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NPI 1578549044 · San Diego, CA · Clinical Medical Laboratory
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Scripps Clinic Medical Laboratories is a clinical medical laboratory provider located in San Diego, California. This profile covers 38 Medicare and 3 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 | Scripps Clinic Medical Laboratories |
| Address | 15004 Innovation Dr |
| City | San Diego |
| State | CA |
| ZIP | 92128 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | December 16, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $414.6K |
| Medicaid | $490 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
38 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. | 17,710 | $10 | $141.7K |
| 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… | 9,270 | $10 | $74.2K |
| 87636 | The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic… | 510 | $140 | $71.5K |
| 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. | 3,910 | $10 | $39.1K |
| 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… | 370 | $40 | $14.1K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 270 | $50 | $13.7K |
| 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… | 860 | $10 | $10.3K |
| 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… | 740 | $10 | $5.9K |
| 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… | 1,360 | $1 | $5.4K |
| 87651 | The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat. | 130 | $30 | $4.5K |
Showing 1–10 of 38
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 38 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
38 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 87798 | 106 | 110 | 1,340 | $30 | $338.2K |
| 87636 | 21 | 90 | 40 | $140 | $70.6K |
| 80053 | 51 | 950 | 110 | $10 | $30.1K |
| 83880 | 40 | 140 | 120 | $40 | $29.4K |
| 87502 | 101 | 190 | 20 | $90 | $22.5K |
| 85025 | 33 | 1,210 | 150 | $10 | $17.2K |
| 87651 | 35 | 150 | 20 | $30 | $10.9K |
| 85027 | 27 | 210 | 80 | $10 | $10K |
| 82247 | 77 | 80 | 80 | $1 | $9.8K |
| 80069 | 74 | 90 | 160 | $10 | $9.7K |
Showing 1–10 of 38
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.
3 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. | 50 | $1 | $50 |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 1,310 | $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… | 1,050 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
3 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. | 1,522 | 1,720 | 1,360 | $10 | $165.3K |
| 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… | 1,082 | 2,100 | 1,130 | $1 | $83.5K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 919 | 2,700 | 440 | $1 | $24.7K |
Other providers in the same ZIP code as Scripps Clinic Medical Laboratories, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Laboratory Corporation Of America | CA | Clinical Medical Laboratory | $59.8M | $147.2M |
| Laboratory Corporation Of America | CA | Clinical Medical Laboratory | $1.1M | $11.4M |
| Phamatech Incorporated | CA | Clinical Medical Laboratory | $812.9K | $3.2M |
| Anil Patel | CA | Cardiovascular Disease Physician | $279.9K | $0 |
| Namee Kim | CA | Cardiovascular Disease Physician | $274K | $0 |
| Malhar Patel | CA | Cardiovascular Disease Physician | $242.4K | $0 |
| Ryan Frederiksen | CA | Diagnostic Radiology Physician | $210.5K | $1.6K |
| David Lee | CA | Diagnostic Radiology Physician | $141K | $0 |
| Tyler Adamson | CA | Sports Medicine (Family Medicine) Physician | $129.2K | $0 |
| Kosha Shah | CA | Occupational Therapist | $112.2K | $0 |
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