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    OpenPayerNPI Medicare & MedicaidSpecialty Laboratories Inc
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    Specialty Laboratories Inc — Billing Profile & Reimbursement Data

    NPI 1811997711 · West Hills, CA · Clinical Medical Laboratory

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    Specialty Laboratories Inc is a clinical medical laboratory provider located in West Hills, California. This profile covers 111 Medicare and 179 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
    OrganizationSpecialty Laboratories Inc
    Address8407 Fallbrook Ave Ste 100
    CityWest Hills
    StateCA
    ZIP91304
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedJuly 21, 2005

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

    Payer SourceTotal Paid
    Medicaid$16.8M
    Medicare$90.4K

    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.

    111 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    83704The lab analyst performs a test to measure the lipoprotein particle numbers and possibly lipoprotein particle subclasses in blood.240$30$8.1K
    82507The lab analyst measures the amount of citrate in a patient specimen. Citrate is the conjugate base of citric acid.170$30$4.7K
    82365The lab analyst determines the composition of the calculus or stone by performing an infrared spectroscopic analysis. The calculus may be of kidney, bladder, ureter, or gall bladder origin. Kidney…220$10$2.9K
    86235The lab analyst performs an assay to evaluate the patient’s serum for each antibody to an extractable nuclear antigen, also called ENA. Types of ENA antibodies include anti ribonuclear protein,…140$20$2.5K
    83945The lab analyst measures the oxalate level, commonly in a 24 hour urine specimen. Oxalate is a substance commonly present in certain vegetables and nuts. Oxalate is also present in normal urine…170$10$2.4K
    82140The lab analyst performs a measurement of the ammonia in the blood, plasma, or other body fluids. Elevated levels of ammonia in the blood are frequently indicative of an infectious process.170$10$2.3K
    83519The lab analyst measures the analyte in question by radioimmunoassay. Use 83519 for procedures that have no specific analyte assigned code available, but meet the 83519 requirements based on the…120$20$2.1K
    82653Code 82653 describes a chemistry test to measure the level of pancreatic elastase (EL–1) in a fecal specimen. A common lab method for this test is enzyme–linked immunosorbent assay (ELISA). Levels of…90$20$2K
    87536A lab tests a patient’s specimen to measure the amount of HIV–1 present. This may be referred to as viral load.20$80$1.8K
    83013The 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.30$70$1.8K

    Showing 1–10 of 111

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    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 111 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    111 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8623553601,220$20$75.7K
    83521152090$20$64.3K
    83698710180$50$62.4K
    83704510230$30$46.7K
    861462430240$20$45.3K
    861472840200$20$44.7K
    82306388490100$30$44.2K
    8600334402,880$10$41.5K
    875363130100$80$40.6K
    839211010230$20$36.5K

    Showing 1–10 of 111

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    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.

    179 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    87799The lab analyst performs a test to quantify infection with an infectious agent, not otherwise specified in another code, using a nucleic acid probe technique. Use this code if you know the laboratory…67,730$70$4.9M
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.28,630$40$1.3M
    87801The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.31,490$40$1.2M
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.31,330$40$1.2M
    87512The lab analyst performs a test to quantify infection with Gardnerella vaginalis using nucleic acid probe technique. Gardnerella vaginalis, typically causes bacterial vaginosis, an infection of the…31,770$40$1.1M
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.30,250$40$1.1M
    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…16,280$60$1M
    87661The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.35,330$30$989.4K
    84403The lab analyst performs a test to measure total testosterone, typically in patient serum.34,620$20$761.6K
    82652The lab analyst measures the level of vitamin D, 1, 25 dihydroxy, a fat soluble steroid that stimulates calcium absorption in the intestine. Vitamin D, 1, 25 dihydroxy is the hormonally active form…20,400$30$611.9K

    Showing 1–10 of 179

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    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

    179 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…3660370$80$4.1M
    G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…4070650$70$1.6M
    81220The lab analyst performs the technical lab test to detect the presence of changes in the gene for cystic fibrosis transmembrane conductance regulator, also known as CFTR. The test evaluates the CFTR…23110190$140$1.6M
    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…176750950$50$890K
    81329The lab analyst performs the technical lab test to detect deletions in the survival of motor neuron 1 (SMN1), telomeric, gene and may also analyze the survival of motor neuron 2 (SMN2), centromeric,…2460400$40$748.5K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.226601,490$30$417.2K
    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…12340970$40$343.6K
    80323The lab analyst identifies and evaluates the level of alkaloid drugs in a patient specimen that are not specified elsewhere in CPT® by a different code from the class of alkaloids.1110440$10$328.2K
    80356The lab analyst measures the amount of or detects the presence of heroin metabolite in the patient specimen.1220490$1$275.3K
    80360The lab analyst measures the amount of or detects the presence of methylphenidate, which is a central nervous system stimulant that treats attention deficit disorders, in the patient specimen.610120$1$250.5K

    Showing 1–10 of 179

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Laboratory Corporation Of America HoldingsNCClinical Medical Laboratory$214.6M$1.4B
    Laboratory Corporation Of America HoldingsNJClinical Medical Laboratory$143.3M$717.5M
    Natera, Inc.CAClinical Medical Laboratory$133.1M$641.5M
    Unilab CorporationCAClinical Medical Laboratory$94M$668.5M
    Quest Diagnostics IncorporatedNJClinical Medical Laboratory$111.2M$637.7M
    Bioreference Health, LLCNJClinical Medical Laboratory$66.8M$620.1M
    Laboratory Corporation Of America HoldingsOHClinical Medical Laboratory$56.9M$617M
    Exact Sciences Laboratories, LLCWIClinical Medical Laboratory$299.3M$276.5M
    Quest Diagnostics LLC IlILClinical Medical Laboratory$40.3M$429.8M
    Sonora Quest Laboratories LLCAZClinical Medical Laboratory$57.8M$298.1M

    Nearby Providers

    Other providers in the same ZIP code as Specialty Laboratories Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Unilab CorporationCAClinical Medical Laboratory$1.9M$3.1M
    Transpath Inc.CAClinical Medical Laboratory$544.3K$15.5K
    Andrea MiltonCARegistered Dietitian$23K$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
    Specialty Laboratories Inc — 0 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
    2 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Specialty Laboratories Inc — 10 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California