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NPI 1356427892 · Fresno, CA · Clinical Pathology/Laboratory Medicine Physician
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Valley Diagnostics Inc is a clinical pathology/laboratory medicine physician provider located in Fresno, California. This profile covers 67 Medicare and 77 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 | Valley Diagnostics Inc |
| Address | 373 E Warner Ave |
| City | Fresno |
| State | CA |
| ZIP | 93710 |
| Taxonomy | Clinical Pathology/Laboratory Medicine Physician |
| NPI Enumerated | October 27, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2.5M |
| Medicare | $1M |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
67 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 87798 | The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified… | 7,010 | $30 | $238.4K |
| 87637 | The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)… | 1,090 | $140 | $152.7K |
| 87481 | The lab analyst performs a test for Candida species using amplified nucleic acid probe technique. | 2,700 | $30 | $91.8K |
| 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. | 4,290 | $10 | $55.7K |
| 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. | 5,150 | $10 | $51.5K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 6,210 | $10 | $49.7K |
| 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… | 3,030 | $20 | $48.5K |
| 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).… | 3,790 | $10 | $37.9K |
| 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… | 4,730 | $10 | $37.8K |
| 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… | 380 | $70 | $28.4K |
Showing 1–10 of 67
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 67 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
67 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 87798 | 32 | 110 | 1,340 | $30 | $338.2K |
| G2023 | 47 | 90 | 1,030 | $20 | $110.9K |
| U0005 | 93 | 150 | 780 | $20 | $75.1K |
| U0004 | 20 | 40 | 410 | $70 | $73.6K |
| 87481 | 19 | 100 | 270 | $30 | $72.7K |
| 87637 | 12 | 190 | 20 | $140 | $61.9K |
| 87801 | 24 | 30 | 170 | $70 | $49.9K |
| 83970 | 60 | 190 | 160 | $40 | $45.6K |
| 84443 | 42 | 620 | 120 | $20 | $39.4K |
| 87640 | 26 | 70 | 270 | $30 | $35.7K |
Showing 1–10 of 67
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.
77 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 87637 | The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)… | 10,200 | $90 | $948.6K |
| 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… | 9,450 | $50 | $472.4K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 10,300 | $20 | $154.5K |
| 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… | 18,450 | $10 | $110.7K |
| 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. | 30,500 | $1 | $91.5K |
| 87481 | The lab analyst performs a test for Candida species using amplified nucleic acid probe technique. | 17,260 | $10 | $86.3K |
| 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… | 27,990 | $1 | $84K |
| 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. | 37,080 | $1 | $74.2K |
| 82607 | The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood. | 8,440 | $10 | $59.1K |
| 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).… | 29,300 | $1 | $58.6K |
Showing 1–10 of 77
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
77 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 87637 | The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)… | 19 | 250 | 800 | $110 | $625.7K |
| 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… | 32 | 150 | 580 | $60 | $608.7K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 379 | 1,140 | 530 | $20 | $195.6K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 391 | 1,270 | 450 | $20 | $183.5K |
| 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. | 206 | 1,720 | 1,360 | $10 | $165.3K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 71 | 500 | 530 | $20 | $128.1K |
| U0005 | 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, cdc or non-cdc,… | 112 | 520 | 470 | $10 | $116K |
| 87801 | The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique. | 77 | 120 | 250 | $10 | $103.1K |
| 87661 | The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique. | 110 | 310 | 500 | $10 | $101.4K |
| 87635 | Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus… | 884 | 1,210 | 420 | $30 | $95.7K |
Showing 1–10 of 77
Other providers in the same ZIP code as Valley Diagnostics Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Medzed Physician Services, Inc. | CA | Internal Medicine Physician | $0 | $76.6M |
| Children's Dentistry And Orthodontics | CA | Pediatric Dentistry | $0 | $34.3M |
| Xencare, Inc. | CA | Assisted Living Facility | $0 | $32.6M |
| Khoi Le | CA | Clinical Cardiac Electrophysiology Physician | $2.2M | $357.5K |
| Asha Pritpal Sidhu | CA | Internal Medicine Physician | $2M | $0 |
| Peter Simonian | CA | Specialist | $1.4M | $0 |
| Antonio Villalvazo | CA | Family Medicine Physician | $856.1K | $0 |
| Paul Ky | CA | Interventional Pain Medicine Physician | $791.1K | $660 |
| Harold Rainwater | CA | Urology Physician | $691.4K | $34.3K |
| Li Ge | CA | Medical Oncology Physician | $669.2K | $0 |
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