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NPI 1497120653 · Santa Maria, CA · Clinical Medical Laboratory
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Western Diagnostic Services Laboratory, LLC is a clinical medical laboratory provider located in Santa Maria, California. This profile covers 18 Medicare and 7 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 | Western Diagnostic Services Laboratory, LLC |
| Address | 1414 E Main St |
| City | Santa Maria |
| State | CA |
| ZIP | 93454 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | December 14, 2015 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.1M |
| Medicaid | $47.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 88305 | The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 13,790 | $30 | $427.5K |
| 81479 | Use 81479 to report a molecular pathology procedure that does not have a specific code. | 110 | $1,490 | $156.3K |
| 88341 | The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified… | 2,500 | $60 | $137.4K |
| 88342 | The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,… | 1,600 | $60 | $97.5K |
| 88312 | The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets… | 890 | $80 | $69.9K |
| 88185 | The lab analyst performs the technical component of a flow cytometry procedure using cell surface, cytoplasmic, or nuclear markers to characterize cells and aid clinicians in diagnosing patients with… | 2,120 | $20 | $44.4K |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | 210 | $170 | $37K |
| 88307 | The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 170 | $190 | $32K |
| 88313 | The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,… | 230 | $70 | $15.1K |
| 88360 | The lab analyst applies a single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist, evaluates the… | 150 | $70 | $10.9K |
Showing 1–10 of 18
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
18 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 81479 | 16 | 20 | 650 | $2,290 | $16.6M |
| 88185 | 11 | 40 | 1,560 | $20 | $139.2K |
| 88305 | 13 | 1,580 | 450 | $40 | $51.3K |
| 88377 | 70 | 100 | 40 | $140 | $41.6K |
| 88184 | 12 | 40 | 70 | $70 | $21.4K |
| 88341 | 10 | 920 | 260 | $40 | $15.7K |
| 88312 | 25 | 730 | 70 | $70 | $14.3K |
| 88342 | 11 | 1,000 | 120 | $50 | $11.2K |
| G0416 | 6 | 240 | 30 | $210 | $10.3K |
| 88313 | 138 | 670 | 80 | $40 | $9.9K |
Showing 1–10 of 18
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 88305 | The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 4,700 | $10 | $42.3K |
| 88341 | The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified… | 10 | $160 | $2.3K |
| 88342 | The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,… | 230 | $10 | $1.6K |
| 88312 | The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets… | 430 | $1 | $1.3K |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | 10 | $40 | $510 |
| 88304 | The physician, typically a pathologist, performs a level III examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 30 | $10 | $160 |
| 88300 | The physician, typically a pathologist, performs a level I examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 220 | $0 | $0 |
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
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 88305 | The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 195 | 830 | 880 | $40 | $195.6K |
| 88341 | The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified… | 169 | 190 | 170 | $70 | $62.2K |
| 88342 | The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,… | 187 | 340 | 300 | $30 | $51.4K |
| 88312 | The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets… | 125 | 280 | 270 | $30 | $45.8K |
| 88304 | The physician, typically a pathologist, performs a level III examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 337 | 380 | 460 | $20 | $27.1K |
| 88300 | The physician, typically a pathologist, performs a level I examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 47 | 120 | 100 | $1 | $2.4K |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | 3 | 10 | 40 | $40 | $2.1K |
Other providers in the same ZIP code as Western Diagnostic Services Laboratory, LLC, ranked by combined Medicare and Medicaid revenue.
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