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    OpenPayerNPI Medicare & MedicaidGeisinger Clinic
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    Geisinger Clinic — Billing Profile & Reimbursement Data

    NPI 1528010006 · Lock Haven, PA · Clinical Medical Laboratory

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    Geisinger Clinic is a clinical medical laboratory provider located in Lock Haven, Pennsylvania. This profile covers 33 Medicare and 22 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)

    FieldValue
    Entity TypeOrganization
    OrganizationGeisinger Clinic
    Address955 Bellefonte Ave
    CityLock Haven
    StatePA
    ZIP17745
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedMay 16, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$169.1K
    Medicaid$104.6K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    33 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    80053The 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.5,220$10$52.1K
    85025A 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…5,720$10$45.7K
    80048The 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…2,420$10$19.4K
    85027The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…2,300$10$13.8K
    85610Prothrombin 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…2,370$1$9.5K
    0241UN/A40$140$5.6K
    83735The lab analyst performs a test to measure the amount of magnesium in a patient specimen.380$10$2.7K
    85007The lab analyst performs a technical lab test on stained blood smears to microscopically examine and manually count and differentiate white blood cells, or WBCs, also called leukocytes. The…600$1$2.4K
    84100The lab analyst performs a test to evaluate the level of phosphate, which is phosphorus not contained in biological compounds, in a patient specimen such as serum.400$10$2K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…200$10$2K

    Showing 1–10 of 33

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 33 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    33 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8005311220110$10$21.6K
    8502511420100$10$8.4K
    80048914080$10$7.2K
    800691120120$10$5.6K
    8502787060$10$5.6K
    0241U2021020$140$3.4K
    8763516033020$50$3.4K
    837351813060$10$3.4K
    82248920170$1$3.2K
    84100135090$1$2.6K

    Showing 1–10 of 33

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

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

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    80053The 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.2,790$10$30.6K
    85025A 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…4,180$10$25.1K
    85027The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…2,780$10$19.5K
    80048The 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…1,110$10$7.7K
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.670$10$6.7K
    0241UN/A30$140$4.2K
    85610Prothrombin 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…730$1$2.2K
    81025The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.450$1$1.8K
    81001Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…560$1$1.7K
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…540$1$1.6K

    Showing 1–10 of 22

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Pennsylvania median

    22 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    80053The 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.1583402,320$10$88.6K
    85025A 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…1654501,220$1$48K
    0241UN/A147190180$60$46.5K
    80048The 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…1342601,160$10$29.3K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…288380330$10$15.9K
    85027The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…38230500$10$14.6K
    83735The lab analyst performs a test to measure the amount of magnesium in a patient specimen.231280640$1$11K
    80076The lab analyst performs a hepatic function panel test in which he measures the blood levels of total protein, albumin, alkaline phosphatase, bilirubin, both total and direct, and liver enzymes.126180340$10$10.5K
    81001Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…1612301,720$1$10.2K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.433680260$1$7.4K

    Showing 1–10 of 22

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Geisinger Clinic, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Geisinger ClinicPASurgery Physician$0$74.6M
    Jefferson University PhysiciansPAGeneral Practice Physician$0$30.8M
    Geisinger Pharmacy LLCPAPharmacy$0$26.7M
    The Milton S. Hershey Medical Center Physicians GroupPASports Medicine (Neuromusculoskeletal Medicine) Physician$0$26.6M
    Geisinger Clinic - Outpatient PsychPACounselor$0$19.6M
    Geisinger ClinicPADiagnostic Radiology Physician$0$14.9M
    Geisinger ClinicPAFamily Medicine Physician$0$13.4M
    Geisinger Bloomsburg HospitalPAGeneral Acute Care Hospital$0$7.2M
    Geisinger Wyoming Valley Medical CenterPAGeneral Acute Care Hospital$0$7M
    Geisinger ClinicPAAddiction (Substance Use Disorder) Psychologist$0$5.8M

    Nearby Providers

    Other providers in the same ZIP code as Geisinger Clinic, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bayada Home Health Care, Inc.PAHome Health Agency$0$22.3M
    Crossroads Counseling, IncPACommunity/Behavioral Health Agency$0$15.6M
    George SadkaPAOphthalmology Physician$588.7K$0
    Stefano CarpenettiPAOphthalmology Physician$450.2K$0
    Pravinchandra ChaplaPAInternal Medicine Physician$140.6K$0
    Melissa OwensPAPhysician Assistant$119.7K$5.2K
    Rajesh PatelPAInternal Medicine Physician$123.4K$0
    Amit MehtaPAFamily Medicine Physician$116.3K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Pennsylvania Distribution
    Geisinger Clinic — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania
    Medicaid Revenue by Year vs. Pennsylvania Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    Geisinger Clinic — 0 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania