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NPI 1619972254 · Moraine, OH · Clinical Medical Laboratory
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Compunet Clinical Laboratories LLC is a clinical medical laboratory provider located in Moraine, Ohio. This profile covers 397 Medicare and 356 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 | Compunet Clinical Laboratories LLC |
| Address | 2308 Sandridge Dr |
| City | Moraine |
| State | OH |
| ZIP | 45439 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | June 20, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $34.3M |
| Medicare | $7.7M |
This provider has a Medicaid-heavy payer mix: Total Medicare revenue is $7.7M while Total Medicaid revenue is $34.3M, indicating Medicaid accounts for the majority of reported lifetime public-payer revenue. The scale difference suggests the lab’s operational footprint and client base are concentrated in Medicaid-covered populations or state contracts rather than Medicare alone.
Medicare revenue is concentrated in a small set of routine collection and chemistry services: the precomputed top 3 Medicare codes by revenue account for 39.6% of this provider's total Medicare revenue, driven by 36415 ($834.6K, 15.2%), 80053 ($712K, 13.0%), and 80061 ($627.9K, 11.4%). This mix points to a business model centered on high-volume phlebotomy and automated chemistry panels rather than niche specialty testing.
Medicaid revenue shows concentration in high-volume molecular and infectious disease testing: the top 3 Medicaid codes by revenue account for 30.8% of this provider's total Medicaid revenue, with U0003 ($3M, 13.2%), 87491 ($2M, 8.8%), and 87591 ($2M, 8.8%) leading. That code mix signals substantial activity in SARS-CoV-2 PCR and nucleic acid STD testing as key Medicaid revenue drivers.
Operational service-line implications across payers include large-scale specimen collection and routine diagnostic panels: Medicare lists 36415 (104.3K claims, $834.6K) and 85025 (61.8K claims, $494.4K), while Medicaid volumes include 85025 (261.4K claims, $1M) and 80053 (256.6K claims, $1.5M). Together these figures indicate an endpoint laboratory that processes very high counts of outpatient blood draws and common automated assays (CMP, CBC, lipid panels) rather than a primarily anatomic pathology or low-volume specialty lab.
The provider is a national volume leader for many common Medicare lab codes: several top Medicare codes rank at the very top nationally, for example 36415 ranks #41 of 86467 providers nationally (100th percentile; extreme outlier) and 80053 ranks #54 of 26416 providers nationally (100th percentile; extreme outlier). These percentile rankings and “extreme outlier” labels indicate the provider operates at volumes far above typical national peers for standard phlebotomy and chemistry services.
State-level competitive standing for Medicaid shows dominance in molecular and STD testing: multiple Medicaid codes sit in high in‑state percentiles, for example 87491 and 87591 both rank #6 in-state (98th percentile; notably above typical state volume) and 80053 ranks #5 of 274 providers in-state (99th percentile). Those ranks describe a major in-state presence for infectious disease and routine chemistry testing, making the lab a key competitor in Ohio Medicaid networks.
High specimen-collection throughput is evident from the data: 36415 appears as an extreme outlier on both payers — Medicare 36415 has 104.3K claims ($834.6K) and Medicaid 36415 has 361.1K claims ($361.1K) and ranks #7 of 874 providers in-state (99th percentile; extreme outlier). The combined pattern of very large 36415 volumes implies an extensive collection network or large-scale phlebotomy operation feeding this laboratory.
The provider has long-standing enrollment: NPI enumerated on 2005-06-20 (~21 years ago). That tenure, together with sustained high-volume coding and top-percentile ranks across many common lab tests, suggests an established laboratory operation with deep operational scale in both routine and molecular testing domains.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
397 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. | 104,330 | $10 | $834.6K |
| 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. | 71,200 | $10 | $712K |
| 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. | 48,300 | $10 | $627.9K |
| 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… | 32,580 | $20 | $521.2K |
| 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… | 61,800 | $10 | $494.4K |
| 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… | 11,700 | $30 | $339.4K |
| 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).… | 27,850 | $10 | $250.7K |
| 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. | 4,950 | $40 | $198.2K |
| 88341 | The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified… | 2,550 | $60 | $150.7K |
| 84439 | The lab analyst performs a test to measure free thyroxine, or free T4, typically in patient serum. | 16,670 | $10 | $150K |
Showing 1–10 of 397
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 397 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.
356 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… | 43,100 | $70 | $3M |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 91,200 | $20 | $2M |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 90,890 | $20 | $2M |
| 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. | 256,650 | $10 | $1.5M |
| 87661 | The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique. | 75,830 | $20 | $1.5M |
| 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… | 155,370 | $10 | $1.4M |
| 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. | 37,490 | $30 | $1.2M |
| 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. | 165,440 | $10 | $1.2M |
| 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… | 261,430 | $1 | $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… | 49,220 | $20 | $738.3K |
Showing 1–10 of 356
How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Ohio median
356 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 7 | 140 | 1,130 | $90 | $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… | 4 | 50 | 220 | $30 | $675.9K |
| 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… | 3 | 20 | 480 | $50 | $671.8K |
| 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… | 6 | 20 | 170 | $210 | $485.4K |
| 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… | 4 | 30 | 480 | $110 | $415.5K |
| 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. | 15 | 340 | 2,260 | $30 | $398.2K |
| 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… | 4 | 140 | 410 | $30 | $384.3K |
| 87902 | The lab analyst performs the technical lab test to analyze the specific genotype by nucleic acid of a specimen containing hepatitis C virus. | 3 | 20 | 290 | $160 | $379.2K |
| 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. | 5 | 270 | 8,700 | $10 | $353.7K |
| 86480 | The lab analyst performs a test to evaluate a cell mediated immunity gamma interferon antigen response to certain tuberculosis, or TB, antibodies. | 6 | 60 | 330 | $40 | $323K |
Showing 1–10 of 356
Other providers in the same ZIP code as Compunet Clinical Laboratories LLC, ranked by combined Medicare and Medicaid revenue.
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