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    OpenPayerNPI Medicare & MedicaidQuest Diagnostics Massachusetts LLC
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    Quest Diagnostics Massachusetts LLC — Billing Profile & Reimbursement Data

    NPI 1588907760 · East Boston, MA · Clinical Medical Laboratory

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    Quest Diagnostics Massachusetts LLC is a clinical medical laboratory provider located in East Boston, Massachusetts. This profile covers 14 Medicare and 27 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
    OrganizationQuest Diagnostics Massachusetts LLC
    Address10 Gove St
    CityEast Boston
    StateMA
    ZIP02128
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedApril 5, 2013

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

    Payer SourceTotal Paid
    Medicaid$216.7K
    Medicare$27K

    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    80047The lab analyst performs a basic metabolic panel (BMP) test in which he measures the blood level of eight chemicals identified in the descriptor including ionized calcium, sodium, potassium,…460$10$6K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.260$20$4.1K
    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…430$10$3.4K
    84484The 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…190$10$2.3K
    83880The 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…60$40$2.2K
    82150The lab analyst performs a quantitative measurement of amylase, typically in serum or urine. Amylase is primarily produced in the pancreas, but is also produced in the salivary gland.240$10$1.4K
    82040The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.230$10$1.2K
    82247The lab analyst measures the amount of total bilirubin in a patient’s blood. Bilirubin is the yellow color pigment found in the bile, a fluid made by the liver.230$10$1.2K
    84075The lab analyst measures the alkaline phosphatase, typically in a serum sample. The origin of the enzyme alkaline phosphatase is primarily from the liver, bone, intestine, and lungs.230$10$1.2K
    84450The lab analyst performs the technical lab test, typically using serum or plasma, to quantitate the enzyme aspartate amino transferase, or AST, also called SGOT, serum glutamic oxaloacetic…230$10$1.2K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    83880267030$40$12K
    850256374040$10$4.9K
    84450259080$10$2.4K
    8215042030$10$1.5K
    85379102030$10$1.3K
    84075126070$10$1.3K
    8448452030$10$1.2K
    844602623030$10$1.1K
    8004711020$10$1.1K
    822471150110$1$1.1K

    Showing 1–10 of 14

    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.4,750$20$80.8K
    ATP08N/A5,120$10$40.9K
    ATP14N/A3,440$10$30.9K
    82150The lab analyst performs a quantitative measurement of amylase, typically in serum or urine. Amylase is primarily produced in the pancreas, but is also produced in the salivary gland.5,150$1$15.5K
    84484The 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…2,450$10$14.7K
    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…9,550$1$9.5K
    82553The lab analyst measures the amount of one of the three isoenzymes of creatine kinase (CK) in a patient specimen. This code represents the lab test for the MB fraction only of CK, an enzyme found in…1,330$10$6.6K
    82247The lab analyst measures the amount of total bilirubin in a patient’s blood. Bilirubin is the yellow color pigment found in the bile, a fluid made by the liver.6,590$1$6.6K
    84702The lab analyst performs the technical lab test to measure the amount of hCG, also known as beta hCG, in blood to confirm or monitor pregnancy, or to diagnose certain tumors of the testes or ovaries.380$10$5K
    85379The lab analyst performs a test using patient plasma to measure the level of D–dimer in the specimen.690$10$4.1K

    Showing 1–10 of 27

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Massachusetts median

    27 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…76410820$1$95.7K
    84484The 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…581006,730$10$90.4K
    ATP14N/A711304,660$10$74.7K
    83880The 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…81802,960$10$74.6K
    84702The lab analyst performs the technical lab test to measure the amount of hCG, also known as beta hCG, in blood to confirm or monitor pregnancy, or to diagnose certain tumors of the testes or ovaries.651001,870$10$72K
    ATP08N/A501203,740$1$47K
    85379The lab analyst performs a test using patient plasma to measure the level of D–dimer in the specimen.53702,460$10$20.2K
    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.1281401,090$1$17.5K
    80051The lab analyst performs an electrolyte panel; this panel must include measurement of carbon dioxide, chloride, potassium, and sodium.101110530$1$16.1K
    85652The lab analyst performs a test on patient blood to evaluate the rate of sedimentation of red blood cells using an automated test platform.83901,680$1$15.2K

    Showing 1–10 of 27

    Nearby Providers

    Other providers in the same ZIP code as Quest Diagnostics Massachusetts LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medical Associates Of EbnhcMACommunity Health Clinic/Center$0$179.5M
    North Suffolk Community Services Inc.MAClinic/Center$0$50M
    Neighborhealth CorporationMACommunity Health Clinic/Center$0$17M
    Rehabilitation & Health, Inc.MASubstance Abuse Rehabilitation Facility$0$14.8M
    North Suffolk Community Services Inc.MADevelopmental Disabilities Clinic/Center$0$11.3M
    Adrianna D'auroraMAOccupational Therapist$210.1K$0
    Jeffrey SchapiroMAInternal Medicine Physician$17.5K$3.5K

    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. Massachusetts Distribution
    Quest Diagnostics Massachusetts LLC — 2 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts
    Medicaid Revenue by Year vs. Massachusetts Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Massachusetts Distribution
    Quest Diagnostics Massachusetts LLC — 1 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts