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NPI 1508306747 · Worcester, MA · Clinical Medical Laboratory
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Quest Diagnostics Massachusetts LLC is a clinical medical laboratory provider located in Worcester, Massachusetts. This profile covers 28 Medicare and 12 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 | Quest Diagnostics Massachusetts LLC |
| Address | 366 Shrewsbury St |
| City | Worcester |
| State | MA |
| ZIP | 01604 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | March 7, 2017 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $51.3K |
| Medicaid | $950 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
28 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,580 | $10 | $12.7K |
| 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. | 1,040 | $10 | $10.4K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 650 | $10 | $5.2K |
| 80048 | The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood… | 590 | $10 | $4.7K |
| 84484 | The lab analyst performs the technical lab test typically using serum, plasma, or whole blood to quantitate troponin. Troponin is a protein labs commonly measure to verify a myocardial infarction and… | 250 | $10 | $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… | 640 | $1 | $2.6K |
| 83880 | The lab analyst measures the amount of natriuretic peptide, a hormone made by heart muscle cells, in the patient specimen. Blood levels of the hormone increase in patients with congestive heart… | 50 | $40 | $1.9K |
| 85379 | The lab analyst performs a test using patient plasma to measure the level of D–dimer in the specimen. | 190 | $10 | $1.9K |
| 83690 | The lab analyst measures the amount of lipase enzyme in the patient specimen. Lipase is an enzyme that the pancreas secretes to help in the absorption of fat. | 270 | $10 | $1.9K |
| 83735 | The lab analyst performs a test to measure the amount of magnesium in a patient specimen. | 180 | $10 | $1.3K |
Showing 1–10 of 28
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 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.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| ATP02 | N/A | 30 | $10 | $170 |
| 82247 | The lab analyst measures the amount of total bilirubin in a patient’s blood. Bilirubin is the yellow color pigment found in the bile, a fluid made by the liver. | 150 | $1 | $150 |
| ATP15 | N/A | 30 | $1 | $60 |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 100 | $0 | $0 |
| 80048 | The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood… | 320 | $0 | $0 |
| 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. | 1,110 | $0 | $0 |
| 81015 | The lab analyst performs this testing based on the specific order for a microscopic urinalysis only. The lab analyst will examine a urine specimen directly under the microscope or by using the… | 50 | $0 | $0 |
| 82248 | The lab analyst measures the amount of direct bilirubin in a patient’s blood. Bilirubin is the yellow color pigment found in the bile, a fluid made by the liver. Direct bilirubin is a water soluble… | 150 | $0 | $0 |
| 83690 | The lab analyst measures the amount of lipase enzyme in the patient specimen. Lipase is an enzyme that the pancreas secretes to help in the absorption of fat. | 20 | $0 | $0 |
| 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… | 1,790 | $0 | $0 |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
12 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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. | 118 | 250 | 970 | $1 | $96K |
| 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… | 145 | 410 | 820 | $1 | $95.7K |
| ATP14 | N/A | 88 | 130 | 4,660 | $10 | $74.7K |
| 83690 | The lab analyst measures the amount of lipase enzyme in the patient specimen. Lipase is an enzyme that the pancreas secretes to help in the absorption of fat. | 103 | 110 | 4,450 | $1 | $55.7K |
| 80048 | The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood… | 131 | 200 | 1,340 | $1 | $49.8K |
| ATP08 | N/A | 100 | 120 | 3,740 | $1 | $47K |
| ATP15 | N/A | 95 | 100 | 2,600 | $10 | $41.2K |
| 82247 | The lab analyst measures the amount of total bilirubin in a patient’s blood. Bilirubin is the yellow color pigment found in the bile, a fluid made by the liver. | 42 | 70 | 450 | $1 | $12.5K |
| 82248 | The lab analyst measures the amount of direct bilirubin in a patient’s blood. Bilirubin is the yellow color pigment found in the bile, a fluid made by the liver. Direct bilirubin is a water soluble… | 68 | 90 | 890 | $1 | $11.8K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 268 | 410 | 320 | $1 | $11.1K |
Showing 1–10 of 12
Other providers in the same ZIP code as Quest Diagnostics Massachusetts LLC, ranked by combined Medicare and Medicaid revenue.
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