Loading...
NPI 1619978061 · Lenexa, KS · Clinical Medical Laboratory
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Heartland Health Laboratories, LLC is a clinical medical laboratory provider located in Lenexa, Kansas. This profile covers 81 Medicare and 68 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 | Heartland Health Laboratories, LLC |
| Address | 10435 Lackman Rd |
| City | Lenexa |
| State | KS |
| ZIP | 66219 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | August 9, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.5M |
| Medicaid | $1.1M |
HEARTLAND HEALTH LABORATORIES, LLC operates as a clinical medical laboratory with a service mix that combines high-volume routine chemistry and hematology panels together with specimen-collection services. Medicare line items show large counts for venipuncture collection (G0471: 28.1K claims) and an exceptionally high count for travel allowance (P9603: 167.2K claims), indicating the business likely performs frequent off-site specimen collection for SNFs or homebound patients in addition to in-lab testing. The Medicaid ledger includes U0003 and G2024 COVID-related specimen/testing codes, confirming the lab also provided pandemic-era molecular testing.
Revenue concentration on Medicare is meaningfully skewed toward a small set of services: the precomputed top 3 Medicare codes account for 40.3% of Medicare revenue, led by G0471 ($281.4K, 20.1%), P9603 ($167.2K, 11.9%), and 80053 ($115.6K, 8.3%). This concentration shows that collection and core panels drive a large share of Medicare dollars for this provider, making specimen-collection operations and CMP testing central to its Medicare business.
On the Medicaid side the precomputed top 3 codes account for 32.6% of Medicaid revenue, with 80053 ($145.7K, 13.3%), U0003 ($112.7K, 10.3%), and 85025 ($100.3K, 9.1%) as the highest contributors. Those figures reflect a Medicaid mix weighted toward routine panel work (CMP, CBC) plus substantial SARS‑CoV‑2 molecular testing, suggesting payer-dependent volume in both diagnostic screening and pandemic response testing.
In absolute scale the provider reports $1.5M in Medicare revenue versus $1.1M in Medicaid revenue, so Medicare is the larger single payer but Medicaid represents a material share of total public-payer activity. This is not a single-payer operation; both Medicare and Medicaid are significant revenue sources and each supports different high-volume codes (collection and travel allowances on Medicare; routine panels and molecular testing on Medicaid).
Competitive standing is mixed across payers and codes: nationally many routine test codes post very high percentile ranks (for Medicare, 80053 ranks #198 of 26416 providers, 99th percentile; 80048 ranks #98 of 14725, 99th percentile; 85025 ranks #210 of 32833, 99th percentile), indicating above-typical national volume for core panels. At the same time G0471 (venipuncture in SNF/HHA) ranks #17 of 117 nationally (86th percentile) and is described as typical/unremarkable, so the lab appears nationally prominent for many assays but not uniformly dominant for every collection-related CPT.
Within Kansas Medicaid the provider shows a strong in-state position on multiple routine assays and some services that are extreme outliers: 80048 is #2 of 88 providers in-state (99th percentile, described as notably above typical state volume), 85610 is #2 of 67 providers in-state (98th percentile, labeled an extreme outlier), and G2024 specimen-collection for SNF/HHA is #1 of 3 in-state (100th percentile). These rankings point to a major statewide presence for routine testing and certain high-frequency services.
Several individual codes are flagged as statistical outliers or notably above-typical volume and therefore shape the provider’s profile: Medicare 80048 and 85027 appear notably above typical national volume, and Medicaid 85610 is called an "extreme outlier, far above typical state volume." Those labels indicate a concentrated, above-typical throughput on specific assays (basic and coagulation panels) that materially influence the provider’s payer revenue mix.
The provider has an established tenure with NPI enumerated 2005-08-09 (~21 years ago), which combined with the heavy P9603 travel-allowance billing and high collection counts suggests a mature operational model that includes field/specimen collection capabilities serving SNFs and homebound populations as well as centralized laboratory testing. That longevity plus the mix of high-volume routine assays and specimen-collection codes supports the interpretation of a stable, service-integrated lab business rather than a recent start-up.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
81 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G0471 | Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) | 28,140 | $10 | $281.4K |
| P9603 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled | 167,190 | $1 | $167.2K |
| 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. | 11,560 | $10 | $115.6K |
| 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… | 5,370 | $20 | $86K |
| 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… | 9,610 | $10 | $76.9K |
| 83880 | The lab analyst measures the amount of natriuretic peptide, a hormone made by heart muscle cells, in the patient specimen. Blood levels of the hormone increase in patients with congestive heart… | 1,930 | $40 | $73.3K |
| 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… | 8,580 | $10 | $68.6K |
| 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… | 2,360 | $30 | $68.4K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 6,990 | $10 | $55.9K |
| 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… | 8,830 | $10 | $53K |
Showing 1–10 of 81
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 81 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
81 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| G0471 | 1 | 10 | 16,640 | $10 | $158.4K |
| 87088 | 2 | 10 | 1,140 | $10 | $89.8K |
| U0003 | 6 | 10 | 490 | $70 | $53.4K |
| 83970 | 10 | 40 | 30 | $40 | $45.5K |
| 87186 | 4 | 10 | 360 | $10 | $43.5K |
| 87086 | 5 | 20 | 60 | $10 | $41.9K |
| 87077 | 5 | 10 | 390 | $10 | $41.5K |
| P9603 | 1 | 10 | 6,890 | $1 | $39.9K |
| 82306 | 5 | 160 | 40 | $30 | $27.1K |
| 84443 | 6 | 270 | 100 | $20 | $23.3K |
Showing 1–10 of 81
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.
68 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. | 48,570 | $1 | $145.7K |
| 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… | 1,760 | $60 | $112.7K |
| 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… | 50,170 | $1 | $100.3K |
| 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… | 21,290 | $1 | $85.2K |
| 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… | 41,820 | $1 | $83.6K |
| 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… | 32,660 | $1 | $65.3K |
| 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. | 16,140 | $1 | $64.6K |
| 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… | 10,720 | $10 | $64.3K |
| 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).… | 19,200 | $1 | $57.6K |
| 80164 | The lab analyst measures the amount of total valproic acid, also called dipropylacetic acid, in the blood. Valproic acid is a drug that a provider uses to treat certain types of seizures. | 8,900 | $1 | $35.6K |
Showing 1–10 of 68
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
68 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 7 | 10 | 140 | $40 | $854.5K |
| 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… | 12 | 50 | 300 | $60 | $648.3K |
| 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… | 3 | 40 | 150 | $20 | $241.4K |
| 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. | 5 | 90 | 100 | $10 | $125.6K |
| 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… | 6 | 10 | 250 | $10 | $115.9K |
| U0005 | 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, cdc or non-cdc,… | 22 | 30 | 570 | $20 | $112.7K |
| 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… | 5 | 110 | 120 | $10 | $103.1K |
| 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. | 6 | 180 | 620 | $10 | $85.3K |
| 82607 | The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood. | 3 | 30 | 90 | $10 | $76.3K |
| 87088 | The lab analyst or microbiologist observes a urine culture with an unknown organism or organisms and makes a presumptive identification of each organism that needs identification. | 2 | 30 | 70 | $10 | $63.3K |
Showing 1–10 of 68
Other providers in the same ZIP code as Heartland Health Laboratories, LLC, ranked by combined Medicare and Medicaid revenue.
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.