Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Pennsylvania for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Pennsylvania only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Pennsylvania (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Vitalant (NPI 1306489323)

Field	Value
Entity Type	Organization
Organization	Vitalant
Address	201 N Craig St
City	Pittsburgh
State	PA
ZIP	15213
Taxonomy	Clinical Medical Laboratory
NPI Enumerated	October 22, 2019

Payer Source	Total Paid
Medicare	$4.6K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
86146	The lab analyst performs the technical lab test to analyze the sample, such as serum, for the presence of beta 2 glycoprotein I antibody. Report one unit for each antibody.	60	$30	$1.6K
86147	The lab analyst performs the technical lab test to analyze for the presence of antibodies to cardiolipin, also called antiphospholipids. Report this code once for each immunoglobulin class the…	50	$30	$1.2K
85240	The lab analyst performs a clotting test to determine the presence of factor VIII antihemophilic globulin in the patient’s serum.	20	$20	$430
85598	The lab analyst performs a test to evaluate clotting time after adding a reagent called hexagonal phase phosphatidylethanolamine to the patient blood specimen.	20	$20	$360
85306	The lab analyst performs a test to evaluate the free protein S level in the patient’s plasma.	10	$20	$200
85613	The lab analyst performs a test on patient blood to evaluate the impact on clotting time of specific concentrations of venom from a Russell’s viper.	20	$10	$180
85705	The lab analyst performs a tissue thromboplastin inhibition test (TTI) using plasma to detect the presence of lupus anticoagulant inhibitors, autoantibodies causing excess blood clot formation.	20	$10	$180
85303	The lab analyst performs a test to evaluate activity of protein C in the patient’s plasma.	10	$10	$150
85300	The lab analyst performs a test to evaluate activity of antithrombin III in the patient’s plasma.	10	$10	$140
85670	The lab analyst performs a test on patient blood to evaluate the time to clot formation with the addition of thrombin.	20	$10	$120

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Vitalant — 0 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
86146	6	10	310	$20	$7.6K
86147	8	10	280	$20	$7.6K
85610	251	280	90	$1	$1.6K
85613	5	10	90	$10	$850
85240	4	10	40	$20	$620
85306	5	10	40	$10	$610
85598	3	10	30	$20	$560
85303	5	10	30	$10	$470
85705	2	10	50	$10	$470
85300	5	10	30	$10	$370

Showing 1–10 of 11

Vitalant — Billing Profile & Reimbursement Data

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Vitalant — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References