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    Shepard Health LLC — Billing Profile & Reimbursement Data

    NPI 1295323053 · Sandy Springs, GA · Clinical Medical Laboratory

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    Shepard Health LLC is a clinical medical laboratory provider located in Sandy Springs, Georgia. This profile covers 56 Medicare and 2 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
    OrganizationShepard Health LLC
    Address8601 Dunwoody Pl Ste 338
    CitySandy Springs
    StateGA
    ZIP30350
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedJanuary 7, 2021
    NPI DeactivatedMarch 19, 2026

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

    Payer SourceTotal Paid
    Medicare$404.9K
    Medicaid$33.1K

    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.

    56 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…920$240$221.5K
    G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…130$200$24.6K
    P9603Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled16,340$1$16.3K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.260$60$15.7K
    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…160$70$11.8K
    87500The lab analyst performs a test for vancomycin resistance in an infectious organism’s nucleic acid using amplified probe technique. VRE, vancomycin resistant enterococcus, is the most common organism…230$30$7.8K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.940$10$7.5K
    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…1,270$10$6.3K
    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.600$10$6K
    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…370$20$5.9K

    Showing 1–10 of 56

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 56 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    56 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    P960341079,760$1$368.5K
    G0483660120$240$99.9K
    860036107,080$10$71.2K
    G0482318070$190$36.8K
    G048110212080$150$36.5K
    8030791210210$60$28.5K
    U000352050$70$26K
    8267041050$30$18.1K
    G2023810180$20$12.2K
    8759121030$30$11.6K

    Showing 1–10 of 56

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…580$50$26.6K
    U0005Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc,…450$10$6.3K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Georgia median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…2240850$70$983K
    U0005Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc,…2640740$20$122.4K

    Nearby Providers

    Other providers in the same ZIP code as Shepard Health LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ispm Labs, LLCGAClinical Medical Laboratory$0$8M
    Hemophilia Of GeorgiaGASpecialty Pharmacy$6.1M$0
    Carepoint Lab, LLCGAClinical Medical Laboratory$274.7K$3M
    Psychiatric Consultants Of AtlantaGAAdolescent and Children Mental Health Clinic/Center$0$1.8M
    Vamsi KanagalaGAInternal Medicine Physician$409.4K$0
    Jesus Vazquez-figueroaGAInternal Medicine Physician$123.7K$198K
    Shonda PertillaGAProfessional Counselor$0$155.4K
    Ipsum Diagnostics LLCGAClinical Medical Laboratory$7.6K$116.6K
    Steven FigielGANeurology Physician$118.6K$0
    The Kroger CoGACommunity/Retail Pharmacy$99.3K$0

    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. Georgia Distribution
    Shepard Health LLC — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia
    Medicaid Revenue by Year vs. Georgia Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Georgia Distribution
    Shepard Health LLC — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia