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NPI 1649414285 · North Charleston, SC · Clinical Medical Laboratory
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Roper Saint Francis Physicians Network is a clinical medical laboratory provider located in North Charleston, South Carolina. This profile covers 33 Medicare and 56 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 | Roper Saint Francis Physicians Network |
| Address | 4450 Leeds Place West |
| City | North Charleston |
| State | SC |
| ZIP | 29405 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | April 27, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.3M |
| Medicare | $40.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
33 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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. | 480 | $10 | $6.3K |
| 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. | 530 | $10 | $5.3K |
| 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… | 320 | $20 | $5K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 580 | $10 | $4.6K |
| 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… | 100 | $30 | $2.8K |
| 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).… | 290 | $10 | $2.6K |
| 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… | 320 | $10 | $2.2K |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 120 | $20 | $2.1K |
| 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. | 20 | $40 | $960 |
| 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… | 160 | $10 | $950 |
Showing 1–10 of 33
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 33 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.
56 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… | 13,390 | $10 | $160.7K |
| 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. | 18,570 | $10 | $148.5K |
| 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… | 1,200 | $100 | $116K |
| 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. | 12,340 | $10 | $111.1K |
| 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… | 4,720 | $20 | $89.7K |
| 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).… | 12,240 | $10 | $85.7K |
| 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… | 13,810 | $10 | $82.9K |
| 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… | 3,910 | $20 | $74.3K |
| 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… | 8,170 | $10 | $40.8K |
| 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… | 270 | $140 | $36.8K |
Showing 1–10 of 56
How this provider's Medicaid billing volume and revenue compare to other South Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. South Carolina median
56 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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. | 40 | 210 | 1,470 | $60 | $615K |
| 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… | 78 | 150 | 2,500 | $50 | $324.9K |
| 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… | 44 | 70 | 600 | $130 | $307.2K |
| 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… | 38 | 90 | 730 | $60 | $275.7K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 34 | 710 | 350 | $60 | $247.2K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 66 | 120 | 1,100 | $30 | $170.4K |
| 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… | 105 | 180 | 1,360 | $20 | $152.1K |
| 86850 | The lab analyst performs a screening test using patient blood to determine the presence of any antibodies to red blood cells, called RBCs, other than the A and B antigens. | 68 | 70 | 830 | $50 | $143.6K |
| 87086 | Culture, bacterial; quantitative, colony count, urine. | 86 | 110 | 2,340 | $20 | $103.9K |
| 86900 | The lab analyst performs a test to determine the patient’s blood type within the ABO blood group system using serum plasma as the specimen. | 78 | 80 | 1,160 | $20 | $58.8K |
Showing 1–10 of 56
Other providers in the same ZIP code as Roper Saint Francis Physicians Network, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Kool Smiles Sc-2, PC | SC | General Practice Dentistry | $0 | $28.5M |
| Agape Hospice Of The Lowcountry LLC | SC | Community Based Hospice Care Agency | $0 | $23.7M |
| Charleston County Government | SC | Land Ambulance | $4.1M | $7.6M |
| Charleston County Government | SC | Substance Abuse Rehabilitation Facility | $62.3K | $11M |
| Lowcountry Nursing Group LLC | SC | Nursing Care Agency | $0 | $7.9M |
| Curana Health Of South Carolina PC | SC | Internal Medicine Physician | $0 | $6.4M |
| Lifeguard Ambulance Service LLC | SC | Land Ambulance | $2.1M | $651.1K |
| Steven Lopez Psychiatric Services | SC | Psychiatry Physician | $0 | $2.2M |
| Center For Behavioral Health South Carolina LLC | SC | Methadone Clinic | $145.2K | $2M |
| Michael Samiratedu | SC | Nephrology Physician | $262K | $0 |
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