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NPI 1609812445 · Lenexa, KS · Clinical Medical Laboratory
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Labone LLC is a clinical medical laboratory provider located in Lenexa, Kansas. This profile covers 539 Medicare and 473 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 | Labone LLC |
| Address | 10101 Renner Blvd |
| City | Lenexa |
| State | KS |
| ZIP | 66219 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | June 21, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $212.3M |
| Medicare | $46M |
LABONE LLC has a Medicaid-dominant payer mix: reported lifetime Medicaid revenue is $212.3M compared with $46M in Medicare revenue, indicating the provider’s business is far larger on the state Medicaid side than on Medicare. The NPI was enumerated 2006-06-21 (~20 years ago), consistent with a long-standing operation able to accumulate sizable lifetime billing across both programs.
Clinical Medical Laboratory service mix emphasizes high-volume routine chemistry, endocrine, and hematology panels on the Medicare side: for example, 84443 (TSH) is 243.9K claims and $3.9M revenue, 80053 (CMP) is 353.5K claims and $3.5M revenue, and 36415 (venipuncture) is 394.7K claims and $3.2M revenue. These higher-volume Medicare codes point to a centralized lab processing large numbers of outpatient screening and monitoring tests rather than a niche specialty practice.
Medicaid billing shows a strong focus on infectious disease and population-screening testing, with very large volumes of nucleic acid and STD tests: U0003 (SARS‑CoV‑2 PCR) is 213.6K claims and $15.8M revenue, 87591 (GC) is 430.6K claims and $12.5M revenue, and 87491 (Chlamydia) is 417.6K claims and $12.1M revenue. The prominence of these codes suggests the lab performs mass screening and public-health–aligned testing for Medicaid patients in-state.
Revenue concentration is meaningful but not extreme: the provider’s top three Medicare codes account for 33.0% of its total Medicare revenue while the top three Medicaid codes account for 28.0% of its total Medicaid revenue. Given the individual code revenues (Medicare examples include 84443 at $3.9M, 80053 at $3.5M, 36415 at $3.2M; Medicaid examples include U0003 at $15.8M, 87591 at $12.5M, 87491 at $12.1M), a modestly diversified portfolio beyond the top three still contributes material dollars to both payer lines.
LABONE’s competitive standing is outsized for many codes: multiple Medicare codes are labeled "extreme outlier" nationally and sit at or near the 100th percentile (for example, 84443 ranks #9 of 19722 and 80053 ranks #14 of 26416), indicating national-level volume well above typical peers. On Medicaid, the provider is repeatedly the top in-state performer for major codes (for example, U0003 ranks #1 of 47 in-state, 80053 ranks #1 of 176 in-state, and 80061 ranks #1 of 86 in-state), positioning it as a dominant in-state lab for many common tests.
The provider operates substantial drug-testing capacity across both payers: Medicare shows G0480 at 5.4K claims and $605.6K revenue and 80307 at 9.6K claims and $587.2K revenue, while Medicaid shows G0480 at 60.8K claims and $2.8M revenue and 80307 at 124K claims and $4.6M revenue. Those volumes and the "extreme outlier" or very high in-state percentiles imply a dedicated definitive and presumptive toxicology service line supporting both Medicaid and Medicare populations.
Several specialty and higher‑complexity assays appear in the Medicaid mix, indicating broader technical capabilities beyond routine panels: 81420 (cfDNA aneuploidy panel) is 8K claims and $3.7M revenue (ranks #1 of 2 in-state, 100th percentile; typical, unremarkable volume) and 80081 (obstetric panel) is 79.4K claims and $4.7M revenue (ranks #1 of 5 in-state, 100th percentile; notably above typical). This combination of routine high-throughput tests and select complex assays suggests an operational footprint able to support both large-scale screening and targeted specialty testing.
The consistent use of the "extreme outlier" and top-in-state labels across many high-revenue codes signals unusually high throughput relative to peers rather than isolated spikes: examples include Medicaid 80050 at 264.4K claims and $10M revenue (ranks #1 in-state, 100th percentile; extreme outlier) and Medicare 82306 at 106.9K claims and $3.1M revenue (ranks #9 nationally, 100th percentile; extreme outlier). For payers and network planners, these patterns mark LABONE as a high-capacity laboratory provider with market-leading volumes in Kansas Medicaid and materially above‑typical volumes on many Medicare codes.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
539 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | 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… | 243,900 | $20 | $3.9M |
| 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. | 353,460 | $10 | $3.5M |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 394,700 | $10 | $3.2M |
| 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. | 240,700 | $10 | $3.1M |
| 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… | 106,890 | $30 | $3.1M |
| 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… | 298,840 | $10 | $2.4M |
| 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).… | 143,920 | $10 | $1.4M |
| 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. | 35,850 | $40 | $1.4M |
| 82607 | The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood. | 64,050 | $20 | $960.7K |
| 84153 | The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and… | 43,230 | $20 | $778K |
Showing 1–10 of 539
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 539 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
539 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 81479 | 2 | 10 | 1,140 | $2,270 | $4.5M |
| 87999 | 1 | 10 | 2,260 | $240 | $540.6K |
| G0483 | 2 | 10 | 440 | $240 | $248.4K |
| G0481 | 1 | 10 | 150 | $150 | $160.5K |
| G0480 | 1 | 10 | 140 | $110 | $160.3K |
| 86480 | 1 | 10 | 540 | $60 | $105.6K |
| 83704 | 1 | 10 | 2,990 | $30 | $100K |
| G0472 | 1 | 10 | 1,080 | $50 | $99.9K |
| 87088 | 1 | 10 | 1,140 | $10 | $89.8K |
| 83521 | 1 | 10 | 1,580 | $20 | $83.5K |
Showing 1–10 of 539
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
473 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high… | 213,600 | $70 | $15.8M |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 430,570 | $30 | $12.5M |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 417,640 | $30 | $12.1M |
| 80050 | The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the… | 264,450 | $40 | $10M |
| 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. | 871,730 | $10 | $8.7M |
| 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. | 1,084,490 | $10 | $8.7M |
| 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… | 695,070 | $10 | $8.3M |
| 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… | 352,350 | $20 | $8.1M |
| 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… | 297,190 | $20 | $6.2M |
| 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).… | 631,940 | $10 | $5.1M |
Showing 1–10 of 473
How this provider's Medicaid billing volume and revenue compare to other Kansas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Kansas median
473 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 81420 | The lab analyst performs a genomic sequence analysis panel to evaluate circulating cell free fetal DNA in maternal blood for genetic sequences of at least the genes on chromosomes 13, 18, and 21,… | 1 | 10 | 5,450 | $440 | $2.4M |
| 80081 | The lab analyst performs an obstetric panel; this panel must include tests for a complete blood count with differential, a hepatitis B surface antigen test, a single–result test for HIV–1 antigens… | 1 | 10 | 2,130 | $60 | $1.1M |
| 80050 | The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the… | 1 | 10 | 140 | $40 | $854.5K |
| 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… | 2 | 10 | 2,290 | $330 | $763.3K |
| 81513 | The lab analyst performs the technical lab test on a vaginal fluid specimen for quantitative real–time amplification of RNA markers for three bacterial species listed in the code descriptor, and… | 1 | 10 | 180 | $70 | $751.9K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high… | 1 | 50 | 300 | $60 | $648.3K |
| 86480 | The lab analyst performs a test to evaluate a cell mediated immunity gamma interferon antigen response to certain tuberculosis, or TB, antibodies. | 1 | 10 | 430 | $50 | $478.6K |
| 83013 | The lab analyst tests multiple breath samples for the presence of an isotope that indicates the presence of the H. pylori bacteria. This organism can cause irritation and ulcers of the stomach lining. | 1 | 10 | 550 | $50 | $468K |
| 87902 | The lab analyst performs the technical lab test to analyze the specific genotype by nucleic acid of a specimen containing hepatitis C virus. | 1 | 10 | 2,640 | $150 | $399.4K |
| 86003 | The lab analyst performs the technical lab test to analyze a specimen such as serum for allergen–specific immunoglobulin E (IgE), using a crude allergen extract. The test result is quantitative or… | 1 | 10 | 1,000 | $50 | $385.6K |
Showing 1–10 of 473
Other providers in the same ZIP code as Labone LLC, ranked by combined Medicare and Medicaid revenue.
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