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    OpenPayerNPI Medicare & MedicaidTox Crew Inc
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    Tox Crew Inc — Billing Profile & Reimbursement Data

    NPI 1700492642 · Knoxville, TN · Clinical Medical Laboratory

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    Tox Crew Inc is a clinical medical laboratory provider located in Knoxville, Tennessee. This profile covers 59 Medicare and 41 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
    OrganizationTox Crew Inc
    Address9111 Cross Park Dr Ste E138
    CityKnoxville
    StateTN
    ZIP37923
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedSeptember 16, 2020

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

    Payer SourceTotal Paid
    Medicare$322.7K
    Medicaid$20.7K

    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.

    59 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    P9603Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled112,700$1$112.7K
    G0471Collection 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)3,640$10$36.4K
    85025A 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…2,660$10$21.3K
    84443The 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…1,300$20$20.8K
    80053The 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.2,050$10$20.5K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,750$10$12.2K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.790$10$10.3K
    P9604Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge550$20$10K
    82607The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.540$20$8.1K
    82306The 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…260$30$7.7K

    Showing 1–10 of 59

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 59 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    59 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    P960311020,770$1$41.1K
    U0003103020$70$34.7K
    G04711102,180$10$22.4K
    8397018019040$40$7.7K
    8708677040$10$7K
    838801614020$40$4.6K
    80053221,600160$10$4.3K
    823065991050$30$4.1K
    80061321,310140$10$4.1K
    87070101040$10$4K

    Showing 1–10 of 59

    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.

    41 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    P9603Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled8,390$1$8.4K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.1,420$1$1.4K
    U0003Infectious 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…60$10$740
    82306The 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…730$1$730
    G2023Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source170$1$500
    P9604Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge280$1$280
    83880The lab analyst measures the amount of natriuretic peptide, a hormone made by heart muscle cells, in the patient specimen. Blood levels of the hormone increase in patients with congestive heart…240$1$240
    87631The lab analyst performs the technical steps to detect three to five types or subtypes of pathogens, such as adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,…40$1$110
    80050The 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…10$10$80
    80164The lab analyst measures the amount of total valproic acid, also called dipropylacetic acid, in the blood. Valproic acid is a drug that a provider uses to treat certain types of seizures.60$1$60

    Showing 1–10 of 41

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Tennessee median

    41 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    U0003Infectious 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…75100400$60$524.7K
    80050The 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…3840200$20$234.7K
    82306The 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…30120200$10$70.8K
    80053The 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.1342603,040$1$60K
    87631The lab analyst performs the technical steps to detect three to five types or subtypes of pathogens, such as adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,…3540160$80$51.6K
    85025A 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…2015501,210$1$50.1K
    84443The 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…39150490$10$39.1K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.56220320$1$35K
    87086Culture, bacterial; quantitative, colony count, urine.82110830$1$29.8K
    84480The lab analyst performs a test to measure total T3 in patient blood.1420160$10$25.4K

    Showing 1–10 of 41

    Nearby Providers

    Other providers in the same ZIP code as Tox Crew Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Deborah L Curlee Communication Consultants IncTNSpeech-Language Pathologist$0$54.5M
    Rha Health Services Tn LLCTNDevelopmentally Disabled Services Day Training Agency$0$31.7M
    Parkwest Medical CenterTNGeneral Acute Care Hospital$0$30M
    Preferred Care At HomeTNIn Home Supportive Care Agency$0$19M
    Tennessee Ear, Nose & Throat Consultants, PCTNOtolaryngology Physician$0$9.2M
    Nurturing Independence IncTNIn Home Supportive Care Agency$0$5.9M
    Special Care Inc.TNCommunity Based Hospice Care Agency$0$5.1M
    Childhelp, Inc.TNCommunity/Behavioral Health Agency$0$4.8M
    Family Home Care Services, LLCTNIn Home Supportive Care Agency$0$4.7M
    East Tn Human Resource AgencyTNNon-emergency Medical Transport (VAN)$0$3.9M

    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. Tennessee Distribution
    Tox Crew Inc — 13 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee
    Medicaid Revenue by Year vs. Tennessee Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Tox Crew Inc — 1 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee