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NPI 1659301349 · Idaho Falls, ID · Clinical Medical Laboratory
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Rm Lab LLC is a clinical medical laboratory provider located in Idaho Falls, Idaho. This profile covers 169 Medicare and 135 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 | Rm Lab LLC |
| Address | 2220 E 25th St |
| City | Idaho Falls |
| State | ID |
| ZIP | 83404 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | July 5, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $8.2M |
| Medicare | $1.1M |
Payer mix and scale: RM LAB LLC reports $1.1M in total Medicare revenue versus $8.2M in total Medicaid revenue, indicating a Medicaid-dominant billing profile where Medicaid receipts are materially larger than Medicare. This scale difference suggests the lab’s core commercial relationships and test volume are concentrated in the state Medicaid market rather than in national Medicare business.
Revenue concentration by payer: On Medicare, the top three codes (80053, 36415, 85025) account for 32.1% of the provider's total Medicare revenue, with individual shares of 11.4% (80053), 11.1% (36415), and 9.6% (85025) reported. On Medicaid, the top three codes (U0003, 84443, 80053) account for 29.8% of total Medicaid revenue, led by U0003 at 14.6%, then 84443 at 8.6% and 80053 at 6.5%, showing meaningful dependence on a small set of high-volume tests.
Business and service-line implications: The Medicare code mix dominated by 80053 (CMP), 36415 (venipuncture), and 85025 (CBC) reflects a traditional clinical diagnostic laboratory that handles routine phlebotomy and high-throughput chemistry/hematology panels for ambulatory providers. The Medicaid mix adds a heavy molecular and infectious-disease testing footprint — including U0003 (SARS‑CoV‑2 high-throughput PCR), 87636 (SARS‑CoV‑2/Influenza A/B multiplex), and broad STD NAATs (87591, 87491) — indicating the lab also operates substantial molecular testing capacity and specimen collection workflows.
Medicaid competitive standing (in-state): RM LAB LLC is a dominant testing partner within Idaho for numerous codes: U0003 ranks #1 of 21 providers in-state (100th percentile; extreme outlier) with $910.1K revenue, 84443 ranks #1 of 53 (100th percentile; extreme outlier) with $534.5K, and multiple other routine and molecular codes (e.g., 85025, 80053, 87636, 87591, 87491, 82306) are ranked at the top or near the top in-state and labeled as extreme outliers or notably above typical state volume. These state-level rank patterns indicate RM LAB LLC is a major, high-volume Medicaid testing hub in Idaho across both routine panels and molecular assays.
Medicare competitive standing (national): For Medicare, the provider’s top CPTs appear in very high national percentiles (for example, 80053 at the 99th percentile, 36415 at the 100th percentile, 85025 at the 99th percentile) but the dataset describes these as "typical, unremarkable volume for this code." That combination suggests RM LAB LLC achieves high comparative placement on Medicare volume metrics without being characterized as a specialized national reference lab for unique or rare assays.
Molecular/COVID testing concentration: Medicaid billing shows outsized revenue from COVID and specimen-collection codes: U0003 generated $910.1K (14.6% of Medicaid revenue), G2023 specimen collection produced $338.9K (5.5% of Medicaid revenue), and 87636 produced $367.7K (5.9% of Medicaid revenue). The presence of both high-throughput PCR lines and paid specimen-collection codes implies an operational model that combines centralized molecular testing with wide specimen intake and logistics.
Revenue and operational volatility consideration: Because a single molecular code (U0003) contributes $910.1K and 14.6% of Medicaid revenue and the top three Medicaid codes account for 29.8% of Medicaid revenue, the provider’s Medicaid results are concentrated in a handful of high-volume tests. This concentration creates potential sensitivity to policy or demand shifts for those specific tests (for example, changes in COVID testing volume or reimbursement), which could materially influence Medicaid revenue given the provider’s Medicaid-heavy mix.
Tenure and market establishment: RM LAB LLC’s NPI was enumerated on 2006-07-05 (~20 years ago), indicating a long-established presence in the market; combined with the provider’s top in-state ranks across many Medicaid codes, this tenure supports the interpretation that the lab is an entrenched, statewide testing provider with sustained operational capacity.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
169 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. | 9,980 | $10 | $99.8K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 12,070 | $10 | $96.6K |
| 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… | 10,460 | $10 | $83.7K |
| 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… | 4,870 | $20 | $77.9K |
| 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. | 1,830 | $40 | $73.2K |
| 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… | 2,480 | $30 | $71.8K |
| 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. | 4,460 | $10 | $58K |
| 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… | 1,240 | $40 | $47.2K |
| 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).… | 2,960 | $10 | $29.6K |
| 83735 | The lab analyst performs a test to measure the amount of magnesium in a patient specimen. | 3,650 | $10 | $25.5K |
Showing 1–10 of 169
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 169 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.
135 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… | 14,450 | $60 | $910.1K |
| 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… | 38,180 | $10 | $534.5K |
| 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. | 50,660 | $10 | $405.3K |
| 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… | 66,240 | $10 | $397.4K |
| 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… | 3,010 | $120 | $367.7K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 10,700 | $30 | $363.9K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 10,700 | $30 | $363.8K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 18,830 | $20 | $338.9K |
| 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… | 13,490 | $20 | $296.8K |
| 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. | 22,760 | $10 | $250.3K |
Showing 1–10 of 135
How this provider's Medicaid billing volume and revenue compare to other Idaho providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Idaho median
135 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 33 | 30 | 1,450 | $50 | $160K |
| 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 | 20 | 270 | $60 | $101K |
| 88175 | The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer… | 2 | 10 | 2,270 | $30 | $87K |
| 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… | 1 | 10 | 2,460 | $30 | $83.5K |
| 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… | 1 | 10 | 130 | $110 | $61.8K |
| 86235 | The lab analyst performs an assay to evaluate the patient’s serum for each antibody to an extractable nuclear antigen, also called ENA. Types of ENA antibodies include anti ribonuclear protein,… | 1 | 10 | 540 | $90 | $52.5K |
| 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… | 17 | 50 | 210 | $80 | $51.4K |
| 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. | 2 | 70 | 2,170 | $10 | $42.9K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 1 | 30 | 520 | $30 | $40.6K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 1 | 30 | 500 | $30 | $39.7K |
Showing 1–10 of 135
Other providers in the same ZIP code as Rm Lab 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.