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    Chicago Care Lab Services LLC — Billing Profile & Reimbursement Data

    NPI 1689322471 · Chicago, IL · Clinical Medical Laboratory

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    Chicago Care Lab Services LLC is a clinical medical laboratory provider located in Chicago, Illinois. This profile covers 1 Medicare and 1 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)

    FieldValue
    Entity TypeOrganization
    OrganizationChicago Care Lab Services LLC
    Address2646 W Pratt Blvd
    CityChicago
    StateIL
    ZIP60645
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedMarch 11, 2022

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$33.4M
    Medicaid$5.2K

    Key Findings

    CHICAGO CARE LAB SERVICES LLC is filed under the Clinical Medical Laboratory taxonomy in Chicago and its billing mix is tightly focused on a single service line: K1034 (provision of nonprescription, self‑administered and self‑collected COVID-19 tests). The dominance of K1034 across both payers indicates the organization functions primarily as a distributor/provider of OTC/self‑test COVID services rather than a broad multi‑specialty lab operation.

    Medicare revenue is highly concentrated: the provider reports total Medicare revenue of $33.4M and the precomputed top-3 Medicare codes account for 100.0% of Medicare revenue, with K1034 individually reported at $34M. That precomputed concentration signals that Medicare billing for this entity is effectively mono‑coded around COVID self-test provision.

    Medicaid revenue is likewise concentrated: total Medicaid revenue is $5.2K and the precomputed top-3 Medicaid codes account for 100.0% of Medicaid revenue, with K1034 reported at $4.7K. This indicates the provider’s Medicaid activity mirrors its Medicare footprint in being exclusively driven by the same COVID self-test code.

    The provider’s payer mix is effectively Medicare‑dominated in scale: Medicare revenue of $33.4M dwarfs Medicaid revenue of $5.2K, indicating the business is functionally single‑payer at scale with Medicare as the primary commercial channel. Analysts should treat Medicaid activity as negligible relative to Medicare when modeling this entity’s revenue base.

    CHICAGO CARE LAB SERVICES LLC is a national outlier for K1034 on Medicare: it ranks #3 of 30143 providers nationally and is described as an "extreme outlier, far above typical national volume" for this code. This ranking and descriptor indicate a dominant, unusually large role in Medicare billing for OTC COVID self-tests compared with peers.

    Within Illinois Medicaid, the provider is also prominent for K1034: it ranks #6 of 59 in-state and is described as "notably above typical state volume." While not the single largest Medicaid supplier of this code within the state, it is a materially above‑average contributor to in‑state Medicaid volumes for K1034.

    Despite being relatively recently enumerated (NPI registered 2022-03-11, ~4 years ago), the provider has achieved extremely high Medicare volumes for a single code, consistent with rapid scaling or concentrated sourcing of COVID self-test claims. The short tenure combined with outsized K1034 volume is notable for capacity‑planning and contract‑negotiation considerations.

    Payment and volume profile highlights material differences between payers: on Medicare the K1034 activity is reported as 2.8M claims with a $12 avg paid/claim, while on Medicaid it is 4.7K claims with a $1 avg paid/claim. Those exact figures show the provider’s Medicare revenue impact is driven primarily by massive claim volume at higher average payments, whereas Medicaid contributes only a very small volume and much lower per‑claim payments.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count2,836,330$10$34M

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    1 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    K103421,150720$10$414.9K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count4,670$1$4.7K

    Medicaid: Competitive Analysis & Benchmarks

    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

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count660660$1$3.2K

    Nearby Providers

    Other providers in the same ZIP code as Chicago Care Lab Services LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mars Lab Services IncILClinical Medical Laboratory$25.8M$4.9K
    Great Paragon Health Care Inc.ILHome Health Agency$0$4.3M
    David GreenbergILOphthalmology Physician$404.1K$2.4M
    Chicago Lab Services IncILClinical Medical Laboratory$457.6K$1.4M
    7400 Western IncILClinical Medical Laboratory$914.2K$596.1K
    Brian AronsonILPodiatrist$172.8K$152.2K
    Jeffrey GrossILRadiation Oncology Physician$221.1K$0
    Azaan Medical Supplies IncILClinical Medical Laboratory$26.2K$175.6K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Illinois Distribution
    Chicago Care Lab Services LLC — 1 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Chicago Care Lab Services LLC — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois