8K |
Showing 1–10 of 176
How this provider's Medicaid billing volume and revenue compare to other Washington providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Washington median
176 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 81420 | The lab analyst performs a genomic sequence analysis panel to evaluate circulating cell free fetal DNA in maternal blood for genetic sequences of at least the genes on chromosomes 13, 18, and 21,… | 6 | 10 | 130 | $370 | $1.3M |
| U0003 | Infectious 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… | 67 | 100 | 1,940 | $70 | $1M |
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 38 | 170 | 2,120 | $40 | $779.1K |
| 80081 | The lab analyst performs an obstetric panel; this panel must include tests for a complete blood count with differential, a hepatitis B surface antigen test, a single–result test for HIV–1 antigens… | 3 | 10 | 1,490 | $50 | $707.8K |
| U0004 | 2019-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… | 2 | 10 | 3,400 | $70 | $683.2K |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but… | 16 | 90 | 1,760 | $50 | $601.4K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 8 | 120 | 2,040 | $30 | $464.9K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 8 | 120 | 2,020 | $30 | $441.1K |
| 88175 | The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer… | 17 | 30 | 400 | $20 | $316.8K |
| 87624 | The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result. | 9 | 40 | 1,420 | $30 | $292.9K |
Showing 1–10 of 176
Other providers in the same ZIP code as Kaiser Foundation Health Plan Of Washington, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Northwest Kidney Centers | WA | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | $0 | $8.2M |
| Kaiser Foundation Health Plan Of Washington | WA | Multi-Specialty Clinic/Center | $0 | $7.6M |
| Genoa Healthcare LLC | WA | Long Term Care Pharmacy | $1.5M | $3.1M |
| Pain Care Physicians PLLC | WA | Interventional Pain Medicine Physician | $1.2M | $2.7M |
| Jollys Pharmacy Inc | WA | Long Term Care Pharmacy | $195.8K | $3M |
| Ghafghazi Dds,p.s. | WA | Pediatric Dentistry | $0 | $3M |
| Naixi Chen | WA | Hematology & Oncology Physician | $886.7K | $0 |
| Jamison Ridgeley | WA | Ophthalmology Physician | $388.9K | $0 |
| Nicole Kageyama | WA | Dermatology Physician | $279.5K | $0 |
| Nobuyoshi Kageyama | WA | MOHS-Micrographic Surgery Physician | $264.2K | $0 |
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