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NPI 1679787980 · Christiansted, VI · Clinical Medical Laboratory
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Clinical Laboratory, Inc. is a clinical medical laboratory provider located in Christiansted, U.S. Virgin Islands. This profile covers 72 Medicare and 58 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 | Clinical Laboratory, Inc. |
| Address | Island Medical Center |
| City | Christiansted |
| State | VI |
| ZIP | 00820 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | May 9, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $475.3K |
| Medicare | $293.1K |
Clinical Laboratory, Inc. operates as a comprehensive outpatient diagnostic lab: its Medicare and Medicaid top codes are dominated by routine chemistry and endocrine panels (80053, 84443, 80061), hematology (85025), phlebotomy (36415), and common screening tests (83036, 84153). The presence of both high-volume specimen-collection code 36415 and analyte-specific codes like 82306 (vitamin D) and 82607 (vitamin B12) indicates an integrated specimen collection and in-house analytic testing workflow rather than a narrow specialty clinic.
Revenue concentration is notable but not extreme: the precomputed top-3 Medicare codes account for 36.8% of Medicare revenue and the precomputed top-3 Medicaid codes account for 34.1% of Medicaid revenue, with the shared triad of 80053, 84443, and 80061 driving a large share of billing across both payers. For Medicare those top three are 80053, 84443, and 80061; for Medicaid the three highest-revenue codes are 84443, 80053, and 80061, signaling reliance on core panels and endocrine testing as primary revenue drivers.
Payer mix skews toward Medicaid in scale: total Medicaid revenue ($475.3K) exceeds total Medicare revenue ($293.1K), so this provider’s revenue base is more heavily weighted to Medicaid payors in the reporting period. Analysts should treat the Medicaid business as the larger revenue footprint when evaluating network value or negotiating rates in this market.
Against national Medicare peers the practice posts high percentile ranks on routine assays: for example 80053 ranks #419 of 26416 providers nationally (98th percentile), 84443 ranks #369 of 19722 (98th percentile), and 80061 ranks #336 of 21671 (98th percentile), though the source labels these volumes as "typical, unremarkable" for those codes. This pattern suggests the lab achieves relatively strong national placement for common tests but is operating within expected volumes for a general clinical laboratory rather than as an extreme national outlier.
Within the U.S. Virgin Islands Medicaid market the provider is a leading contributor on several tests: 83036 ranks #1 of 9 providers in-state (100th percentile), 81001 ranks #1 of 7 providers in-state (100th percentile; notably above typical state volume for this code), 84153 ranks #1 of 4 providers in-state (100th percentile), and 82607 ranks #1 of 7 providers in-state (100th percentile). Those #1 in-state positions indicate Clinical Laboratory, Inc. is a dominant source for A1C, urinalysis, PSA, and B12 testing in its local Medicaid network.
Operational scale of sample collection is evident in raw claim counts: 36415 appears at 4.2K Medicare claims and 11.2K Medicaid claims, supporting the view that the provider performs high-volume phlebotomy and specimen intake rather than solely sending out draws to other sites. This high collection volume reinforces its role as a local hub for outpatient testing and sample logistics.
The provider offers molecular and microbiology services alongside routine chemistry: Medicare includes U0003 (84 claims) and 87088 (661 claims) while Medicaid shows U0003 (96 claims), 87635 (461 claims), and nucleic-acid STI testing codes 87591 and 87491 (each ~400 claims). The mix of high-throughput NAAT (U0003, 87635) and culture/identification work (87088) indicates capabilities across both molecular diagnostics and microbiology, useful for payers evaluating scope of services.
The NPI was enumerated 2007-05-09 (~19 years ago), reflecting a long-tenured operation in the market; combined with the Medicaid-leading state ranks and consistent Medicare presence, this tenure supports interpretation of Clinical Laboratory, Inc. as an established local laboratory incumbent rather than a recent entrant.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
72 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. | 3,280 | $10 | $32.8K |
| 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… | 1,990 | $20 | $31.8K |
| 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. | 2,440 | $10 | $31.7K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 4,210 | $10 | $25.3K |
| 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… | 2,850 | $10 | $22.8K |
| 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).… | 1,490 | $10 | $14.9K |
| 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… | 450 | $30 | $13K |
| 84153 | The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and… | 560 | $20 | $10.1K |
| 84481 | The lab analyst performs a test to measure free T3 in patient blood. | 550 | $20 | $9.4K |
| 84403 | The lab analyst performs a test to measure total testosterone, typically in patient serum. | 300 | $30 | $7.4K |
Showing 1–10 of 72
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 72 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.
58 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… | 4,600 | $10 | $55.2K |
| 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. | 7,290 | $10 | $51K |
| 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. | 5,210 | $10 | $46.9K |
| 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… | 7,780 | $10 | $46.6K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 11,180 | $1 | $44.7K |
| 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).… | 4,690 | $10 | $32.8K |
| 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… | 1,280 | $20 | $24.2K |
| 87635 | Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus… | 460 | $40 | $20.3K |
| 87088 | The lab analyst or microbiologist observes a urine culture with an unknown organism or organisms and makes a presumptive identification of each organism that needs identification. | 2,580 | $10 | $15.5K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 400 | $30 | $12.4K |
Showing 1–10 of 58
How this provider's Medicaid billing volume and revenue compare to other U.S. Virgin Islands providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. U.S. Virgin Islands median
58 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 5 | 20 | 1,920 | $110 | $858.9K |
| 87635 | Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus… | 7 | 10 | 1,020 | $110 | $229.8K |
| 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. | 4 | 10 | 1,720 | $40 | $171.6K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 3 | 10 | 1,820 | $60 | $153.2K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 4 | 10 | 560 | $70 | $130.2K |
| 81003 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will… | 8 | 10 | 210 | $40 | $123K |
| 87426 | The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,… | 4 | 10 | 260 | $120 | $95.3K |
| 87086 | Culture, bacterial; quantitative, colony count, urine. | 2 | 10 | 10 | $50 | $74.3K |
| 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 | 10 | 2,520 | $20 | $61.3K |
| 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… | 3 | 10 | 2,510 | $20 | $57.8K |
Showing 1–10 of 58
Other providers in the same ZIP code as Clinical Laboratory, Inc., ranked by combined Medicare and Medicaid revenue.
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