Loading...
NPI 1427120336 · Troy, MI · Clinical Medical Laboratory
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Vpa PC is a clinical medical laboratory provider located in Troy, Michigan. This profile covers 113 Medicare and 86 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 | Vpa PC |
| Address | 500 Kirts Blvd |
| City | Troy |
| State | MI |
| ZIP | 48084 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | November 15, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $8.1M |
| Medicare | $4.6M |
VPA PC is a Clinical Medical Laboratory by taxonomy and its Medicare and Medicaid code mix shows a high-volume diagnostic lab footprint that handles both routine panels (80053, 85025, 36415) and specialized analytes (83970, 82306, 84134, 82607) as well as definitive drug testing (G0481/G0480). The presence of large claim counts across panel, metabolic, and specialized codes indicates a centralized laboratory processing operation rather than a small point-of-care clinic, and the dataset includes substantial specimen-collection activity tied to P9604.
Revenue concentration is moderate but meaningful: the top three Medicare codes by revenue account for 26.7% of this provider's total Medicare revenue, and the top three Medicaid codes by revenue account for 27.7% of this provider's total Medicaid revenue. These precomputed shares indicate that a relatively small set of tests—medical panels and high-volume analytes—drive roughly a quarter of payer revenue for each program.
The provider’s payer mix is Medicaid-leaning in scale: reported lifetime Medicaid revenue is $8.1M versus lifetime Medicare revenue of $4.6M, so Medicaid is the larger single source of billed revenue on file. This asymmetry suggests business dependence on state-covered populations and contracts or referral relationships that favor Medicaid volume.
On Medicare, VPA PC shows national-scale specialization for multiple analytes: 83970 is an extreme outlier and ranks #29 of 3436 providers nationally (99th percentile), 84134 ranks #1 of 317 providers nationally (100th percentile; extreme outlier), and 83718 ranks #1 of 273 providers nationally (100th percentile; extreme outlier). Those ranks and the high claim counts for codes such as 83970 (12K claims, $480.1K revenue) and 84134 (21.3K claims, $297.8K revenue) mark the provider as an outlier nationally on specific tests even though total Medicare revenue is $4.6M.
Within Michigan Medicaid, VPA PC is a dominant in‑state performer for many high-value or high-volume analytes: 83970 ranks #1 of 120 in-state (100th percentile; extreme outlier) with 34.5K claims and $758.6K revenue, 84134 ranks #1 of 23 in-state (100th percentile; extreme outlier) with 58.9K claims and $412.2K revenue, and 83721 ranks #1 of 47 in-state (100th percentile; extreme outlier) with 54.7K claims and $328.2K revenue. These #1 rankings and 100th-percentile placements indicate the lab holds a leading market position in Michigan for several targeted tests.
Operational model signals: P9604 (travel allowance for specimen collection) volumes are exceptionally large across both payers—25.3K claims on Medicare ($329.4K) where it ranks #11 of 400 providers nationally (97th percentile; notably above typical national volume), and 77K claims on Medicaid ($154.1K) where it ranks #1 of 13 in-state (100th percentile; extreme outlier). The combination of very high P9604 claims and low average paid/claim ($13 Medicare, $2 Medicaid as reported) points to a business model that includes extensive home- or nursing-home specimen collection and logistics, implying a high-volume, lower-reimbursement service line.
Clinical focus trends are consistent with nutritional, metabolic and cardiac testing: high-volume and high-rank codes include 82306 (vitamin D), 82607 (vitamin B12), 84134 (prealbumin), 83880 (natriuretic peptide), and 83036 (A1C). For example, Medicaid shows 82306 at 41.3K claims and $661.5K revenue (ranks #8 in-state) and Medicare shows 82306 with $327.1K revenue (ranks #71 nationally), indicating both diagnostic and chronic-disease monitoring roles in the lab’s book of business.
Toxicology/service breadth: VPA PC bills definitive drug testing (G0481, G0480) and presumptive screens (80307) across both payers, with Medicare G0481 at $135.4K (ranks #66 of 1766 nationally, 96th percentile; typical, unremarkable volume) and Medicaid G0480 at $70.3K (ranks #66 of 151 in-state, 57th percentile; typical, unremarkable volume). These placements show the lab maintains a meaningful toxicology capability without being uniformly dominant on every drug-testing measure, combining high-end definitive testing with broader screening workflows.
The provider has a long operational tenure: the NPI was enumerated on 2006-11-15 (~20 years ago), which supports interpretation of the volume patterns as the output of an established laboratory operation rather than a short-lived anomaly. Long tenure plus repeated top-rank placements in both Medicare and Medicaid suggest sustained specialization and an entrenched regional presence.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
113 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. | 12,000 | $40 | $480.1K |
| P9604 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge | 25,340 | $10 | $329.4K |
| 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… | 20,460 | $20 | $327.3K |
| 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… | 11,280 | $30 | $327.1K |
| 82607 | The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood. | 20,150 | $20 | $302.2K |
| 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. | 30,080 | $10 | $300.8K |
| 84134 | The lab analyst performs a test to evaluate the level of prealbumin in a patient specimen such as serum. | 21,270 | $10 | $297.8K |
| 82746 | The lab analyst measures the folic acid level in serum to determine if there is a deficiency. Folic acid deficiency is attributed to many conditions such as malabsorption, Crohn’s disease, celiac… | 18,290 | $10 | $256K |
| 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… | 26,220 | $10 | $209.8K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 25,440 | $10 | $203.6K |
Showing 1–10 of 113
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 113 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.
86 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. | 34,480 | $20 | $758.6K |
| 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… | 41,340 | $20 | $661.5K |
| 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… | 4,990 | $120 | $603.4K |
| 82607 | The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood. | 58,720 | $10 | $469.8K |
| 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… | 54,130 | $10 | $433K |
| 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. | 15,290 | $30 | $428K |
| 84134 | The lab analyst performs a test to evaluate the level of prealbumin in a patient specimen such as serum. | 58,890 | $10 | $412.2K |
| 82746 | The lab analyst measures the folic acid level in serum to determine if there is a deficiency. Folic acid deficiency is attributed to many conditions such as malabsorption, Crohn’s disease, celiac… | 51,510 | $10 | $412K |
| 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. | 78,920 | $10 | $394.6K |
| 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).… | 62,440 | $10 | $374.6K |
Showing 1–10 of 86
How this provider's Medicaid billing volume and revenue compare to other Michigan providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Michigan median
86 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 31 | 70 | 680 | $100 | $604K |
| 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… | 141 | 160 | 2,720 | $60 | $546.6K |
| 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… | 13 | 50 | 650 | $80 | $298.5K |
| G0480 | 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… | 66 | 150 | 2,250 | $30 | $202.4K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 141 | 190 | 2,610 | $20 | $160.2K |
| 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. | 34 | 240 | 2,430 | $20 | $152.2K |
| 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. | 106 | 270 | 1,950 | $10 | $131.1K |
| 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… | 8 | 180 | 2,050 | $10 | $120.4K |
| 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… | 11 | 230 | 4,250 | $10 | $96.4K |
| 87482 | The lab analyst performs a test to quantify infection with Candida species using nucleic acid probe technique. | 1 | 10 | 4,180 | $20 | $89.7K |
Showing 1–10 of 86
Other providers in the same ZIP code as Vpa PC, ranked by combined Medicare and Medicaid revenue.
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.