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    OpenPayerNPI Medicare & MedicaidStar Labs LLC
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    Star Labs LLC — Billing Profile & Reimbursement Data

    NPI 1326794181 · Addison, IL · Clinical Medical Laboratory

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    Star Labs LLC is a clinical medical laboratory provider located in Addison, Illinois. This profile covers 1 Medicare and 1 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
    OrganizationStar Labs LLC
    Address240 E Lake St Ste 302
    CityAddison
    StateIL
    ZIP60101
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedMarch 1, 2022

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

    Payer SourceTotal Paid
    Medicare$9M
    Medicaid$2.5K

    Key Findings

    Business/service-line signal: STAR LABS LLC is categorized as a Clinical Medical Laboratory and its Medicare and Medicaid revenue stream is driven entirely by code K1034, which describes provision of nonprescription self‑administered, self‑collected COVID‑19 tests. This billing mix indicates the entity operates primarily in the distribution/administration or reimbursement of over‑the‑counter COVID test kits rather than traditional diagnostic lab testing services.

    Medicare revenue concentration: Precomputed data show the provider's top 3 Medicare codes account for 100.0% of its Medicare revenue, and that concentration is effectively a single-code dependency — K1034 generated $9M in Medicare revenue (100.0% of Medicare revenue) from 753.4K claims. That concentration means the provider’s Medicare performance is highly sensitive to reimbursement policy and utilization for this one code.

    Medicaid revenue concentration: Similarly, the top 3 Medicaid codes account for 100.0% of Medicaid revenue, with K1034 responsible for $2.5K (100.0% of Medicaid revenue) from 1.3K claims. The Medicaid footprint is negligible in dollar terms compared with Medicare, but it mirrors the same single‑code business focus at a much smaller scale.

    Payer mix and scale imbalance: STAR LABS reports $9M in total Medicare revenue versus $2.5K in total Medicaid revenue, indicating an effectively single‑payer business model dominated by Medicare receipts. This extreme scale imbalance implies that any payer‑specific changes to K1034 reimbursement policies or utilization trends on the Medicare side would materially affect overall revenue.

    Competitive standing — Medicare: For code K1034 on Medicare the provider ranks #57 of 30,143 providers nationally and is described as a 100th percentile, extreme outlier, far above typical national volume for this code. That rank positions STAR LABS as a major national participant for K1034 volume, substantially above typical peer activity for the same code.

    Competitive standing — Medicaid: On Medicaid for K1034 the provider ranks #23 of 59 in‑state and is described as 62th percentile; typical, unremarkable volume for this code, which characterizes its in‑state Medicaid presence as modest and not exceptional relative to peers. This contrast highlights strong national prominence on Medicare but only ordinary participation in the state Medicaid market.

    Payment economics and unit reimbursement: The dataset reports an average paid per claim of $12 on Medicare and $2 on Medicaid for K1034; despite the low per‑claim payment, very high Medicare claim volume (753.4K claims) produced the majority of the provider’s revenue. Analysts should note that revenue generation here is volume‑driven rather than high unit reimbursement.

    Tenure and growth implication: The NPI was enumerated on 2022-03-01 (~4 years ago), and the provider has accumulated concentrated, high‑volume Medicare billing for K1034 since that enumeration date. The combination of recent enrollment and rapid accumulation of outsized national volume for a single COVID self‑test code suggests aggressive scaling in this narrow service line over a short period.

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count753,380$10$9M

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    1 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    K1034211,150720$10$414.9K

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count1,260$1$2.5K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Illinois median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count2360660$1$3.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Century Clinics LLCILClinical Medical Laboratory$10M$21.2K
    Addison Fire Protection District No 1ILLand Ambulance$345.9K$7.7M
    Family Home Health Services, Inc.ILHome Health Agency$0$5.7M
    County Of Dupage Department Of HealthILMental Health Clinic/Center (Including Community Mental Health Center)$0$5.2M
    Ylab180 IncILClinical Medical Laboratory$612.7K$4.6M
    Hamdard Health AllianceILFederally Qualified Health Center (FQHC)$0$4M
    Renu JainILPediatrics Physician$0$3.6M
    Access Community Health NetworkILFederally Qualified Health Center (FQHC)$0$2.9M
    Star Medical Lab LLCILClinical Medical Laboratory$468.3K$1.2M
    Utpal ParekhILGastroenterology Physician$144.6K$806.5K

    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. Illinois Distribution
    Star Labs LLC — 1 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Star Labs LLC — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois