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NPI 1689139495 · New Port Richey, FL · Clinical Medical Laboratory
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Mainstream Diagnostic Laboratory LLC is a clinical medical laboratory provider located in New Port Richey, Florida. This profile covers 17 Medicare and 8 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 | Mainstream Diagnostic Laboratory LLC |
| Address | 5354 Gulf Dr |
| City | New Port Richey |
| State | FL |
| ZIP | 34652 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | February 6, 2019 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3.3M |
| Medicaid | $2.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
17 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 255,450 | $10 | $3.1M |
| 81321 | The lab analyst performs the technical lab test to analyze the entire gene sequence for the phosphatase and tensin homolog, or PTEN, gene. | 50 | $590 | $30.6K |
| 81307 | The lab analyst performs the technical lab test on a specimen such as blood, to analyze the entire gene sequence for the partner and localizer of BRCA2 (PALB2) gene. | 40 | $660 | $27.8K |
| 81249 | The lab analyst performs the technical lab test to analyze known the full gene sequence of the glucose–6–phosphate dehydrogenase (G6PD) gene. | 40 | $590 | $25.9K |
| 81238 | The lab analyst performs the technical lab test to analyze the full gene sequence of the coagulation factor IX (F9) gene. | 40 | $590 | $22.9K |
| 81223 | The lab analyst performs the technical lab test to analyze the entire gene sequence for cystic fibrosis transmembrane conductance regulator gene, also known as CFTR. | 40 | $490 | $21.5K |
| 81334 | The lab analyst performs the technical lab test to detect the presence of specific changes in the runt related transcription factor 1 (RUNX) gene for targeted sequence analysis, such as exons 3–8. | 60 | $320 | $17.8K |
| 81311 | The lab analyst performs the technical lab test to analyze variants in exon 2, such as codons 12 and 13, and exon 3, such as codon 61, for the neuroblastoma RAS viral, v–ras, oncogene homolog, also… | 60 | $290 | $15.9K |
| 81320 | The lab analyst performs the technical lab test to detect the presence of common changes in the phospholipase C gamma 2 gene (PLCG2). | 60 | $290 | $15.7K |
| 81279 | The lab analyst performs the technical lab test on a specimen such as blood to analyze specific gene sequences of the JAK2 (Janus kinase 2) gene, such as exons 12 and 13, which may be associated with… | 60 | $180 | $10K |
Showing 1–10 of 17
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
17 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 81307 | 23 | 30 | 320 | $660 | $508.3K |
| 81321 | 24 | 30 | 430 | $580 | $467.7K |
| 81238 | 19 | 20 | 330 | $590 | $440.3K |
| 81249 | 20 | 20 | 290 | $590 | $383.1K |
| 81223 | 20 | 20 | 340 | $490 | $329.3K |
| 81334 | 17 | 20 | 390 | $320 | $295.7K |
| 81311 | 18 | 20 | 270 | $290 | $213K |
| 81320 | 18 | 20 | 210 | $290 | $210.6K |
| 81345 | 16 | 20 | 520 | $180 | $175.9K |
| 81305 | 14 | 20 | 80 | $170 | $118.8K |
Showing 1–10 of 17
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.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 610 | $1 | $1.8K |
| 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 | 30 | $10 | $220 |
| 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. | 70 | $1 | $70 |
| 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 | 60 | $1 | $60 |
| 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).… | 30 | $1 | $50 |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 110 | $0 | $0 |
| 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. | 10 | $0 | $0 |
| 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… | 20 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Florida providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Florida median
8 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. | 565 | 640 | 4,400 | $10 | $193.4K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 897 | 1,330 | 340 | $10 | $54.3K |
| 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. | 464 | 490 | 680 | $1 | $45.3K |
| 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… | 433 | 440 | 2,480 | $1 | $29K |
| 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).… | 522 | 590 | 460 | $1 | $21.3K |
| 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 | 44 | 50 | 3,090 | $1 | $4.1K |
| 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 | 40 | 40 | 610 | $1 | $1.7K |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 31 | 240 | 60 | $1 | $330 |
Other providers in the same ZIP code as Mainstream Diagnostic Laboratory LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Sacred Heart Care Inc. | FL | Home Health Agency | $0 | $13.1M |
| Morton Plant Hospital Association Inc | FL | General Acute Care Hospital | $0 | $7.3M |
| Satish Sivasankaran | FL | Cardiovascular Disease Physician | $401.9K | $0 |
| Akinwumi Aladesawe | FL | Pain Medicine (Physical Medicine & Rehabilitation) Physician | $369.9K | $0 |
| Omair Zafar | FL | Foot & Ankle Surgery Podiatrist | $279.5K | $0 |
| Satish Patel | FL | Gastroenterology Physician | $117.5K | $30.3K |
| Paul Hahn | FL | Diagnostic Radiology Physician | $124.1K | $20.3K |
| Amarjeet Dhillon | FL | Psychiatry Physician | $58.5K | $81.5K |
| Visal Numrungroad | FL | Nephrology Physician | $116.7K | $0 |
| James Powers | FL | Ophthalmology Physician | $75.8K | $0 |
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