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

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

California Molecular Reference Laboratories (NPI 1568698512)

Field	Value
Entity Type	Organization
Organization	California Molecular Reference Laboratories
Address	24407 Calle De La Louisa Ste 100
City	Laguna Hills
State	CA
ZIP	92653
Taxonomy	Clinical Medical Laboratory
NPI Enumerated	June 4, 2009

Payer Source	Total Paid
Medicare	$30.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
85576	The lab analyst performs a test to evaluate clumping, or aggregation, of platelets following the addition of an agent to the blood specimen.	920	$20	$22K
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…	1,960	$1	$7.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

California Molecular Reference Laboratories — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
85576	1	10	70	$20	$4K
85610	26	390	120	$1	$2.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with California Molecular Reference Laboratories, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thomas Hirose	CA	Anatomic Pathology & Clinical Pathology Physician	$225.5K	$380

Nearby Providers

Other providers in the same ZIP code as California Molecular Reference Laboratories, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wilshire Pharmcare, Inc.	CA	Pharmacy	$114.3K	$31M
Pmdca, LLC	CA	Clinical Medical Laboratory	$906.1K	$7M
John Hwang	CA	Retina Specialist (Ophthalmology) Physician	$1.9M	$1.7M
Charles Eifrig	CA	Retina Specialist (Ophthalmology) Physician	$2.6M	$885K
Alicia Surgery Center LLC	CA	Ambulatory Surgical Clinic/Center	$3.2M	$0
Brian Kim	CA	Ophthalmology Physician	$2.6M	$8.9K
Pacific Hills Surgery Center LLC	CA	Ambulatory Surgical Clinic/Center	$1.6M	$15.2K
Brandon Morris	CA	Family Nurse Practitioner	$1.4M	$0
Prelude Corporation	CA	Clinical Medical Laboratory	$1M	$9K
Ali Tabatabai	CA	Specialist	$1M	$0

California Molecular Reference Laboratories — Billing Profile & Reimbursement Data

Sign up for California Molecular Reference Laboratories — Billing Profile & Reimbursement Data policy alerts

California Molecular Reference Laboratories — Billing Profile & Reimbursement Data

Sign up for California Molecular Reference Laboratories — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References