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NPI 1699434241 · Anderson, SC · Clinical Medical Laboratory
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Quest Diagnostics Clinical Laboratories Inc is a clinical medical laboratory provider located in Anderson, South Carolina. This profile covers 245 Medicare and 113 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 | Quest Diagnostics Clinical Laboratories Inc |
| Address | 1502 E Greenville St |
| City | Anderson |
| State | SC |
| ZIP | 29621 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | December 10, 2021 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.6M |
| Medicaid | $922.6K |
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC operates as a broad clinical diagnostic laboratory: its Medicare top codes are routine chemistry and outpatient panels (80053, 80061, 84443) and the dataset shows high volumes of basic assays such as 82306, 85025 and specimen collection 36415. These code choices point to a primary business model of high-throughput outpatient specimen processing and reference testing for primary care and specialty clinics, with a mix of chemistry, hematology and thyroid testing visible across both payers.
Revenue concentration on a small set of tests is material on both payers: the provider’s top 3 Medicare codes by revenue account for 34.8% of its Medicare revenue, and the top 3 Medicaid codes by revenue account for 39.7% of its Medicaid revenue. On Medicaid the largest single code is U0003 (COVID PCR) at $168.2K (21.9% of Medicaid revenue), while on Medicare the largest contributors are 80053 ($229.9K, 12.5%) and 80061 ($213.9K, 11.6%).
Medicare ($2.6M) is the larger payer for this provider compared with Medicaid ($922.6K), so the practice’s scale is weighted toward Medicare billing rather than being single-payer dependent. The presence of substantial Medicaid molecular and STD testing lines (U0003, 87633, 87491, 87591) shows a meaningful Medicaid testing mix despite the smaller aggregate Medicaid revenue.
Competitive standing on national Medicare metrics is largely within expected ranges for a national lab footprint: codes like 80053 (ranks #123 of 26416; 100th percentile), 80061 (ranks #106 of 21671; 100th percentile) and 84443 (ranks #118 of 19722; 99th percentile) are noted as "typical, unremarkable volume for this code," indicating routine, expected volumes rather than extreme dominance. At the same time, the presence of specialized assays with smaller national pools—e.g., 83698 (ranks #23 of 73; 69th percentile) and 82670 (ranks #63 of 908; 93th percentile)—signals capability to offer higher‑reimbursement, lower‑volume specialty tests alongside high-throughput panels.
In-state competitive posture on Medicaid is mixed by test type: molecular respiratory/COVID testing shows above-median to strong in-state placement (U0003 ranks #16 of 87; 83th percentile; 87633 ranks #8 of 28; 74th percentile), while definitive drug testing on Medicaid (G0483) is relatively weak in-state (ranks #6 of 8; 29th percentile). Those patterns suggest the lab is a recognizable regional option for infectious disease and respiratory panels but not a leading in-state provider for definitive drug-panel services.
The published code mix demonstrates a diversified test menu beyond routine panels: Medicaid and Medicare top-25 include molecular infectious tests (U0003, 87633, 87491), definitive drug testing (G0483, G0480), hormone and vitamin assays (82607, 82670, 82306, 84403), and autoimmune panels (86235). Operationally, that breadth is consistent with a reference laboratory model serving outpatient orders across primary care, infectious disease, and specialty services rather than a narrow point-of-care test provider.
Although the NPI was enumerated on 2021-12-10 (~5 years ago), the provider has already generated multi-payer billing across a broad set of assays: Medicare revenue of $2.6M and Medicaid revenue of $922.6K reflect established transactional activity in both programs within a relatively short operating window. The combination of high-throughput routine testing and a portfolio of specialized assays suggests the operation has scaled key workflows (collection, chemistry, molecular) since enumeration.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
245 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. | 22,990 | $10 | $229.9K |
| 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. | 16,460 | $10 | $213.9K |
| 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… | 12,250 | $20 | $196K |
| 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… | 6,200 | $30 | $179.7K |
| 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… | 18,100 | $10 | $144.8K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 16,610 | $10 | $132.9K |
| 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).… | 10,180 | $10 | $101.8K |
| 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. | 1,420 | $40 | $56.8K |
| 82607 | The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood. | 3,720 | $20 | $55.8K |
| 84403 | The lab analyst performs a test to measure total testosterone, typically in patient serum. | 2,010 | $30 | $50.1K |
Showing 1–10 of 245
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 245 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
245 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| G0482 | 3 | 10 | 110 | $190 | $210.1K |
| G0483 | 6 | 10 | 160 | $240 | $162K |
| U0003 | 2 | 10 | 330 | $70 | $96.6K |
| U0005 | 4 | 10 | 320 | $20 | $43.1K |
| 83698 | 1 | 10 | 830 | $50 | $37.8K |
| G0481 | 23 | 40 | 150 | $150 | $35.2K |
| 87186 | 2 | 10 | 1,440 | $10 | $32.7K |
| 87088 | 2 | 10 | 1,270 | $10 | $25.7K |
| 80307 | 127 | 130 | 110 | $60 | $14.6K |
| G0480 | 26 | 50 | 90 | $110 | $13.8K |
Showing 1–10 of 245
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.
113 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… | 3,910 | $40 | $168.2K |
| 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… | 540 | $160 | $83.5K |
| 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… | 4,920 | $10 | $54.1K |
| 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. | 10,380 | $1 | $41.5K |
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but… | 650 | $60 | $41.4K |
| 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. | 6,470 | $10 | $38.8K |
| 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… | 6,370 | $10 | $38.2K |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but… | 800 | $50 | $36.8K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 2,300 | $20 | $34.5K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 2,170 | $20 | $32.5K |
Showing 1–10 of 113
How this provider's Medicaid billing volume and revenue compare to other South Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. South Carolina median
113 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but… | 6 | 10 | 13,730 | $90 | $1.2M |
| 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. | 62 | 210 | 1,470 | $60 | $615K |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but… | 5 | 10 | 1,330 | $60 | $349.1K |
| 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… | 99 | 150 | 2,500 | $50 | $324.9K |
| 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… | 16 | 90 | 730 | $60 | $275.7K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 134 | 710 | 350 | $60 | $247.2K |
| 87798 | The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified… | 18 | 50 | 170 | $60 | $206K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 37 | 120 | 1,100 | $30 | $170.4K |
| 81001 | Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other… | 93 | 180 | 1,360 | $20 | $152.1K |
| 87070 | The lab analyst performs the technical lab steps to culture a specimen from any source except urine, blood, or stool. This service involves aerobic culture, which refers to the presence of oxygen.… | 45 | 80 | 840 | $60 | $150.7K |
Showing 1–10 of 113
Other providers in the same ZIP code as Quest Diagnostics Clinical Laboratories Inc, ranked by combined Medicare and Medicaid revenue.
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