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NPI 1447914874 · Stone Park, IL · Clinical Medical Laboratory
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State Scientific Lab LLC is a clinical medical laboratory provider located in Stone Park, 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | State Scientific Lab LLC |
| Address | 1550 N Mannheim Rd Ste C |
| City | Stone Park |
| State | IL |
| ZIP | 60165 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | October 22, 2021 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $7.8M |
| Medicaid | $4.4K |
STATE SCIENTIFIC LAB LLC is coded as a Clinical Medical Laboratory and its billed activity is overwhelmingly concentrated in a single service line: K1034 (provision of covid-19 test, nonprescription self-administered and self-collected use). The top-3 Medicare codes account for 100.0% of its Medicare revenue and the top-3 Medicaid codes account for 100.0% of its Medicaid revenue, indicating virtually all reported billing is tied to this specific OTC COVID test product line rather than a broader mix of clinical laboratory services.
Medicare revenue dominates the payer mix: the provider reports Total Medicare revenue of $7.8M versus Total Medicaid revenue of $4.4K. This scale difference means the operation is effectively single-payer driven by Medicare dollars, with Medicaid representing a de minimis share of lifetime revenue.
Operational footprint and volume differ sharply by payer: Medicare claims for K1034 total 654K claims with an average paid/claim of $12 and $7.8M in revenue, while Medicaid shows 1.5K claims with an average paid/claim of $3 and $4.4K in revenue. These figures indicate a very large Medicare distribution or dispensing volume of low-cost self-test units versus minimal Medicaid activity.
Revenue concentration risk is high because K1034 drives 100.0% of revenue for both payers as reported; reliance on a single HCPCS code exposes financial performance to any changes in coverage policy, reimbursement, or demand for nonprescription self-administered COVID-19 tests. This concentration suggests limited diversification into other laboratory testing services despite the Clinical Medical Laboratory taxonomy.
Competitive standing for K1034 is markedly different across payers: nationally for Medicare the provider ranks #61 of 30143 providers and is described as an extreme outlier at the 100th percentile, indicating dominant national volume for this code. By contrast, in-state Medicaid ranking for K1034 is #19 of 59 providers at the 69th percentile and is characterized as typical, unremarkable volume within Illinois.
The average paid/claim levels — $12 on Medicare and $3 on Medicaid for K1034 — are low in absolute terms, consistent with reimbursement for distributed nonprescription self-administered tests rather than high-complexity laboratory assays. This pricing profile reinforces that the entity's business model is likely focused on high-volume dispensing or distribution of OTC tests rather than in-lab diagnostic processing.
The provider has been enumerated since 2021-10-22 (~5 years ago), meaning its entire public billing record likely spans the pandemic and post-pandemic period; the business profile dominated by K1034 is consistent with services that expanded during COVID-19. Tenure in the registry combined with the code mix suggests growth tied to pandemic-era demand rather than legacy clinical testing portfolios.
Geographic and payer-context implications: located in STONE PARK, IL, the provider’s national prominence on Medicare for K1034 contrasts with a modest in-state Medicaid position, implying the organization reaches beneficiaries well beyond typical local Medicaid networks. Analysts should treat Medicare-derived volume metrics as the primary indicator of the entity’s market impact while recognizing Medicaid results are negligible in dollar terms.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 653,970 | $10 | $7.8M |
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 Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| K1034 | 22 | 1,150 | 720 | $10 | $414.9K |
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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 1,470 | $1 | $4.4K |
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 Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 19 | 60 | 660 | $1 | $3.2K |
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