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NPI 1366479099 · West Hills, CA · Clinical Medical Laboratory
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Unilab Corporation is a clinical medical laboratory provider located in West Hills, California. This profile covers 610 Medicare and 708 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 | Unilab Corporation |
| Address | 8401 Fallbrook Ave |
| City | West Hills |
| State | CA |
| ZIP | 91304 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | June 27, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $668.5M |
| Medicare | $94M |
UNILAB CORPORATION is effectively Medicaid-dominant on a lifetime revenue basis: reported lifetime Medicare revenue of $94M versus lifetime Medicaid revenue of $668.5M, indicating Medicaid accounts for the large majority of billed volume and dollars for this entity. This scale imbalance suggests the provider’s operations and commercial relationships are heavily focused on Medicaid populations and payers.
The provider’s code mix is characteristic of a high-volume clinical medical laboratory with broad capabilities across routine chemistry/hematology, infectious disease molecular testing, and specialized assays. Medicare top-volume codes such as 80053, 80061, 84443 and 36415 and Medicaid leaders such as U0003, 87491, 87591, and 80061 indicate the lab performs massive volumes of panels (CMP, lipid), endocrine tests (TSH), STD NAATs (Chlamydia and GC), and high-throughput SARS‑CoV‑2 PCR.
Medicare revenue concentration is meaningful: the precomputed top-3 Medicare codes account for 31.5% of Medicare revenue, driven by 80053 ($6.8M revenue, 11.6% of Medicare revenue), 80061 ($5.9M, 10.0%), and 84443 ($5.8M, 9.9%). This concentration around a small set of routine panels and endocrine assays points to standardized, high-volume testing workflows that are typical for reference or outreach laboratory business models.
On the Medicaid side the top 3 codes similarly drive a large share of revenue — precomputed as 30.1% — led by U0003 ($57M, 13.1% of Medicaid revenue), 87491 ($37M, 8.5%), and 87591 ($36.8M, 8.5%). Heavy Medicaid revenue from high-throughput molecular infectious disease testing (SARS‑CoV‑2 and NAATs for Chlamydia/GC) implies significant instrument throughput and specimen volume focused on population screening and public-health related testing.
UNILAB shows dominant competitive standing in both payers for many codes: numerous Medicare codes (for example 80053, 80061, 84443, 36415, 82306, 85025, 83036) are listed as rank #5 nationally at the 100th percentile and described as "extreme outlier, far above typical national volume," signaling national-scale volume for routine tests. In Medicaid, multiple high-revenue codes (87491, 87591, 80061, 84443, 82306, and others) rank #1 in-state at the 100th percentile, indicating UNILAB is a statewide volume leader for those tests.
The provider also reports substantial volumes in specialized and higher-reimbursement assays, showing service breadth beyond routine panels. Examples include G0480 (definitive drug testing) with Medicare revenue $1.3M (rank #11 nationally, 99th percentile) and Medicaid G0480 at $7M (rank #3 in-state, 99th percentile), plus Medicaid-level genomic and specialized testing such as 81220 ($10.4M, rank #4 in-state) and 81420 ($6.3M, rank #9 in-state), indicating capabilities in definitive toxicology and selected genetic assays.
Many individual CPT/HCPCS lines are flagged as statistical outliers in the supplied data, repeatedly noted as "extreme outlier" at the 100th percentile or similarly high percentiles; this pattern appears across both Medicare (multiple #5 national ranks) and Medicaid (many #1 in-state ranks). Those repeated outlier notations for high-volume routine and molecular tests suggest the provider’s reported volumes are substantially above peer norms and that it occupies an unusually large share of testing volume for specific assays.
UNILAB’s NPI tenure (enumerated 2006-06-27, ~20 years ago) indicates a long-established laboratory presence; combined with the large Medicaid footprint and recurrent top-state rankings, the data are consistent with an established reference or outreach lab that has grown to capture sizeable state-level market share over an extended operating period.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
610 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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. | 678,410 | $10 | $6.8M |
| 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. | 450,620 | $10 | $5.9M |
| 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… | 359,390 | $20 | $5.8M |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 717,620 | $10 | $5.7M |
| 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… | 180,080 | $30 | $5.2M |
| 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… | 547,200 | $10 | $4.4M |
| 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).… | 333,180 | $10 | $3.3M |
| 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. | 73,990 | $40 | $3M |
| 84153 | The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and… | 104,380 | $20 | $1.9M |
| 82607 | The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood. | 123,540 | $20 | $1.9M |
Showing 1–10 of 610
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 610 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
610 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 81479 | 7 | 20 | 650 | $2,290 | $16.6M |
| 81450 | 2 | 10 | 60 | $740 | $679.4K |
| G0482 | 9 | 30 | 70 | $190 | $555.9K |
| 87999 | 1 | 10 | 1,450 | $290 | $436.6K |
| G0483 | 37 | 70 | 360 | $240 | $427.9K |
| 87798 | 75 | 110 | 1,340 | $30 | $338.2K |
| U0003 | 19 | 130 | 730 | $70 | $246.4K |
| G0481 | 5 | 50 | 250 | $150 | $131.2K |
| G0480 | 2 | 50 | 70 | $110 | $119.4K |
| 86235 | 1 | 60 | 1,220 | $20 | $75.7K |
Showing 1–10 of 610
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.
708 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,017,350 | $60 | $57M |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 3,367,030 | $10 | $37M |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 3,348,750 | $10 | $36.8M |
| 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. | 6,916,950 | $10 | $34.6M |
| 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… | 5,406,710 | $10 | $32.4M |
| 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… | 2,991,530 | $10 | $26.9M |
| 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. | 8,400,110 | $1 | $25.2M |
| 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).… | 6,224,990 | $1 | $18.7M |
| 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… | 7,100,440 | $1 | $14.2M |
| 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. | 630,790 | $20 | $13.9M |
Showing 1–10 of 708
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
708 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,… | 9 | 30 | 300 | $260 | $18M |
| T1015 | Clinic visit/encounter, all-inclusive | 1,496 | 1,550 | 38,050 | $190 | $14.1M |
| 81162 | The lab analyst performs the technical lab test to analyze the entire gene sequence for the BRCA1, DNA repair–associated gene, also called BRCA1; and BRCA2, DNA repair–associated gene, also called… | 4 | 10 | 440 | $500 | $5.3M |
| 81443 | The lab analyst performs a genomic sequence analysis panel to evaluate the patient specimen for genetic sequences of at least 15 genes, such as the 20 gene examples listed in the code descriptor. The… | 6 | 10 | 3,040 | $290 | $4.7M |
| G0482 | 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… | 5 | 60 | 370 | $80 | $4.1M |
| H2019 | Therapeutic behavioral services, per 15 minutes | 637 | 660 | 4,750 | $140 | $3.1M |
| G0483 | 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… | 15 | 100 | 520 | $120 | $2.4M |
| G0481 | 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… | 5 | 70 | 650 | $70 | $1.6M |
| 81220 | The lab analyst performs the technical lab test to detect the presence of changes in the gene for cystic fibrosis transmembrane conductance regulator, also known as CFTR. The test evaluates the CFTR… | 4 | 110 | 190 | $140 | $1.6M |
| T4541 | Incontinence product, disposable underpad, large, each | 272 | 290 | 2,820 | $50 | $1.1M |
Showing 1–10 of 708
Other providers in the same ZIP code as Unilab Corporation, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Specialty Laboratories Inc | CA | Clinical Medical Laboratory | $90.4K | $16.8M |
| Unilab Corporation | CA | Clinical Medical Laboratory | $1.9M | $3.1M |
| Transpath Inc. | CA | Clinical Medical Laboratory | $544.3K | $15.5K |
| Andrea Milton | CA | Registered Dietitian | $23K | $0 |
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