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    OpenPayerNPI Medicare & MedicaidAtlantic Diagnostic Laboratories, LLC
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    Atlantic Diagnostic Laboratories, LLC — Billing Profile & Reimbursement Data

    NPI 1811441751 · Milford, CT · Clinical Medical Laboratory

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    Atlantic Diagnostic Laboratories, LLC is a clinical medical laboratory provider located in Milford, Connecticut. This profile covers 14 Medicare and 38 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
    OrganizationAtlantic Diagnostic Laboratories, LLC
    Address20 Quirk Rd
    CityMilford
    StateCT
    ZIP06460
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedAugust 9, 2016

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

    Payer SourceTotal Paid
    Medicaid$6.2M
    Medicare$18.4K

    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
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.220$60$13.1K
    86481The lab analyst performs a test to evaluate an antigen response to certain tuberculosis (TB) antibodies by enumerating T cells that produce gamma interferon.10$100$1.2K
    86803Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody50$10$670
    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.50$10$540
    87340The lab analyst performs a test to detect hepatitis B surface antigen, also called HBsAg, using an immunoassay technique, such as EIA.50$10$470
    86780The 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.30$10$430
    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…50$10$410
    87521A lab tests a patient’s specimen to provide a definitive diagnosis of hepatitis C by amplified probe technique.10$30$370
    87389The 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…20$20$360
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.30$10$230

    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
    803071440100$60$12.7K
    8005317524090$10$2.5K
    8502517925090$10$2.1K
    8444319320060$20$1.9K
    3641542257060$10$1.7K
    8738951060$20$1.3K
    8648111010$100$1.2K
    8680341030$10$860
    8670621070$10$700
    8734031070$10$680

    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.

    38 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.160,010$30$5.3M
    U00042019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…1,650$70$120.4K
    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…3,930$20$86.4K
    86328The lab analyst performs a single–step immunoassay to qualitatively or semiquantitatively evaluate the patient’s specimen for antibodies to the severe acute respiratory syndrome coronavirus 2…1,850$40$79.6K
    86481The lab analyst performs a test to evaluate an antigen response to certain tuberculosis (TB) antibodies by enumerating T cells that produce gamma interferon.930$60$59.2K
    86803Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody3,980$10$47.8K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.1,410$30$42.2K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.1,400$30$41.9K
    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.4,400$10$39.6K
    87389The 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…1,700$20$35.6K

    Showing 1–10 of 38

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Connecticut median

    38 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    U00042019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…17305,480$60$581.1K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.30504,240$30$410.4K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.30504,240$30$409.9K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.1609,020$20$324.9K
    87661The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.15201,770$30$278.8K
    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,…31504,960$20$273.9K
    87389The 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…21304,170$10$142.7K
    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…32502,470$10$137.9K
    87660The lab analyst performs a test for Trichomonas vaginalis using direct nucleic acid probe technique.17201,970$20$88.9K
    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…23407,230$10$80.2K

    Showing 1–10 of 38

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Atlantic Diagnostic Laboratories, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Atlantic Diagnostic Laboratories, LLC.PAClinical Medical Laboratory$1.5M$87.1M

    Nearby Providers

    Other providers in the same ZIP code as Atlantic Diagnostic Laboratories, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bridges Healthcare Inc.CTAdult Mental Health Clinic/Center$0$18.8M
    Totality Home Health Care Agency, LLCCTHome Health Agency$0$18.4M
    Bridgeport HospitalCTGeneral Acute Care Hospital$0$15.6M
    Milford Pediatric Group, PCCTSpecialist$0$10.4M
    Milford Hospital, IncCTGeneral Acute Care Hospital$0$3.3M
    Dlv LLCCTPediatric Dentistry$0$3.2M
    Fairfield Pediatric DentistryCTPediatric Dentistry$0$3.2M
    Genesis Medica LLCCTInternal Medicine Physician$0$3M
    Milford Board Of EducationCTLocal Education Agency (LEA)$0$2.8M
    Southern Connecticut Behavioral Health LLCCTClinical Social Worker$0$2.2M

    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. Connecticut Distribution
    Atlantic Diagnostic Laboratories, LLC — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut
    Medicaid Revenue by Year vs. Connecticut Providers
    3 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Connecticut Distribution
    Atlantic Diagnostic Laboratories, LLC — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut