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 Oklahoma for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Oklahoma 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. Oklahoma (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.

Regional Medical Laboratory, Inc (NPI 1497773337)

Key Findings

Field	Value
Entity Type	Organization
Organization	Regional Medical Laboratory, Inc
Address	4142 S Mingo Rd
City	Tulsa
State	OK
ZIP	74146
Taxonomy	Clinical Medical Laboratory
NPI Enumerated	July 18, 2006

Payer Source	Total Paid
Medicaid	$17.6M
Medicare	$0

This provider has no Medicare billing on file and is effectively a single‑payer Medicaid billing operation, with lifetime Medicaid revenue of $17.6M reported. The absence of Medicare activity suggests REGIONAL MEDICAL LABORATORY, INC operates primarily within Medicaid networks or public health contracts rather than serving fee‑for‑service Medicare beneficiaries.

Revenue concentration is high: the top three Medicaid codes (U0004, 80050, 87491) together account for 38.4% of the provider’s total Medicaid revenue, indicating a narrow set of services drives a large share of income. In particular, U0004 alone represents $2.7M or 21.6% of Medicaid revenue, making it the single largest revenue driver.

The code mix and descriptions point to a high‑throughput clinical laboratory focused on infectious disease and population screening plus routine panels. High volumes for molecular infectious‑disease codes—U0004 (35.3K claims), 87491 (32.4K claims), 87591 (32.3K claims), and 87481 (9.1K claims)—alongside large counts for routine panels and automated tests such as 80050 (31.1K claims) and 85025 (72.1K claims) are consistent with a centralized reference lab model handling mass testing and screening.

REGIONAL MEDICAL LABORATORY holds a strong competitive standing statewide for many high‑volume codes: U0004 ranks #2 of 27 providers in‑state (96th percentile) and 80050 ranks #2 of 39 (97th percentile), indicating the provider is a top regional performer for COVID PCR and general health panel billing. Multiple other codes show similarly high placement—80061 ranks #2 of 96 (99th percentile) and 80053 is #5 of 154 (97th percentile)—supporting a picture of substantial market share across routine lab testing categories.

Several specific codes mark the provider as an outlier in the state testing ecosystem. For example, 85025 (CBC) is an "extreme outlier" with 72.1K claims and ranks #3 of 190 providers (99th percentile), and 87481 (Candida NAAT) is also labeled an "extreme outlier" at #1 of 21 providers (100th percentile). These extremes suggest unusually large specimen throughput or specialized service lines relative to most in‑state peers.

Beyond infectious tests, the lab shows high volume in clinical chemistry and serology: 80061 (lipid panel) generated $454.4K (3.7% of Medicaid revenue) with 37.9K claims and ranks #2 of 96 (99th percentile), while 80053 (CMP) produced $396.5K with 44.1K claims and ranks #5 of 154 (97th percentile). This breadth indicates the operation handles both screening/diagnostic panels and high‑volume routine monitoring work.

The provider’s claim counts across many codes—examples include 45.1K claims for 87086 (urine culture), 44.1K for 80053, and 35.3K for U0004—underscore substantial specimen throughput and capacity for batch or automated testing platforms. The presence of U0004 with a CMS‑noted high‑throughput descriptor further supports an operational emphasis on automated, high‑volume molecular testing.

The NPI has been enumerated since 2006‑07‑18 (~20 years ago), indicating long tenure in the market. Combined with consistent top‑percentile rankings across numerous Medicaid codes, the provider appears to be an established regional laboratory with entrenched Medicaid referral patterns rather than a new entrant or limited niche operator.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

276 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	35,340	$80	$2.7M
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	31,140	$30	$1.1M
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	32,410	$30	$1M
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	32,340	$30	$1M
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.	12,360	$50	$642.7K
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…	16,820	$40	$605.4K
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…	72,130	$10	$504.9K
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.	37,870	$10	$454.4K
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.	44,050	$10	$396.5K
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…	17,970	$20	$395.3K

Showing 1–10 of 276

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Oklahoma providers billing the same CPT/HCPCS codes.

Claims Volume vs. Oklahoma Distribution

Regional Medical Laboratory, Inc — 14 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. Oklahoma median

276 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
83498	The lab analyst measures the 17 hydroxyprogesterone in a sample such as blood, serum, urine, or even amniotic fluid. This hormone is a building block for the adrenal cortex hormone cortisol.	3	10	300	$30	$782.5K
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	2	30	120	$60	$243.6K
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…	3	50	550	$60	$235.1K
88175	The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…	2	10	990	$20	$232K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	2	40	440	$30	$230.3K
83516	The lab analyst performs the technical immunoassay test involving several steps to detect and measure an analyte of a noninfectious nature. The results show as positive or negative, or in…	2	10	290	$10	$223.6K
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…	14	20	780	$80	$217.1K
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.	10	100	630	$50	$197.2K
87624	The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result.	3	10	460	$30	$174.2K
83013	The lab analyst tests multiple breath samples for the presence of an isotope that indicates the presence of the H. pylori bacteria. This organism can cause irritation and ulcers of the stomach lining.	4	10	120	$60	$166.9K

Showing 1–10 of 276

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Labcorp Oklahoma, Inc.	OK	Clinical Medical Laboratory	$6.8M	$7.8M
Erica Kumar	OK	Anatomic Pathology & Clinical Pathology Physician	$345.2K	$0
Jason Stratton	OK	Anatomic Pathology & Clinical Pathology Physician	$329.2K	$0
James Taylor	OK	Anatomic Pathology & Clinical Pathology Physician	$125.5K	$0
Adam Hoffhines	OK	Anatomic Pathology & Clinical Pathology Physician	$107K	$0
James Palmer	OK	Anatomic Pathology & Clinical Pathology Physician	$96.9K	$0
Stephanie Holt	OK	Anatomic Pathology & Clinical Pathology Physician	$78.9K	$0
Caitlin Schein	MI	Chemical Pathology Physician	$66.7K	$0
Laura Adhikari	OK	Anatomic Pathology & Clinical Pathology Physician	$49.2K	$0
Paul Gelven	OK	Anatomic Pathology & Clinical Pathology Physician	$48.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Option 1 Nutrition Solutions LLC	OK	Durable Medical Equipment & Medical Supplies	$0	$18.8M
Access Pain Solutions	OK	Pain Medicine Physician	$0	$13.1M
Osu Center For Health Sciences	OK	Medical Specialty Clinic/Center	$0	$10.5M
Advanced Pediatric Care	OK	Durable Medical Equipment & Medical Supplies	$0	$4.9M
Asm LLC	OK	Customized Equipment (DME)	$0	$4.7M
Pathology Laboratory Associates, Inc.	OK	Anatomic Pathology & Clinical Pathology Physician	$22.2K	$3.9M
Sleep Management, L.L.C.	OK	Oxygen Equipment & Supplies (DME)	$0	$3.6M
Tulsa Bone & Joint Associates PC	OK	Orthopaedic Surgery Physician	$0	$3M
Ocean Dental, P.C.	OK	General Practice Dentistry	$0	$3M
Scott Cole	OK	Hematology & Oncology Physician	$2.3M	$0

Regional Medical Laboratory, Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References