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    OpenPayerNPI Medicare & MedicaidLaboratory Corporation Of America Holdings
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    Laboratory Corporation Of America Holdings — Billing Profile & Reimbursement Data

    NPI 1710968334 · New Castle, DE · Clinical Medical Laboratory

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    Laboratory Corporation Of America Holdings is a clinical medical laboratory provider located in New Castle, Delaware. This profile covers 14 Medicare and 25 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
    OrganizationLaboratory Corporation Of America Holdings
    Address212 Cherry Ln
    CityNew Castle
    StateDE
    ZIP19720
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedNovember 10, 2005

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

    Payer SourceTotal Paid
    Medicaid$21K
    Medicare$13.6K

    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.520$10$4.2K
    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…300$10$2.4K
    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.230$10$2.3K
    80048The 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…180$10$1.5K
    85610Prothrombin time is most commonly measured using the blood plasma. Chemicals like calcium and tissue factor are added to the plasma sample and then the time is noted when the plasma clots. To analyze…230$1$910
    85027The 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…110$10$670
    P9603Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled400$1$400
    83735The lab analyst performs a test to measure the amount of magnesium in a patient specimen.40$10$250
    86140The lab analyst performs the technical lab test to analyze a specimen, typically serum, for the presence of C reactive protein.40$10$190
    85652The lab analyst performs a test on patient blood to evaluate the rate of sedimentation of red blood cells using an automated test platform.40$1$120

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    P960331020,630$1$125.6K
    80048310130$10$9K
    8005341050$10$7.6K
    85027210100$10$6.6K
    8502541070$10$5.9K
    3641544060$10$4.9K
    83735310130$10$1.9K
    856101950170$1$1.3K
    81001510160$1$890
    8256531040$10$230

    Showing 1–10 of 14

    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.590$10$7K
    G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…120$50$5.5K
    G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…30$60$1.9K
    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…1,750$1$1.8K
    G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…220$10$1.3K
    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.1,140$1$1.1K
    82247The lab analyst measures the amount of total bilirubin in a patient’s blood. Bilirubin is the yellow color pigment found in the bile, a fluid made by the liver.190$1$390
    84702The lab analyst performs the technical lab test to measure the amount of hCG, also known as beta hCG, in blood to confirm or monitor pregnancy, or to diagnose certain tumors of the testes or ovaries.390$1$390
    82248The lab analyst measures the amount of direct bilirubin in a patient’s blood. Bilirubin is the yellow color pigment found in the bile, a fluid made by the liver. Direct bilirubin is a water soluble…30$1$70
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.4,640$0$0

    Showing 1–10 of 25

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Delaware median

    25 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…11101,330$70$462.8K
    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.91019,870$20$426.3K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.17203,450$30$287.8K
    G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…6102,060$60$286.8K
    80048The 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…9107,360$10$214.1K
    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…1130960$10$178.7K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.8201,390$10$89.2K
    G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…7103,390$30$79.8K
    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…10104,430$10$72.4K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.9401,650$1$60.7K

    Showing 1–10 of 25

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Laboratory Corporation Of America Holdings, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Laboratory Corporation Of America HoldingsNCClinical Medical Laboratory$214.6M$1.4B
    Laboratory Corporation Of America HoldingsNJClinical Medical Laboratory$143.3M$717.5M
    Bioreference Health, LLCNJClinical Medical Laboratory$66.8M$620.1M
    Laboratory Corporation Of America HoldingsOHClinical Medical Laboratory$56.9M$617M
    Laboratory Corporation Of America HoldingsALClinical Medical Laboratory$60.5M$289.1M
    Laboratory Corporation Of AmericaAZClinical Medical Laboratory$38.5M$265.9M
    Laboratory Corporation Of America HoldingsNCClinical Medical Laboratory$3.5M$281.4M
    Laboratory Corporation Of America HoldingsNCClinical Medical Laboratory$0$264.7M
    Inspira Medical Centers, Inc.NJGeneral Acute Care Hospital$0$227M
    Laboratory Corporation Of America HoldingsWVClinical Medical Laboratory$1.9M$220M

    Nearby Providers

    Other providers in the same ZIP code as Laboratory Corporation Of America Holdings, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Easter Seals Delaware & Marylands Eastern Shore, IncDEIntellectual & Developmental Disabilities Psychologist$0$315.9M
    Bayada Home Health Care, Inc.DEHome Health Agency$0$61.2M
    Conexio Care, Inc.DEMental Health Clinic/Center (Including Community Mental Health Center)$0$15.8M
    Nurses 'n Kids, Inc.DEMedically Fragile Infants and Children Day Care$0$14.3M
    Delaware Diagnostic Labs, LLCDEClinical Medical Laboratory$3.1M$8.5M
    Point Of Hope Inc.DEIntellectual & Developmental Disabilities Psychologist$0$10M
    Anesthesia Services PADEAnesthesiology Physician$0$6.3M
    Collaborative Effort To Reinforce Transition Success, IncDEIntellectual & Developmental Disabilities Psychologist$0$4M
    Abundant Life Community Development CorporationDEIntellectual & Developmental Disabilities Psychologist$0$2M
    State Of DelawareDELocal Education Agency (LEA)$0$2M

    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. Delaware Distribution
    Laboratory Corporation Of America Holdings — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware
    Medicaid Revenue by Year vs. Delaware Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Delaware Distribution
    Laboratory Corporation Of America Holdings — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware