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NPI 1396321022 · Southaven, MS · Clinical Medical Laboratory
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Spectra Laboratories Inc is a clinical medical laboratory provider located in Southaven, Mississippi. This profile covers 84 Medicare and 89 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 | Spectra Laboratories Inc |
| Address | 1280 Stateline Rd E |
| City | Southaven |
| State | MS |
| ZIP | 38671 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | March 23, 2021 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $6.2M |
| Medicare | $1.8M |
SPECTRA LABORATORIES INC shows a Medicaid-dominant payer mix with Total Medicare revenue of $1.8M versus Total Medicaid revenue of $6.2M, indicating Medicaid is the larger revenue source on file. The NPI was enumerated 2021-03-23 (~5 years ago), so the organization has been active under this identifier for roughly five years.
Revenue concentration on Medicare is high: the top 3 Medicare codes account for 68.3% of this provider's total Medicare revenue, driven by 83036 (49.3%), 80061 (13.1%), and 84443 (5.8%). This mix—A1C, lipid panel, and TSH—is consistent with a laboratory operation that handles routine chronic disease monitoring and high-volume outpatient chemistry/ endocrinology testing.
On Medicaid the top 3 codes account for 49.5% of Medicaid revenue, concentrated in 83970 (32.6%), 83550 (8.7%), and 82728 (8.2%). The Medicaid top codes point to very large volumes of parathyroid hormone and iron studies, suggesting the lab services are structured around mineral metabolism and iron-status testing as substantial lines of business.
The provider is a competitive outlier on many assays at the national level for Medicare: 83036 ranks #28 of 44997 providers nationally (100th percentile; extreme outlier) with 83.7K claims and $837K revenue, and 80202 ranks #1 of 168 providers nationally (100th percentile; extreme outlier) with 6.8K claims and $88.9K revenue. Those rank/percentile positions indicate SPECTRA operates as a national-volume leader for several specific tests rather than as a modest local lab.
State-level Medicaid standing is strongly dominant across many analytes: multiple Medicaid codes rank #1 in-state (examples include 83970 #1 of 95, 83550 #1 of 123, 82728 #1 of 146, 83540 #1 of 137 and 87340 #1 of 97, each listed as extreme outlier). This pattern characterizes the provider as a major in-state testing hub for a broad set of routine and specialty chemistry/immunoassay panels.
Beyond routine chemistry, the code mix shows breadth across microbiology and molecular testing—Medicare entries include 87186 (culture susceptibility), 89051/89050 (body fluid cell counts), and molecular SARS-CoV-2 tests U0003 and 87635—while Medicaid also includes U0003 and high-volume infectious/immunoassay codes like 87340 and 86803. Taken together, the portfolio is consistent with a full-service clinical laboratory offering automated chemistry, immunoassays, culture/susceptibility, and molecular diagnostic testing.
Several individual codes show extremely high claim counts that underline operational scale: Medicare 83036 has 83.7K claims, and Medicaid 83970 has 55.1K claims and 83540 has 73.5K claims—each described in the source as extreme outlier or notably above typical state/national volume. These very large claim volumes reinforce that much of the provider’s revenue is produced by a small set of high-throughput assays.
The business risk for payers and contracting teams is concentration: top 3 Medicare codes account for 68.3% of Medicare revenue and top 3 Medicaid codes account for 49.5% of Medicaid revenue, meaning a relatively small number of assays drive a large share of payments. For payer analysis this suggests that negotiations, utilization management, or network decisions that affect those specific tests (for example 83036 and 83970) will have outsized impact on reimbursement to this facility.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
84 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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).… | 83,700 | $10 | $837K |
| 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. | 17,160 | $10 | $223K |
| 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… | 6,200 | $20 | $99.2K |
| 80202 | The lab analyst performs the technical lab test to analyze a specimen to quantitate the amount of vancomycin present, which is an antibiotic. | 6,840 | $10 | $88.9K |
| 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… | 980 | $70 | $71.5K |
| 83615 | The lab analyst measures the lactate dehydrogenase, typically in a serum sample. Lactate dehydrogenase is found in many body tissues, especially in the liver, kidney, and heart, and also in red blood… | 7,630 | $10 | $45.8K |
| 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… | 770 | $50 | $38.3K |
| 85610 | Prothrombin time is most commonly measured using the blood plasma. Chemicals like calcium and tissue factor are added to the plasma sample and then the time is noted when the plasma clots. To analyze… | 8,590 | $1 | $34.4K |
| 87186 | The lab analyst performs the technical steps to evaluate a culture isolate’s susceptibility, or sensitivity, to multiple antimicrobial agents, commonly called antibiotics, by observing growth of the… | 4,020 | $10 | $32.2K |
| 84550 | The lab analyst performs a test to measure the amount of uric acid in patient blood. | 7,330 | $1 | $29.3K |
Showing 1–10 of 84
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 84 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
89 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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. | 55,140 | $30 | $1.9M |
| 83550 | The lab analyst measures the iron binding capacity, typically in a serum sample. This analyte is an important measurement of the capacity of iron to bind to transferrin. That capacity is also known… | 71,580 | $10 | $501.1K |
| 82728 | The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute… | 42,760 | $10 | $470.4K |
| 83540 | The lab analyst measures the iron level, primarily in serum. Iron is one of the essential elements in the body, and the greatest portion is present combined with hemoglobin within the red blood cells. | 73,470 | $10 | $367.3K |
| 87340 | The lab analyst performs a test to detect hepatitis B surface antigen, also called HBsAg, using an immunoassay technique, such as EIA. | 44,800 | $10 | $358.4K |
| 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… | 13,760 | $20 | $330.2K |
| 84295 | The lab analyst performs a test to measure the concentration of sodium in serum, plasma, or whole blood. | 35,360 | $10 | $176.8K |
| 82108 | The lab analyst performs a quantitative measurement of the element aluminum. Most commonly the source is serum or urine. This quantitation is important in patients on kidney dialysis or medications… | 9,290 | $20 | $148.6K |
| 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).… | 45,060 | $1 | $135.2K |
| 86706 | The lab analyst performs an immunoassay to evaluate the patient’s specimen, typically serum, for hepatitis B surface antibody. | 15,850 | $10 | $126.8K |
Showing 1–10 of 89
How this provider's Medicaid billing volume and revenue compare to other Mississippi providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Mississippi median
89 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 11 | 60 | 190 | $40 | $111.1K |
| 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 | 230 | 1,870 | $10 | $70.1K |
| 87389 | The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an… | 36 | 40 | 410 | $20 | $47.2K |
| 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. | 1 | 100 | 1,660 | $20 | $45.2K |
| 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… | 103 | 250 | 270 | $30 | $41.8K |
| 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… | 61 | 440 | 1,410 | $1 | $40.1K |
| 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… | 47 | 140 | 940 | $10 | $34.3K |
| 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,… | 8 | 40 | 210 | $10 | $31.9K |
| 80048 | The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood… | 115 | 150 | 1,710 | $10 | $30.4K |
| 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… | 3 | 100 | 450 | $20 | $29.9K |
Showing 1–10 of 89
Other providers in the same ZIP code as Spectra Laboratories Inc, ranked by combined Medicare and Medicaid revenue.
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