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NPI 1598491300 · Troy, MI · Clinical Medical Laboratory
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Laboratory Corporation Of America is a clinical medical laboratory provider located in Troy, Michigan. This profile covers 205 Medicare and 177 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 | Laboratory Corporation Of America |
| Address | 1947 Technology Dr Ste 100 |
| City | Troy |
| State | MI |
| ZIP | 48083 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | July 26, 2022 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $3M |
| Medicare | $1.8M |
LABORATORY CORPORATION OF AMERICA in Troy, MI presents as a high-throughput clinical medical laboratory focused on routine phlebotomy and automated panel testing: Medicare top revenue drivers include 36415 ($174.7K), 80053 ($160K), and 80061 ($159K), and Medicaid shows large volumes for 80053 ($197.9K), 84443 ($184.2K), and 82306 ($181.6K). The code mix (large counts for 36415, 80053, 80061, 85025 and many endocrine/nutrient assays) is consistent with centralized specimen processing, outpatient specimen collection, and automated analyzer workflows rather than low-volume specialty pathology services.
Revenue concentration is notable at the code-group level: the top 3 Medicare codes by revenue account for 33.8% of the provider's total Medicare revenue, concentrated in phlebotomy and common chemistry/lipid panels. On the Medicaid side the top 3 codes by revenue account for 24.8% of total Medicaid revenue, showing a somewhat more diversified Medicaid revenue base across STD screening, panels and endocrine tests.
This provider has a larger Medicaid footprint than Medicare in absolute scale, reporting Total Medicare revenue: $1.8M versus Total Medicaid revenue: $3M. That payer mix suggests primary exposure to Medicaid populations in-state while maintaining a meaningful but smaller Medicare business.
On Medicare this NPI demonstrates outsized national volumes for routine specimen collection and common panels: 36415 ranks #121 of 86467 providers nationally (100th percentile; notably above typical national volume), and 80053 and 80061 rank in the 99th percentile nationally. Those rankings indicate the provider is a major national claimant for high-volume draw and chemistry panels rather than a marginal/local lab for those codes.
Within Michigan Medicaid the provider appears as a significant but not universally dominant in-state participant: 82306 ranks #20 of 182 (90th percentile) and 84443 ranks #37 of 229 (84th percentile), while 80053 ranks #74 of 254 (71st percentile). These percentiles point to strong in-state testing volumes for vitamin D, TSH, and CMP but a competitive state market with other labs also reporting meaningful volumes.
The provider's NPI enumeration date is 2022-07-26 (~4 years ago), indicating a relatively recent enrollment date for this specific billing entity. That tenure suggests growth to high-volume status occurred within a short operational window, consistent with centralized network expansion or practice consolidation patterns in lab services.
Medicaid claims show a pronounced public-health and sexual-health testing footprint: high-revenue Medicaid codes include 87491 ($153.8K), 87591 ($153.5K), 87389 ($132.2K), and 87624 ($121.2K), with ranks generally in the middle-to-upper in-state percentiles. This mix implies the lab handles substantial NAAT and immunoassay screening volumes for chlamydia, gonorrhea, HIV and HPV, consistent with contracts or high outpatient screening throughput.
Average paid-per-claim patterns reflect a volume-driven model for routine analytes alongside higher-paid specialized assays: many high-volume Medicare claims have low avg paid/claim (36415 $8, 80053 $10, 80061 $13, 85025 $8), while some targeted tests pay more per claim (Medicare 82306 $29 avg paid/claim; 83970 $40 avg paid/claim). This combination suggests revenue is driven primarily by claim volume for common panels with incremental revenue contribution from higher-priced specialty analytes.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
205 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. | 21,840 | $10 | $174.7K |
| 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. | 16,000 | $10 | $160K |
| 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. | 12,230 | $10 | $159K |
| 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… | 5,040 | $30 | $146.1K |
| 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… | 14,920 | $10 | $119.3K |
| 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… | 6,400 | $20 | $102.4K |
| 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. | 2,280 | $40 | $91.4K |
| 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).… | 7,590 | $10 | $75.9K |
| 84439 | The lab analyst performs a test to measure free thyroxine, or free T4, typically in patient serum. | 6,780 | $10 | $61K |
| 82607 | The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood. | 3,730 | $20 | $56K |
Showing 1–10 of 205
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 205 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
177 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. | 24,730 | $10 | $197.9K |
| 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… | 18,420 | $10 | $184.2K |
| 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… | 16,510 | $10 | $181.6K |
| 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. | 21,970 | $10 | $175.8K |
| 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… | 26,330 | $10 | $157.9K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 6,410 | $20 | $153.8K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 6,400 | $20 | $153.5K |
| 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… | 7,770 | $20 | $132.2K |
| 87624 | The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result. | 4,660 | $30 | $121.2K |
| 88175 | The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer… | 6,280 | $20 | $119.4K |
Showing 1–10 of 177
How this provider's Medicaid billing volume and revenue compare to other Michigan providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Michigan median
177 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 12 | 10 | 190 | $180 | $910.5K |
| G0480 | 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… | 140 | 150 | 2,250 | $30 | $202.4K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 50 | 180 | 2,600 | $20 | $162K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 53 | 190 | 2,610 | $20 | $160.2K |
| 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. | 166 | 240 | 2,430 | $20 | $152.2K |
| 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. | 29 | 270 | 1,950 | $10 | $131.1K |
| 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… | 20 | 180 | 2,050 | $10 | $120.4K |
| 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… | 37 | 230 | 4,250 | $10 | $96.4K |
| 87661 | The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique. | 29 | 120 | 1,420 | $10 | $87.1K |
| 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. | 74 | 250 | 8,860 | $1 | $85.3K |
Showing 1–10 of 177
Other providers in the same ZIP code as Laboratory Corporation Of America, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Rhb Laboratories Inc | MI | Clinical Medical Laboratory | $2.9M | $25.3M |
| Vibra Of Southeastern Michigan, LLC | MI | Clinical Medical Laboratory | $1.4M | $25.7M |
| Pcor LLC | MI | Optometrist | $0 | $25.4M |
| Children's Dental Specialists PLLC | MI | Pediatric Dentistry | $0 | $9.8M |
| National Seating & Mobility Inc | MI | Durable Medical Equipment & Medical Supplies | $0 | $8M |
| Alliance Mobile Health Inc | MI | Ambulance | $1.1M | $3.6M |
| Eye Surgery Center Of Michigan LLC | MI | Ambulatory Surgical Clinic/Center | $1.7M | $163.2K |
| Total Lab Solutions LLC | MI | Clinical Medical Laboratory | $638.6K | $768.5K |
| Bernardo Rojas | MI | Internal Medicine Physician | $1.2M | $0 |
| Troy Sc Center LLC | MI | Ambulatory Surgical Clinic/Center | $421.1K | $0 |
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