Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Minnesota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Minnesota only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Minnesota (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Quest Diagnostics LLC Il (NPI 1649298605)

Quest Diagnostics LLC Il is a clinical medical laboratory provider located in New Brighton, Minnesota. This profile covers 0 Medicare and 150 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Quest Diagnostics LLC Il
Address	600 County Road D W
City	New Brighton
State	MN
ZIP	55112
Taxonomy	Clinical Medical Laboratory
NPI Enumerated	July 18, 2006

Payer Source	Total Paid
Medicaid	$6.5M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

150 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	9,170	$70	$678.4K
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…	8,790	$80	$677K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	14,960	$30	$448.9K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	14,830	$30	$444.8K
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.	12,240	$40	$428.4K
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…	10,590	$30	$264.6K
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…	9,570	$20	$200.9K
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…	4,570	$40	$196.7K
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…	11,560	$10	$161.8K
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,…	6,050	$20	$145.1K

Showing 1–10 of 150

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Minnesota providers billing the same CPT/HCPCS codes.

Claims Volume vs. Minnesota Distribution

Quest Diagnostics LLC Il — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

150 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	5	30	340	$60	$890.4K
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.	14	100	510	$40	$560.8K
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…	21	270	550	$70	$254.7K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	72	120	650	$50	$225.2K
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)…	29	30	110	$120	$144.5K
87536	A lab tests a patient’s specimen to measure the amount of HIV–1 present. This may be referred to as viral load.	12	10	530	$40	$79.7K
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,…	24	200	530	$20	$68.6K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	37	60	170	$120	$66.5K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	109	560	2,600	$10	$62.5K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	5	170	210	$30	$61K

Showing 1–10 of 150

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Unilab Corporation	CA	Clinical Medical Laboratory	$94M	$668.5M
Quest Diagnostics Incorporated	NJ	Clinical Medical Laboratory	$111.2M	$637.7M
Quest Diagnostics LLC Il	IL	Clinical Medical Laboratory	$40.3M	$429.8M
Sonora Quest Laboratories LLC	AZ	Clinical Medical Laboratory	$57.8M	$298.1M
Quest Diagnostics Clinical Laboratories Inc	TX	Clinical Medical Laboratory	$46.7M	$276.8M
Quest Diagnostics Clinical Laboratories Inc	GA	Clinical Medical Laboratory	$53.3M	$211.1M
Labone LLC	KS	Clinical Medical Laboratory	$46M	$212.3M
Quest Diagnostics Clinical Laboratories Inc	FL	Clinical Medical Laboratory	$42.2M	$197.6M
Quest Diagnostics LLC	MA	Clinical Medical Laboratory	$27.2M	$209.7M
Quest Diagnostics Massachusetts LLC	MA	Clinical Medical Laboratory	$27.8M	$199.9M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nystrom & Associates, Ltd	MN	Clinical Social Worker	$0	$187.1M
Medtox Laboratories, Inc	MN	Clinical Medical Laboratory	$63.4K	$47.7M
Family Support Services Inc.	MN	Mental Health Counselor	$0	$45.9M
Nystrom & Associates, Ltd.	MN	Addiction (Substance Use Disorder) Counselor	$0	$32.9M
Tru Healthcare, Inc.	MN	In Home Supportive Care Agency	$0	$28.8M
Nystrom & Associates, Ltd	MN	Mental Health Counselor	$0	$11.8M
Apple Tree Dental	MN	General Practice Dentistry	$0	$11.4M
Apple Tree Dental	MN	General Practice Dentistry	$0	$8.3M
Avalon Programs, LLC	MN	Substance Abuse Rehabilitation Facility	$0	$8.1M
Latitudes Treatment Center LLC	MN	Substance Abuse Rehabilitation Facility	$0	$5.5M

Quest Diagnostics LLC Il — Billing Profile & Reimbursement Data

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Quest Diagnostics LLC Il — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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