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    OpenPayerNPI Medicare & MedicaidSummit Laboratory Inc
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    Summit Laboratory Inc — Billing Profile & Reimbursement Data

    NPI 1598495186 · Reseda, CA · Clinical Medical Laboratory

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    Summit Laboratory Inc is a clinical medical laboratory provider located in Reseda, California. This profile covers 60 Medicare and 70 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
    OrganizationSummit Laboratory Inc
    Address19231 Victory Blvd Ste 205
    CityReseda
    StateCA
    ZIP91335
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedJune 15, 2022

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

    Payer SourceTotal Paid
    Medicare$1.6M
    Medicaid$69.8K

    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.

    60 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…14,700$30$499.6K
    87631The lab analyst performs the technical steps to detect three to five types or subtypes of pathogens, such as adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,…770$140$107.5K
    87481The lab analyst performs a test for Candida species using amplified nucleic acid probe technique.1,770$30$60K
    87653The lab analyst performs a test for Streptococcus, group B, using amplified nucleic acid probe technique. The amplified probe provides a rapid means to assess colonization by Streptococcus, group B,…1,620$30$55.1K
    87641The lab analyst performs a test for methicillin–resistant Staphylococcus aureus (MRSA) using an amplified nucleic acid probe technique.1,400$30$47.7K
    87502The 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…480$90$45K
    82306The 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…1,430$30$41.5K
    87640The lab analyst performs the technical lab test to look for Staphylococcus aureus nucleic acid using an amplified probe technique.1,170$30$39.8K
    82747The lab analyst measures the folic acid level in red blood cells to determine if there is a deficiency. Folic acid deficiency is attributed to many conditions such as malabsorption, Crohn’s disease,…1,970$20$33.5K
    84443The 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…2,070$20$33.1K

    Showing 1–10 of 60

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 60 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    60 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    87798241101,340$30$338.2K
    8748124100270$30$72.7K
    876311040140$140$63.8K
    8763494050$70$53.2K
    8230639490100$30$44.2K
    8444350620120$20$39.4K
    875411530630$30$37.5K
    876401870270$30$35.7K
    8006153700110$10$35.3K
    874861640430$30$31.4K

    Showing 1–10 of 60

    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.

    70 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…2,050$10$22.5K
    82306The 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…1,740$1$3.5K
    87631The lab analyst performs the technical steps to detect three to five types or subtypes of pathogens, such as adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,…470$10$2.8K
    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…2,210$1$2.2K
    84443The 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…2,180$1$2.2K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.2,080$1$2.1K
    87481The lab analyst performs a test for Candida species using amplified nucleic acid probe technique.1,010$1$2K
    84480The lab analyst performs a test to measure total T3 in patient blood.2,000$1$2K
    82728The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…1,960$1$2K
    87502The 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…610$1$1.8K

    Showing 1–10 of 70

    Medicaid: Competitive Analysis & Benchmarks

    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

    70 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.4431,140530$20$195.6K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.4731,270450$20$183.5K
    80053The 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.8481,7201,360$10$165.3K
    87632The lab analyst performs a test to identify a respiratory virus using an amplified nucleic acid probe technique. He may also use the multiplex reverse transcription technique. The provider does this…3130130$60$120.3K
    87661The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.147310500$10$101.4K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…6271,210420$30$95.7K
    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…8322,1001,130$1$83.5K
    87502The 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…193470350$40$76.1K
    84443The 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…4301,360590$10$74.1K
    82306The 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…2421,110300$10$70.2K

    Showing 1–10 of 70

    Nearby Providers

    Other providers in the same ZIP code as Summit Laboratory Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Babylon Adult Daycare Center Inc.CAAdult Day Care Clinic/Center$0$41.2M
    Los Angeles County Department Of Mental HealthCAMental Health Clinic/Center (Including Community Mental Health Center)$0$26.2M
    Grancell Village Of The Los Angeles Jewish Home For The AgingCASkilled Nursing Facility$0$25.6M
    Leo PolosajianCAClinical Cardiac Electrophysiology Physician$6M$1.6M
    Moinakhtar LalaCACardiovascular Disease Physician$5.7M$0
    Premier Pathology Medical Laboratories Inc.CAClinical Medical Laboratory$2.4M$58.8K
    Tampa Surgical Center LLCCAAmbulatory Surgical Clinic/Center$964.6K$1.1M
    Ilana SolomonCAGeriatric Medicine (Family Medicine) Physician$920.8K$0
    Sanjay LoganiCARetina Specialist (Ophthalmology) Physician$894.9K$400
    Shahin DelkhahCAInternal Medicine Physician$879.1K$0

    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. California Distribution
    Summit Laboratory Inc — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California
    Medicaid Revenue by Year vs. California Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Summit Laboratory Inc — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California