Loading...
NPI 1548579212 · Syracuse, NY · Clinical Medical Laboratory
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Crouse Medical Practice PLLC is a clinical medical laboratory provider located in Syracuse, New York. This profile covers 76 Medicare and 39 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 | Crouse Medical Practice PLLC |
| Address | 739 Irving Ave |
| City | Syracuse |
| State | NY |
| ZIP | 13210 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | September 29, 2010 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $659.7K |
| Medicaid | $255.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
76 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 10,540 | $10 | $84.3K |
| 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… | 2,720 | $30 | $79K |
| 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… | 4,410 | $20 | $70.6K |
| 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. | 6,840 | $10 | $68.4K |
| 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. | 5,230 | $10 | $68K |
| 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… | 5,880 | $10 | $47K |
| 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).… | 3,100 | $10 | $27.9K |
| 84439 | The lab analyst performs a test to measure free thyroxine, or free T4, typically in patient serum. | 2,060 | $10 | $18.5K |
| 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… | 1,760 | $10 | $14.1K |
| 82607 | The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood. | 930 | $20 | $13.9K |
Showing 1–10 of 76
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 76 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
76 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 83880 | 18 | 140 | 50 | $40 | $17.4K |
| 87493 | 10 | 10 | 70 | $40 | $10.9K |
| 82306 | 11 | 1,030 | 60 | $30 | $10.9K |
| 84481 | 44 | 150 | 50 | $20 | $10.7K |
| 83970 | 41 | 300 | 40 | $40 | $10.1K |
| 82784 | 118 | 170 | 340 | $10 | $8.4K |
| 86038 | 25 | 50 | 50 | $10 | $8.1K |
| 84443 | 11 | 1,510 | 90 | $20 | $7.9K |
| 80061 | 11 | 1,460 | 120 | $10 | $7.3K |
| 83516 | 26 | 40 | 150 | $10 | $7.3K |
Showing 1–10 of 76
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.
39 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,710 | $30 | $49.5K |
| 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… | 980 | $30 | $32.2K |
| 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. | 3,080 | $10 | $27.7K |
| 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. | 2,490 | $10 | $27.4K |
| 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… | 1,670 | $10 | $20K |
| 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… | 3,000 | $10 | $15K |
| 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).… | 1,450 | $10 | $13.1K |
| 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… | 1,480 | $10 | $10.4K |
| 84439 | The lab analyst performs a test to measure free thyroxine, or free T4, typically in patient serum. | 1,020 | $10 | $9.2K |
| 82607 | The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood. | 630 | $10 | $8.2K |
Showing 1–10 of 39
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
39 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. | 240 | 590 | 1,160 | $20 | $277.2K |
| 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… | 170 | 380 | 1,130 | $20 | $179K |
| 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… | 183 | 300 | 2,790 | $20 | $174.1K |
| 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… | 46 | 170 | 210 | $20 | $162.3K |
| 87502 | The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly… | 206 | 220 | 410 | $50 | $105.6K |
| 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… | 214 | 410 | 1,970 | $10 | $81.9K |
| 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… | 180 | 210 | 1,080 | $10 | $81.3K |
| 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. | 193 | 570 | 470 | $10 | $80.8K |
| 80076 | The 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. | 169 | 230 | 1,030 | $10 | $77.3K |
| 82607 | The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood. | 202 | 350 | 1,020 | $10 | $54.3K |
Showing 1–10 of 39
Other providers in the same ZIP code as Crouse Medical Practice PLLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Suny Health Science Center At Syracuse | NY | General Acute Care Hospital | $0 | $179.8M |
| Crouse Health Hospital, Inc. | NY | General Acute Care Hospital | $351.8K | $78.6M |
| Wellnow Urgent Care, P.C. | NY | Clinical Medical Laboratory | $364.5K | $33.1M |
| Upstate Emergency Medicine, Inc | NY | Emergency Medicine Physician | $0 | $22.8M |
| Kerry Whiting | NY | Anatomic Pathology & Clinical Pathology Physician | $2M | $290 |
| Steven Finkelstein | NY | Radiation Oncology Physician | $1.4M | $0 |
| Brian Bannister | NY | Pain Medicine (Anesthesiology) Physician | $924.2K | $0 |
| Stephen Randall | NY | Therapeutic Radiology Physician | $669.2K | $0 |
| Christopher Pieczonka | NY | Urology Physician | $615.3K | $0 |
| David Lubin | NY | Nuclear Radiology Physician | $313.4K | $8.1K |
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.