Loading...
NPI 1548370745 · Memphis, TN · Clinical Medical Laboratory
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Memphis Pathology Laboratory is a clinical medical laboratory provider located in Memphis, Tennessee. This profile covers 483 Medicare and 429 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 | Memphis Pathology Laboratory |
| Address | 1701 Century Center Cv |
| City | Memphis |
| State | TN |
| ZIP | 38134 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | August 30, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $61.4M |
| Medicare | $14.8M |
MEMPHIS PATHOLOGY LABORATORY is a Medicaid-dominated billing entity: Lifetime Medicaid revenue is $61.4M compared with Total Medicare revenue of $14.8M, indicating Medicaid accounts for the majority of reported payer dollars. This imbalance suggests the lab’s operational footprint and client base are more focused on state Medicaid volume than on Medicare fee-for-service patients.
Revenue concentration is material for both payers: the provider’s top three Medicare codes account for 35.5% of its Medicare revenue, and the top three Medicaid codes account for 36.5% of its Medicaid revenue. For Medicare those high-revenue codes are 80053, 80061, and 84443 (each contributing double-digit shares individually), while Medicaid revenue is heavily driven by U0003, 87591, and 87491, reflecting different drivers across payers.
The code mix reveals a high-throughput diagnostic laboratory with dual emphasis on routine chemistry/endocrine testing and large-scale infectious disease nucleic-acid testing. Medicare top codes such as 80053, 80061 and 84443 point to heavy volume in CMP, lipid panel and TSH testing, while Medicaid dominance of U0003 ($7.9M revenue), 87591 ($3.8M) and 87491 ($3.6M) indicates major capacity for SARS‑CoV‑2 and STI NAAT workflows.
On national Medicare measures this lab is a clear high-volume outlier for many routine tests: 80053 ranks #34 of 26416 providers (100th percentile; extreme outlier), 80061 ranks #35 of 21671 providers (100th percentile; extreme outlier), and 84443 ranks #35 of 19722 providers (100th percentile; extreme outlier). Those ranks indicate the provider operates at volumes far above typical national peers for common lab assays, consistent with a centralized processing model.
Within Tennessee Medicaid the provider is a dominant statewide player for key infectious and screening codes: U0003 ranks #2 of 95 providers in-state (99th percentile; extreme outlier), 87591 ranks #2 of 72 providers in-state (99th percentile; extreme outlier), and 87491 ranks #2 of 74 providers in-state (99th percentile; extreme outlier). The provider also ranks #1 in-state for 86003 (214.9K claims, $644.7K revenue; 100th percentile; extreme outlier), underscoring its exceptional state-level market share for several test types.
Operational throughput is evidenced by large specimen and panel volumes reported across both payers: Medicare shows high claim counts for front-line specimen and CBC codes (36415: 90.1K claims; 85025: 94.3K claims) and Medicaid shows very large panel claim volumes (80053: 531.5K claims on Medicaid, 80061: 424.3K claims on Medicaid). These counts support a picture of an established, high-volume central lab handling both specimen collection and high-frequency routine testing.
The lab’s service breadth spans routine screening to higher-complexity and specialty testing, combining definitive drug testing (G0480 appears on Medicare with $240.1K and on Medicaid with $551.9K), presumptive drug screens (80307 on Medicaid, $1.7M), allergen-specific testing (86003 on Medicaid, $644.7K), and respiratory/viral multiplex NAATs (87633 on Medicaid, $475.1K). This mix indicates capability to deliver both standard chemistry/hematology panels and specialized molecular and toxicology assays required by large clinical and public-health clients.
The provider has a long tenure in the NPI registry (NPI enumerated 2006-08-30, ~20 years ago), and the combination of that longevity with multi-tens-of-millions in lifetime payer revenue suggests an established regional laboratory infrastructure rather than a recent startup. That historical presence, together with the extreme outlier ranks on many codes, supports classification as a mature, high-capacity diagnostic lab in Tennessee and at the national scale for select Medicare codes.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
483 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | 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. | 133,550 | $10 | $1.3M |
| 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. | 88,680 | $10 | $1.2M |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 67,120 | $20 | $1.1M |
| 82306 | The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced… | 30,100 | $30 | $872.8K |
| 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… | 94,330 | $10 | $754.6K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 90,140 | $10 | $721.2K |
| 83970 | Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function. | 13,270 | $40 | $530.7K |
| 83036 | Sugar 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).… | 51,430 | $10 | $514.3K |
| 87086 | Culture, bacterial; quantitative, colony count, urine. | 39,150 | $10 | $313.2K |
| 82607 | The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood. | 18,350 | $20 | $275.2K |
Showing 1–10 of 483
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 483 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
483 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 82542 | 2 | 10 | 10,060 | $20 | $237.2K |
| 88120 | 7 | 10 | 240 | $420 | $145.6K |
| 88275 | 2 | 10 | 2,720 | $50 | $136.4K |
| 88271 | 2 | 10 | 4,240 | $20 | $89K |
| G0481 | 47 | 60 | 80 | $150 | $73.2K |
| 84238 | 1 | 10 | 1,960 | $40 | $70.2K |
| 86480 | 1 | 10 | 920 | $60 | $55.7K |
| 88305 | 57 | 420 | 500 | $30 | $55.1K |
| 86003 | 1 | 10 | 9,380 | $10 | $53.7K |
| 88185 | 7 | 30 | 690 | $20 | $51.2K |
Showing 1–10 of 483
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.
429 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high… | 125,850 | $60 | $7.9M |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 190,430 | $20 | $3.8M |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 191,010 | $20 | $3.6M |
| 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. | 531,470 | $1 | $2.1M |
| 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. | 424,280 | $10 | $2.1M |
| 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… | 126,090 | $20 | $1.9M |
| 82306 | The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced… | 167,210 | $10 | $1.8M |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 306,480 | $10 | $1.8M |
| 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… | 93,510 | $20 | $1.8M |
| 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. | 53,180 | $30 | $1.7M |
Showing 1–10 of 429
How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Tennessee median
429 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 80081 | The lab analyst performs an obstetric panel; this panel must include tests for a complete blood count with differential, a hepatitis B surface antigen test, a single–result test for HIV–1 antigens… | 2 | 10 | 13,370 | $40 | $1.1M |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but… | 30 | 60 | 430 | $50 | $1M |
| 81420 | The lab analyst performs a genomic sequence analysis panel to evaluate circulating cell free fetal DNA in maternal blood for genetic sequences of at least the genes on chromosomes 13, 18, and 21,… | 4 | 10 | 3,970 | $220 | $843K |
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but… | 42 | 60 | 840 | $60 | $705.4K |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but… | 29 | 70 | 180 | $60 | $589.9K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high… | 2 | 100 | 400 | $60 | $524.7K |
| 82542 | The lab analyst performs the technical lab test to evaluate the specimen for the presence or amount of a nondrug analyte by using column chromatography and possibly mass spectrometry. | 3 | 10 | 550 | $10 | $499K |
| 81220 | The lab analyst performs the technical lab test to detect the presence of changes in the gene for cystic fibrosis transmembrane conductance regulator, also known as CFTR. The test evaluates the CFTR… | 2 | 10 | 210 | $200 | $285.2K |
| 87661 | The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique. | 3 | 30 | 480 | $20 | $283.4K |
| 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. | 6 | 240 | 840 | $20 | $259.2K |
Showing 1–10 of 429
Other providers in the same ZIP code as Memphis Pathology Laboratory, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Accredo Health Group Inc | TN | Pharmacy | $0 | $165.6M |
| Support Solutions Of The Mid-south | TN | Community/Behavioral Health Agency | $0 | $45M |
| Fred Thomason | TN | Psychiatry Physician | $0 | $25.8M |
| Infusion Partners LLC | TN | Home Infusion Therapy Pharmacy | $0 | $19.8M |
| Miller Dental Health | TN | Pediatric Dentistry | $0 | $12.6M |
| Alliance Health Services Inc. | TN | Durable Medical Equipment & Medical Supplies | $0 | $11.2M |
| Joseph Ruder | TN | General Practice Dentistry | $0 | $7.1M |
| Helpful Hands, LLC | TN | In Home Supportive Care Agency | $0 | $6.6M |
| Brink & White Pediatric Dental Associates, PLLC | TN | Pediatric Dentistry | $0 | $4.7M |
| Shelby County Government | TN | Land Ambulance | $940.1K | $3.6M |
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.