Loading...
NPI 1770529513 · Oklahoma City, OK · Clinical Medical Laboratory
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Diagnostic Laboratory Of Oklahoma LLC is a clinical medical laboratory provider located in Oklahoma City, Oklahoma. This profile covers 436 Medicare and 331 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 | Diagnostic Laboratory Of Oklahoma LLC |
| Address | 225 Ne 97th Street |
| City | Oklahoma City |
| State | OK |
| ZIP | 73114 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | June 21, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $69M |
| Medicare | $12.4M |
Business/service-line: The provider’s code mix is dominated by high-volume clinical laboratory panel testing and routine chemistries (examples include 80053, 80061, 80050, 85025) alongside a broad microbiology and infectious‑disease testing footprint (notable Medicaid codes include 87801 and U0003). This mix—large counts for panels and specimen collection (36415) plus molecular/NAAT codes and obstetric/STD screening—is consistent with a centralized reference laboratory or high-throughput outpatient diagnostic lab processing both routine and specialty public‑health testing.
Medicaid revenue concentration: The top three Medicaid codes (87801, U0003, 80050) account for 37.5% of this provider’s total Medicaid revenue, reflecting concentrated reliance on molecular infectious‑disease testing and broad health panels for Medicaid payers. In particular, 87801 generates $7M and U0003 generates $6.4M of the $69M lifetime Medicaid revenue, underlining molecular testing as a major Medicaid revenue driver.
Medicare revenue concentration: The provider’s top three Medicare codes account for 35.0% of its $12.4M Medicare revenue, with dominant single‑test contributors including 80053 ($1.2M, 13.7% of Medicare revenue), 84443 ($966.1K, 10.7%), and 36415 ($962K, 10.6%). This indicates Medicare payments are concentrated in high-volume outpatient chemistry panels, thyroid testing, and routine phlebotomy.
Payer mix and scale: This entity is heavily Medicaid‑weighted in scale—Medicaid lifetime revenue is $69M versus $12.4M from Medicare—showing Medicaid is the primary payer relationship by dollars. Both payers have meaningful volume, but Medicaid drives the majority of the provider’s lifetime revenue.
Competitive standing — Medicaid (statewide): For a long list of high-revenue Medicaid codes (for example 87801, U0003, 80050, 80081, 80061, 80053, 87491, 87591, 82306, 85025), the provider ranks #1 in-state and is labeled as an “extreme outlier” or “notably above typical” for state volumes; these rankings indicate a dominant statewide position for core obstetric, infectious disease, molecular and routine panel testing. The repeated #1 in-state placements across diverse code families suggest the provider functions as a major in‑state reference lab.
Competitive standing — Medicare (national): On Medicare claims several high-volume codes (80053, 84443, 36415, 80061, 85025 and others) are at the 100th percentile or characterized as “extreme outlier” or “notably above typical” with top national ranks (examples: 80053 ranks #37 of 26416, 84443 ranks #37 of 19722). These national percentile signals show the provider is a major national outlier in volume for many routine laboratory tests, consistent with very high throughput compared with typical Medicare lab providers.
Operational signal — specimen handling and throughput: Very large claim counts for collection and panel codes (e.g., 36415: 120.2K claims; 80050: 153.8K claims; 80053: 234.1K Medicaid claims) plus high-volume molecular testing (U0003: 81.8K claims) point to extensive specimen intake, automated analyzers, and high daily throughput capacity rather than a small point-of-care lab model. This profile aligns with centralized automation and multiplex molecular platforms to support both routine chronic-disease monitoring and episodic public-health testing.
Tenure and stability: The NPI was enumerated on 2006-06-21 (~20 years ago), indicating long-term participation in Medicare/Medicaid programs. Combined with sustained high volumes across many core codes and payers, the data suggest an established laboratory operation with multi-year payer relationships and mature billing patterns.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
436 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. | 124,320 | $10 | $1.2M |
| 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… | 60,380 | $20 | $966.1K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 120,250 | $10 | $962K |
| 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. | 70,420 | $10 | $915.5K |
| 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… | 107,780 | $10 | $862.2K |
| 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… | 20,160 | $30 | $584.8K |
| 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).… | 45,550 | $10 | $455.5K |
| 83880 | The 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… | 11,460 | $40 | $435.4K |
| 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. | 9,240 | $40 | $369.7K |
| 87086 | Culture, bacterial; quantitative, colony count, urine. | 24,430 | $10 | $195.4K |
Showing 1–10 of 436
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 436 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
436 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 87798 | 32 | 40 | 1,090 | $30 | $188.7K |
| 87801 | 7 | 20 | 640 | $70 | $148.4K |
| G0482 | 39 | 40 | 310 | $190 | $108.9K |
| 81513 | 1 | 10 | 380 | $140 | $53.5K |
| 83970 | 1 | 20 | 170 | $40 | $47.2K |
| 87186 | 2 | 10 | 2,880 | $10 | $43.5K |
| G0481 | 25 | 30 | 90 | $150 | $42K |
| 83521 | 3 | 10 | 2,310 | $20 | $39.7K |
| 83880 | 1 | 30 | 50 | $40 | $37.3K |
| 80197 | 1 | 10 | 1,240 | $10 | $36.2K |
Showing 1–10 of 436
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.
331 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 87801 | The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique. | 111,340 | $60 | $7M |
| 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… | 81,810 | $80 | $6.4M |
| 80050 | The 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… | 153,770 | $30 | $4.9M |
| 80081 | The lab analyst performs an obstetric panel; this panel must include tests for a complete blood count with differential, a hepatitis B surface antigen test, a single–result test for HIV–1 antigens… | 43,990 | $70 | $3M |
| 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. | 233,370 | $10 | $2.8M |
| 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. | 234,150 | $10 | $2.3M |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 64,020 | $30 | $2.1M |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 63,710 | $30 | $2.1M |
| 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… | 115,590 | $20 | $1.7M |
| 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).… | 188,490 | $10 | $1.7M |
Showing 1–10 of 331
How this provider's Medicaid billing volume and revenue compare to other Oklahoma providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oklahoma median
331 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 83498 | The lab analyst measures the 17 hydroxyprogesterone in a sample such as blood, serum, urine, or even amniotic fluid. This hormone is a building block for the adrenal cortex hormone cortisol. | 2 | 10 | 300 | $30 | $782.5K |
| 80081 | The lab analyst performs an obstetric panel; this panel must include tests for a complete blood count with differential, a hepatitis B surface antigen test, a single–result test for HIV–1 antigens… | 1 | 10 | 170 | $70 | $447.3K |
| 87801 | The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique. | 1 | 20 | 60 | $60 | $404.2K |
| 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… | 1 | 50 | 330 | $80 | $238.7K |
| 88175 | The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer… | 1 | 10 | 990 | $20 | $232K |
| 80050 | The 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… | 1 | 40 | 440 | $30 | $230.3K |
| 83516 | The lab analyst performs the technical immunoassay test involving several steps to detect and measure an analyte of a noninfectious nature. The results show as positive or negative, or in… | 3 | 10 | 290 | $10 | $223.6K |
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 5 | 100 | 630 | $50 | $197.2K |
| 87624 | The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result. | 1 | 10 | 460 | $30 | $174.2K |
| 83013 | The lab analyst tests multiple breath samples for the presence of an isotope that indicates the presence of the H. pylori bacteria. This organism can cause irritation and ulcers of the stomach lining. | 1 | 10 | 120 | $60 | $166.9K |
Showing 1–10 of 331
Other providers in the same ZIP code as Diagnostic Laboratory Of Oklahoma LLC, ranked by combined Medicare and Medicaid revenue.
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.