Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Massachusetts for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Massachusetts only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Massachusetts (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Quest Diagnostics Massachusetts LLC (NPI 1477571420)

Field	Value
Entity Type	Organization
Organization	Quest Diagnostics Massachusetts LLC
Address	75 Mount Auburn St
City	Cambridge
State	MA
ZIP	02138
Taxonomy	Clinical Medical Laboratory
NPI Enumerated	July 18, 2006

Payer Source	Total Paid
Medicare	$2.2K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	160	$10	$1.3K
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…	150	$1	$590
80047	The lab analyst performs a basic metabolic panel (BMP) test in which he measures the blood level of eight chemicals identified in the descriptor including ionized calcium, sodium, potassium,…	20	$10	$220

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

Quest Diagnostics Massachusetts LLC — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
36415	833	2,130	110	$10	$4.6K
85610	89	240	120	$1	$2.1K
80047	6	10	20	$10	$1.1K

Nearby Providers

Other providers in the same ZIP code as Quest Diagnostics Massachusetts LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mount Auburn Hospital	MA	General Acute Care Hospital	$0	$28M
Professional Ambulance & Oxygen Svc, Inc	MA	Land Ambulance	$2.8M	$13.4M
Cambridge Medical Supply Inc	MA	Durable Medical Equipment & Medical Supplies	$0	$5.6M
Howard Ying	MA	Ophthalmology Physician	$2.5M	$149K
Shilpa Desai	MA	Ophthalmology Physician	$1.6M	$0
Christopher Robinson	MA	Ophthalmology Physician	$1M	$0
Katherine Wang	MA	Neurological Surgery Physician	$489.5K	$0
Nelson Aweh	MA	Internal Medicine Physician	$425.3K	$0
Kyle Pond	MA	Cardiovascular Disease Physician	$366.6K	$1.2K
Jeffrey Leavitt	MA	Cardiovascular Disease Physician	$356.8K	$370

Quest Diagnostics Massachusetts LLC — Billing Profile & Reimbursement Data

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Quest Diagnostics Massachusetts LLC — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References