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NPI 1659373900 · Northbrook, IL · Clinical Medical Laboratory
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Chicago Clinical Laboratories, Ltd is a clinical medical laboratory provider located in Northbrook, Illinois. This profile covers 133 Medicare and 130 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 | Chicago Clinical Laboratories, Ltd |
| Address | 306 Era Dr |
| City | Northbrook |
| State | IL |
| ZIP | 60062 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | June 1, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $11.6M |
| Medicare | $5M |
CHICAGO CLINICAL LABORATORIES, LTD is a clinical medical laboratory based in NORTHBROOK, IL with Total Medicare revenue: $5M and Total Medicaid revenue: $11.6M, indicating a multi-payer clinical lab operation that serves both Medicare and Medicaid populations at scale. The provider has an established NPI (NPI enumerated (registered): 2005-06-01 (~21 years ago)), consistent with a long-tenured laboratory services business.
The provider's top Medicare revenue drivers — G0471, P9603, and 85025 — point to a dual focus on on-site specimen collection for SNFs/homebound patients and high-volume routine hematology testing. G0471 specifically captures collection from SNF or on behalf of HHA, P9603 captures travel allowances for home- or nursing-home specimen collection, and 85025 is high-volume CBC processing, together describing an operation that pairs logistics/mobile draw capability with central lab testing.
Revenue concentration is meaningful for both payers: the top 3 Medicare codes by revenue account for 45.5% of this provider's total Medicare revenue, and the top 3 Medicaid codes by revenue account for 46.6% of this provider's total Medicaid revenue. For Medicare those top codes are G0471, P9603, and 85025; for Medicaid the top codes are U0003, 80053, and 85025, showing reliance on a small set of services for nearly half of payer revenue.
On payer mix scale the practice is materially larger on Medicaid than Medicare: Total Medicaid revenue: $11.6M versus Total Medicare revenue: $5M, making Medicaid the dominant source of gross billed revenue in the reported data. This asymmetry implies the provider’s reimbursement exposure and contract leverage will be more influenced by state Medicaid policy and rate-setting than by Medicare alone.
Nationally in Medicare this lab is a major volume participant for several codes: G0471 ranks #6 of 117 providers nationally (96th percentile; notably above typical national volume for this code) and 85025 ranks #56 of 32833 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code). Additional routine-panel codes such as 80048 and 80053 also sit at or near 100th percentile national ranks, marking the lab as an outsized processor of common diagnostic panels for Medicare beneficiaries.
In the Illinois Medicaid market the provider is a clear statewide leader on specimen-collection travel allowances and high-volume routine testing: P9604 ranks #1 of 29 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code) and P9603 ranks #1 of 21 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code). The lab also ranks highly for 80053 and 85025 in-state (both top 10 ranks and 99th percentile or higher), indicating dominant market share for CMP and CBC processing within the state.
Operational footprint and workflow implications are apparent from claim volumes: Medicaid shows very large specimen-collection and test counts (P9604 263.5K claims; P9603 135K claims) alongside high-volume test processing (80053 184.8K claims; 85025 272.3K claims), while Medicaid U0003 activity (32.2K claims, $2.3M revenue) indicates sizable historic COVID PCR throughput. These volumes imply a sizable mobile/draw logistics capability feeding centralized lab processing capacity, which has implications for network contracting, transport costs, and quality oversight.
Several individual codes are labeled as statistical outliers in the source data and reinforce the provider’s atypical scale: Medicare 85025 is characterized as an "extreme outlier, far above typical national volume for this code," and multiple Medicaid entries (P9604, P9603, 85025, 80164) are listed at the 100th percentile or as "extreme outlier, far above typical state volume." Those labels support characterizing the lab as an unusually large-volume operator on specific modalities rather than a modest local provider.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
133 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) | 93,590 | $10 | $935.9K |
| 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 | 572,760 | $1 | $572.8K |
| 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… | 61,430 | $10 | $491.4K |
| 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. | 44,440 | $10 | $444.4K |
| 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… | 14,210 | $20 | $227.3K |
| 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… | 7,620 | $30 | $220.9K |
| 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… | 23,510 | $10 | $188.1K |
| 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. | 11,360 | $10 | $147.7K |
| 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).… | 10,580 | $10 | $105.8K |
| 87086 | Culture, bacterial; quantitative, colony count, urine. | 11,900 | $10 | $95.2K |
Showing 1–10 of 133
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 133 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
133 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| U0003 | 31 | 100 | 230 | $70 | $249.1K |
| P9603 | 5 | 40 | 35,960 | $1 | $232.2K |
| 87798 | 34 | 70 | 750 | $30 | $172.3K |
| G0471 | 1 | 10 | 940 | $10 | $166.2K |
| U0005 | 35 | 100 | 270 | $20 | $86.3K |
| 82140 | 3 | 10 | 100 | $10 | $71.4K |
| 84300 | 4 | 10 | 450 | $1 | $43.9K |
| 87088 | 3 | 30 | 140 | $10 | $31.9K |
| 87634 | 16 | 30 | 20 | $70 | $29.9K |
| 87506 | 1 | 10 | 110 | $260 | $27.6K |
Showing 1–10 of 133
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.
130 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… | 32,170 | $70 | $2.3M |
| 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. | 184,840 | $10 | $1.3M |
| 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… | 272,310 | $1 | $1.1M |
| P9604 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge | 263,470 | $1 | $790.4K |
| 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… | 61,090 | $10 | $733.1K |
| 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… | 80,560 | $10 | $402.8K |
| 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… | 36,800 | $10 | $368K |
| 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).… | 64,730 | $10 | $323.7K |
| 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 | 134,980 | $1 | $270K |
| 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. | 66,000 | $1 | $264K |
Showing 1–10 of 130
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
130 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… | 19 | 350 | 400 | $70 | $514.7K |
| 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. | 125 | 280 | 1,120 | $30 | $218.9K |
| 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,… | 31 | 210 | 680 | $20 | $206.4K |
| 87902 | The lab analyst performs the technical lab test to analyze the specific genotype by nucleic acid of a specimen containing hepatitis C virus. | 11 | 10 | 80 | $160 | $192K |
| 87633 | The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for… | 89 | 170 | 150 | $200 | $190.9K |
| 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… | 60 | 250 | 450 | $40 | $185.7K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 190 | 360 | 600 | $30 | $165.1K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 193 | 360 | 630 | $30 | $165K |
| 87632 | The lab analyst performs a test to identify a respiratory virus using an amplified nucleic acid probe technique. He may also use the multiplex reverse transcription technique. The provider does this… | 10 | 10 | 310 | $90 | $123.1K |
| 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 | 110 | 200 | $40 | $111.1K |
Showing 1–10 of 130
Other providers in the same ZIP code as Chicago Clinical Laboratories, Ltd, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| The Josselyn Center Nfp | IL | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $41.7M |
| Andrew Rosenson | IL | Diagnostic Radiology Physician | $3.1M | $193.2K |
| Village Of Northbrook | IL | Land Ambulance | $876.3K | $1.4M |
| James Lahti | IL | MOHS-Micrographic Surgery Physician | $1.4M | $0 |
| Tamara Wyse | IL | Ophthalmology Physician | $1.1M | $0 |
| Lewis Wasserman | IL | Foot Surgery Podiatrist | $473.9K | $252.3K |
| Lev Diagnostics Inc | IL | Mobile Radiology Clinic/Center | $625.6K | $370 |
| Leon Gurvich | IL | Adult Health Nurse Practitioner | $382.6K | $220.5K |
| Zinoviy Rabinovich | IL | Podiatrist | $470.5K | $17.2K |
| Timothy Lantvit | IL | Podiatrist | $265.3K | $159.1K |
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