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    Sharp Healthcare — Billing Profile & Reimbursement Data

    NPI 1720055205 · San Diego, CA · Clinical Medical Laboratory

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    Sharp Healthcare is a clinical medical laboratory provider located in San Diego, California. This profile covers 36 Medicare and 6 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
    OrganizationSharp Healthcare
    Address2929 Health Center Dr
    CitySan Diego
    StateCA
    ZIP92123
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedMarch 3, 2006

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

    Payer SourceTotal Paid
    Medicare$80.8K
    Medicaid$950

    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.

    36 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88331Pathological, or intraoperative, consultation provides necessary and precise information pertaining to diagnosis and prognosis which aid a surgeon in deciding whether to proceed further or not during…270$90$23.4K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.2,770$10$22.1K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…660$30$18.6K
    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…40$70$2.7K
    83036Sugar 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).…260$10$2.6K
    86480The lab analyst performs a test to evaluate a cell mediated immunity gamma interferon antigen response to certain tuberculosis, or TB, antibodies.30$60$1.6K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…30$30$960
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…40$30$950
    U0005Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc,…40$30$900
    83521The lab analyst performs a chemistry test to measure the level of each immunoglobulin light chain, kappa or lambda, in a serum specimen. A common lab method for this test is turbidimetry, which uses…50$20$870

    Showing 1–10 of 36

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 36 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    36 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    U0003121130730$70$246.4K
    U0005139150780$20$75.1K
    83521212090$20$64.3K
    883056201,580450$40$51.3K
    8718640501,010$10$42.8K
    84443503620120$20$39.4K
    86480266020$60$31.8K
    80053593950110$10$30.1K
    870777180310$10$22.2K
    850258191,210150$10$17.2K

    Showing 1–10 of 36

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.210$0$0
    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.180$0$0
    83036Sugar 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).…1,860$0$0
    83721The lab analyst performs a test to directly measure the low density lipoprotein, LDL, cholesterol in a patient specimen.30$0$0
    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…30$0$0
    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…90$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. California median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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.1,2961,7201,360$10$165.3K
    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…1,7682,1001,130$1$83.5K
    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…1,2221,360590$10$74.1K
    83036Sugar 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).…6732,390550$1$28.7K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,6912,700440$1$24.7K
    83721The lab analyst performs a test to directly measure the low density lipoprotein, LDL, cholesterol in a patient specimen.139170180$1$14.1K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Sharp Healthcare, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sharp Memorial HospitalCAGeneral Acute Care Hospital$0$133.7M
    Sharp HealthcareCAClinical Medical Laboratory$498.4K$970
    Sharp HealthcareCAClinical Medical Laboratory$440.3K$530
    Sharp HealthcareCAClinical Medical Laboratory$258.3K$60
    Enrique Moreno MartinezCAVascular Surgery Physician$73.6K$0
    Michelle DaoCAPhysician Assistant$12.3K$0

    Nearby Providers

    Other providers in the same ZIP code as Sharp Healthcare, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kaiser Foundation HospitalsCAGeneral Acute Care Hospital$0$93.1M
    Rady Children's Hospital San DiegoCAPediatrics Physician$0$77.3M
    American Medical Response Ambulance Service IncCAAmbulance$9.6M$65.4M
    Rady Children's Hospital San DiegoCAChildren's Hospital$0$69.1M
    Serene HealthCAMental Health Counselor$0$60.5M
    Rac & Associates, Inc.CADurable Medical Equipment & Medical Supplies$0$58.2M
    Anesthesia Service Medical GroupCAAnesthesiology Physician$0$31M
    Balboa Nephrology Medical Group, Inc.CANephrology Physician$0$25.9M
    Centro De Salud De La Comunidad De San Ysidro, Inc.CADental Clinic/Center$0$22.3M
    Atul JainCAOphthalmology Physician$3.5M$0

    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. California Distribution
    Sharp Healthcare — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California
    Medicaid Revenue by Year vs. California Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Sharp Healthcare — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California