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NPI 1649758038 · Addison, TX · Clinical Medical Laboratory
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Pruven Health is a clinical medical laboratory provider located in Addison, Texas. This profile covers 115 Medicare and 86 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 | Pruven Health |
| Address | 4841 Keller Springs Rd |
| City | Addison |
| State | TX |
| ZIP | 75001 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | July 30, 2018 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.1M |
| Medicaid | $503.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
115 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 87798 | The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified… | 17,740 | $30 | $603.1K |
| 87150 | The lab analyst performs an analysis using amplified DNA or RNA probe technique on a previously isolated and identified organism to categorize the organism more specifically, such as to the taxonomic… | 5,550 | $30 | $188.6K |
| 87481 | The lab analyst performs a test for Candida species using amplified nucleic acid probe technique. | 5,280 | $30 | $179.3K |
| 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) | 17,850 | $10 | $178.5K |
| 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 | 132,580 | $1 | $132.6K |
| 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… | 10,420 | $10 | $83.3K |
| 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. | 8,170 | $10 | $81.7K |
| 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… | 2,970 | $20 | $47.5K |
| 87500 | The lab analyst performs a test for vancomycin resistance in an infectious organism’s nucleic acid using amplified probe technique. VRE, vancomycin resistant enterococcus, is the most common organism… | 1,390 | $30 | $47.3K |
| 87640 | The lab analyst performs the technical lab test to look for Staphylococcus aureus nucleic acid using an amplified probe technique. | 1,380 | $30 | $46.8K |
Showing 1–10 of 115
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 115 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
115 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 87150 | 8 | 30 | 1,260 | $30 | $430.3K |
| 87798 | 23 | 300 | 790 | $30 | $265.1K |
| P9603 | 7 | 30 | 26,220 | $1 | $73.2K |
| 87481 | 22 | 270 | 150 | $30 | $68.8K |
| G0471 | 4 | 20 | 1,800 | $10 | $66.5K |
| U0003 | 42 | 60 | 100 | $70 | $64.7K |
| 87498 | 31 | 30 | 120 | $30 | $45.9K |
| 87529 | 11 | 60 | 90 | $30 | $43.6K |
| 87541 | 40 | 40 | 140 | $30 | $40.8K |
| 87486 | 57 | 60 | 90 | $30 | $32.7K |
Showing 1–10 of 115
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.
86 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… | 9,090 | $20 | $200K |
| 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,… | 5,380 | $10 | $43K |
| G2024 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen… | 6,050 | $10 | $36.3K |
| 87798 | The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified… | 6,950 | $1 | $27.8K |
| 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… | 22,320 | $1 | $22.3K |
| 87481 | The lab analyst performs a test for Candida species using amplified nucleic acid probe technique. | 3,850 | $10 | $19.2K |
| 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. | 17,620 | $1 | $17.6K |
| 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… | 3,160 | $1 | $9.5K |
| 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. | 4,580 | $1 | $9.2K |
| 87529 | The lab analyst performs a test for Herpes simplex virus, HSV, using amplified nucleic acid probe technique. HSV causes clusters of blisters, or vesicles, on different parts of the body and spreads… | 2,910 | $1 | $8.7K |
Showing 1–10 of 86
How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Texas median
86 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… | 36 | 340 | 400 | $50 | $553.5K |
| 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… | 62 | 150 | 170 | $30 | $302.9K |
| 87798 | The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified… | 29 | 240 | 420 | $30 | $296.8K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 80 | 290 | 410 | $20 | $225K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 81 | 300 | 410 | $20 | $223.4K |
| 87661 | The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique. | 41 | 150 | 320 | $20 | $184K |
| 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,… | 52 | 260 | 640 | $20 | $137.2K |
| 87502 | The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly… | 189 | 350 | 230 | $70 | $120.3K |
| 87481 | The lab analyst performs a test for Candida species using amplified nucleic acid probe technique. | 30 | 170 | 440 | $20 | $93.6K |
| 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. | 64 | 730 | 1,270 | $10 | $84.8K |
Showing 1–10 of 86
Other providers in the same ZIP code as Pruven Health, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Mga Healthcare Texas, LLC | TX | Home Health Agency | $0 | $49.6M |
| Star Formula Inc | TX | Durable Medical Equipment & Medical Supplies | $0 | $13.4M |
| Elitemed Laboratories, LLC | TX | Clinical Medical Laboratory | $2M | $2.7M |
| Lost Pines Mobile Imaging LLC | TX | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | $2.5M | $933.8K |
| Linear Care Diagnostics | TX | Clinical Medical Laboratory | $1.1M | $1.4M |
| Tameka Simmons | TX | Family Nurse Practitioner | $897.8K | $0 |
| Reliance Imaging LLC | TX | Vascular Sonography Radiologic Technologist | $428.8K | $115.7K |
| Texas Center For Interventional Surgery, LLC | TX | Ambulatory Surgical Clinic/Center | $488.4K | $0 |
| Marvin Fojtasek | TX | Infectious Disease Physician | $440.6K | $0 |
| William Tucker | TX | Orthopaedic Surgery Physician | $351.5K | $0 |
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