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NPI 1598729089 · Decatur, AL · Clinical Medical Laboratory
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Decatur Diagnostic Laboratory, Inc. is a clinical medical laboratory provider located in Decatur, Alabama. This profile covers 74 Medicare and 13 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 | Decatur Diagnostic Laboratory, Inc. |
| Address | 2828 Highway 31 S |
| City | Decatur |
| State | AL |
| ZIP | 35603 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | April 13, 2006 |
| NPI Deactivated | June 3, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $315.8K |
| Medicaid | $30.7K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
74 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 0241U | N/A | 500 | $130 | $62.5K |
| 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. | 2,070 | $10 | $26.9K |
| 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… | 1,580 | $20 | $25.3K |
| 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. | 2,370 | $10 | $23.6K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 4,020 | $10 | $20.1K |
| 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… | 2,250 | $10 | $18K |
| 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).… | 1,820 | $10 | $16.3K |
| 82607 | The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood. | 850 | $20 | $12.7K |
| 84439 | The lab analyst performs a test to measure free thyroxine, or free T4, typically in patient serum. | 1,200 | $10 | $10.8K |
| 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… | 1,020 | $10 | $8.2K |
Showing 1–10 of 74
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 74 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.
13 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. | 1,280 | $10 | $12.8K |
| 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… | 1,040 | $10 | $8.3K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 2,330 | $1 | $4.7K |
| 87637 | The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)… | 30 | $60 | $1.8K |
| 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… | 70 | $20 | $1.3K |
| 87804 | The 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. | 60 | $20 | $990 |
| 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. | 30 | $10 | $320 |
| 85027 | The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the… | 80 | $1 | $320 |
| 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).… | 30 | $10 | $290 |
| 85652 | The lab analyst performs a test on patient blood to evaluate the rate of sedimentation of red blood cells using an automated test platform. | 140 | $1 | $290 |
Showing 1–10 of 13
How this provider's Medicaid billing volume and revenue compare to other Alabama providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Alabama median
13 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 93 | 130 | 260 | $10 | $124.7K |
| 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. | 121 | 200 | 2,000 | $10 | $105.9K |
| 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. | 135 | 160 | 400 | $10 | $88.3K |
| 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… | 208 | 370 | 1,540 | $10 | $65K |
| 87637 | The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)… | 53 | 60 | 240 | $100 | $62.9K |
| 87086 | Culture, bacterial; quantitative, colony count, urine. | 95 | 100 | 400 | $10 | $57.9K |
| 84439 | The lab analyst performs a test to measure free thyroxine, or free T4, typically in patient serum. | 72 | 80 | 220 | $1 | $39K |
| 87804 | The 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. | 646 | 790 | 390 | $10 | $33K |
| 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).… | 194 | 230 | 240 | $1 | $32.9K |
| 81001 | Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other… | 121 | 130 | 1,280 | $1 | $17.9K |
Showing 1–10 of 13
Other providers in the same ZIP code as Decatur Diagnostic Laboratory, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Medical East Of Decatur Inc | AL | Rural Health Clinic/Center | $0 | $10.6M |
| Comfort Care Hospice, LLC | AL | Community Based Hospice Care Agency | $0 | $1.7M |
| Marx Optical Inc | AL | Eyewear Supplier | $0 | $1.2M |
| Kids Town Pediatrics, P.C. | AL | Pediatrics Physician | $0 | $1.1M |
| Decatur Surgery Center LP | AL | Ambulatory Surgical Clinic/Center | $544.9K | $15.4K |
| Adnan Seljuki | AL | Internal Medicine Physician | $412.3K | $0 |
| Punuru Reddy | AL | Internal Medicine Physician | $298.1K | $0 |
| Manish Arora | AL | Gastroenterology Physician | $189.9K | $0 |
| Amber Whitfield | AL | Family Medicine Physician | $136.2K | $0 |
| David Francis | AL | Family Medicine Physician | $116.1K | $300 |
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