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NPI 1790101681 · Cincinnati, OH · Clinical Medical Laboratory
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American Health Mw, LLC is a clinical medical laboratory provider located in Cincinnati, Ohio. This profile covers 209 Medicare and 156 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 | American Health Mw, LLC |
| Address | 665 Ohio Pike |
| City | Cincinnati |
| State | OH |
| ZIP | 45245 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | March 15, 2014 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $20M |
| Medicare | $15M |
AMERICAN HEALTH MW, LLC bills as a Clinical Medical Laboratory and shows an operational footprint that mixes mobile/specimen-collection services with high-volume central lab testing. Medicare codes P9603 (3.4M claims, $1 avg paid/claim, $3.4M revenue) and G0471 (285.6K claims, $10 avg paid/claim, $2.9M revenue) together drive a large share of Medicare activity; these codes specifically describe travel allowances for home‑/nursing‑home collection and SNF/HHA collections, indicating the provider operates extensive outreach or contract specimen‑collection services in addition to routine lab processing.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
209 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| P9603 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled | 3,420,260 | $1 | $3.4M |
| G0471 | Collection 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) | 285,590 | $10 | $2.9M |
| 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… | 144,270 | $10 | $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. | 88,340 | $10 | $883.4K |
| 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… | 43,910 | $20 | $702.5K |
| 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… | 23,070 | $30 | $669K |
| 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… | 82,640 | $10 | $661.1K |
| 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. | 33,710 | $10 | $438.2K |
| 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).… | 36,120 | $10 | $361.2K |
| 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… | 7,970 | $40 | $302.9K |
Showing 1–10 of 209
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 209 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
156 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… | 69,780 | $40 | $2.5M |
| 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… | 960,070 | $1 | $1.9M |
| 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. | 533,080 | $1 | $1.6M |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 1,329,870 | $1 | $1.3M |
| 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… | 647,650 | $1 | $1.3M |
| 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… | 140,260 | $10 | $1.3M |
| 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… | 234,940 | $10 | $1.2M |
| 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. | 201,610 | $1 | $806.4K |
| 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).… | 242,040 | $1 | $726.1K |
| 80164 | The 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. | 95,910 | $1 | $383.7K |
Showing 1–10 of 156
How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Ohio median
156 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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 | 140 | 1,130 | $90 | $1.1M |
| 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… | 6 | 50 | 220 | $30 | $675.9K |
| 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. | 109 | 340 | 2,260 | $30 | $398.2K |
| 87389 | The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an… | 35 | 140 | 410 | $30 | $384.3K |
| 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. | 3 | 270 | 8,700 | $10 | $353.7K |
| 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… | 29 | 120 | 580 | $50 | $273K |
| 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… | 3 | 240 | 2,610 | $10 | $239.7K |
| 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… | 48 | 60 | 240 | $160 | $215.8K |
| 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… | 3 | 260 | 760 | $20 | $187.3K |
| 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. | 3 | 280 | 1,450 | $10 | $178.3K |
Showing 1–10 of 156
Other providers in the same ZIP code as American Health Mw, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Cei Physicians Psc, LLC | OH | Ambulatory Surgical Clinic/Center | $1.4M | $153K |
| Benjamin Herms | OH | Hematology & Oncology Physician | $1.3M | $0 |
| Township Union Clermont County | OH | Ambulance | $426.6K | $784K |
| Wellington Specialty Surgery Center, LLC | OH | Ambulatory Surgical Clinic/Center | $1.1M | $0 |
| David Drosick | OH | Medical Oncology Physician | $987.6K | $0 |
| Mark Johns | OH | Hematology & Oncology Physician | $793.4K | $0 |
| Midwest Eye Surgery Center | OH | Ophthalmologic Surgery Clinic/Center | $562.4K | $47.9K |
| Marc Mosbacher | OH | Radiation Oncology Physician | $535.1K | $0 |
| Michael Rousseau | OH | Urology Physician | $389.5K | $0 |
| Proscan Open Mri East, Ltd. | OH | Diagnostic Radiology Physician | $208.2K | $84.6K |
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