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NPI 1801857537 · Framingham, MA · Clinical Medical Laboratory
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Charles River Medical Associates, PC is a clinical medical laboratory provider located in Framingham, Massachusetts. This profile covers 76 Medicare and 70 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 | Charles River Medical Associates, PC |
| Address | 39 Grant St Ste 100 |
| City | Framingham |
| State | MA |
| ZIP | 01702 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | March 31, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.5M |
| Medicaid | $1.4M |
CHARLES RIVER MEDICAL ASSOCIATES, PC reports nearly balanced Medicare and Medicaid portfolios, with total Medicare revenue of $1.5M and total Medicaid revenue of $1.4M; this parity indicates the practice serves both aged and low‑income populations rather than being effectively single‑payer. The dual‑payer scale suggests the lab’s revenue base is diversified across public payers but concentrated within typical outpatient diagnostic testing lines.
Revenue concentration is meaningful on both payers: the top 3 Medicare codes account for 38.9% of Medicare revenue and are 82306, 80053, and 80061, which together point to a lab heavily weighted toward vitamin D testing and routine chemistry panels. On Medicaid the top 3 codes account for 40.8% of Medicaid revenue and are U0003, 80307, and 82306, indicating Medicaid dollars are driven by COVID molecular testing, presumptive drug screens, and vitamin D work.
The code mix and top revenue drivers profile this entity as an outpatient clinical medical laboratory delivering high volumes of routine chemistry and disease‑monitoring assays: examples include 80053 (CMP), 80061 (lipid panel), 83036 (A1C), 84443 (TSH), 82306 (vitamin D), and 82607 (B12). These tests support chronic disease monitoring (diabetes, thyroid, lipids), preventive screening, and metabolic assessment—consistent with a collection‑centric lab operation rather than anatomic or specialty pathology.
Competitive standing for Medicare shows relatively high national percentiles on many routine assays: 82306 ranks #90 of 12453 (99th percentile; typical, unremarkable volume for this code) and 80053 and 80061 similarly appear at high national ranks. Two Medicare codes are explicitly flagged as higher than typical national throughput—83036 (A1C) is described as notably above typical national volume and 85027 (CBC) is also described as notably above typical national volume—suggesting pockets of especially strong activity in diabetes monitoring and hematology counts.
In the Medicaid market the practice is a significant in‑state participant on several routine tests: 82306 ranks #28 of 161 in‑state (83rd percentile) and 80061 ranks #39 of 295 (87th percentile), while 80307 (presumptive drug testing) and U0003 (SARS‑CoV‑2 NAAT) together drive large Medicaid shares ($171.6K and $186.6K respectively), indicating the lab captures meaningful state market share for infectious disease screening and drug panels. These Medicaid ranks and dollar amounts show the practice competes above the state median for common outpatient testing.
Operational emphasis on pandemic and toxicology services is evident in payer splits: Medicaid revenue includes U0003 at 2.9K claims and $186.6K revenue (14.4% of Medicaid revenue) and 80307 at 5.9K claims and $171.6K revenue (13.3% of Medicaid revenue), whereas Medicare includes smaller but present COVID testing lines (U0003 and U0002). This asymmetry indicates COVID and drug‑screening services are a larger share of Medicaid business compared with Medicare for this provider.
The practice shows stable longevity: the NPI was enumerated on 2006-03-31 (~20 years ago), which supports an established operational presence in Framingham, MA and suggests institutional experience managing both Medicare and Medicaid billing relationships over multiple policy cycles. That tenure aligns with the broad set of routine lab services reflected in the top codes.
Code‑level variability is muted overall: many high‑revenue CPT/HCPCS entries are described as typical, unremarkable volume versus peers, while specific tests (notably 83036 and 85027 on Medicare) are labeled notably above typical national volume. In plain terms, the provider operates at common volumes for most routine assays relative to peers but exhibits distinct strength in diabetes monitoring and complete blood count throughput, creating concentrated operational pockets rather than uniform dominance across all lab services.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
76 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 7,910 | $30 | $229.3K |
| 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. | 15,930 | $10 | $159.3K |
| 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. | 11,780 | $10 | $153.2K |
| 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… | 9,340 | $20 | $149.5K |
| 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).… | 10,470 | $10 | $104.7K |
| 82607 | The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood. | 6,350 | $20 | $95.3K |
| 85027 | The 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… | 13,150 | $10 | $78.9K |
| 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. | 1,960 | $40 | $78.5K |
| 82728 | The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute… | 2,980 | $10 | $38.7K |
| 83550 | The lab analyst measures the iron binding capacity, typically in a serum sample. This analyte is an important measurement of the capacity of iron to bind to transferrin. That capacity is also known… | 3,210 | $10 | $28.9K |
Showing 1–10 of 76
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 76 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.
70 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… | 2,920 | $60 | $186.6K |
| 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. | 5,920 | $30 | $171.6K |
| 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… | 14,080 | $10 | $168.9K |
| 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… | 17,660 | $10 | $123.6K |
| 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. | 27,360 | $1 | $82.1K |
| 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. | 19,660 | $1 | $78.6K |
| 85027 | The 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… | 24,980 | $1 | $74.9K |
| 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).… | 17,940 | $1 | $53.8K |
| 82607 | The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood. | 10,050 | $10 | $50.3K |
| U0005 | 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, cdc or non-cdc,… | 2,450 | $20 | $46.5K |
Showing 1–10 of 70
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
70 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… | 58 | 130 | 1,830 | $60 | $974.3K |
| 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. | 91 | 370 | 500 | $40 | $605.1K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 136 | 220 | 410 | $20 | $216.4K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 136 | 220 | 360 | $20 | $211.8K |
| 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… | 50 | 110 | 590 | $10 | $207.5K |
| 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… | 28 | 160 | 570 | $10 | $167.2K |
| U0005 | 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, cdc or non-cdc,… | 44 | 100 | 1,930 | $20 | $155.5K |
| 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… | 37 | 190 | 1,240 | $10 | $137.4K |
| 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. | 50 | 250 | 970 | $1 | $96K |
| 86780 | The lab analyst performs an immunoassay to evaluate the patient’s serum for antibodies to Treponema pallidum, a spiral shaped bacteria called a spirochete, that causes syphilis. | 81 | 90 | 610 | $10 | $88.7K |
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Other providers in the same ZIP code as Charles River Medical Associates, PC, ranked by combined Medicare and Medicaid revenue.
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