Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidQuest Diagnostics Clinical Laboratories Inc
    Ask Trek AI about this page

    Table of contents

    Progress1 / 11

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Quest Diagnostics Clinical Laboratories Inc — Billing Profile & Reimbursement Data

    NPI 1831743228 · Nampa, ID · Clinical Medical Laboratory

    Customize your policy alerts

    Sign up for Quest Diagnostics Clinical Laboratories Inc — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Quest Diagnostics Clinical Laboratories Inc is a clinical medical laboratory provider located in Nampa, Idaho. This profile covers 5 Medicare and 3 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
    OrganizationQuest Diagnostics Clinical Laboratories Inc
    Address215 E Hawaii Ave Ste B-100
    CityNampa
    StateID
    ZIP83686
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedJuly 24, 2019

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

    Payer SourceTotal Paid
    Medicare$4.5K
    Medicaid$960

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…410$10$3.3K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.60$10$510
    85652The lab analyst performs a test on patient blood to evaluate the rate of sedimentation of red blood cells using an automated test platform.150$1$460
    85610Prothrombin time is most commonly measured using the blood plasma. Chemicals like calcium and tissue factor are added to the plasma sample and then the time is noted when the plasma clots. To analyze…70$1$260
    85027The 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…20$10$110

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    850251116060$10$1.7K
    3641526149070$10$1.3K
    856521020180$1$830
    85027152060$10$620
    85610173070$1$620

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…70$10$500
    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.40$10$340
    85652The lab analyst performs a test on patient blood to evaluate the rate of sedimentation of red blood cells using an automated test platform.40$1$130

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Idaho median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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.67702,170$10$42.9K
    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…77901,410$1$27.8K
    85652The lab analyst performs a test on patient blood to evaluate the rate of sedimentation of red blood cells using an automated test platform.2030810$1$2.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Unilab CorporationCAClinical Medical Laboratory$94M$668.5M
    Quest Diagnostics IncorporatedNJClinical Medical Laboratory$111.2M$637.7M
    Quest Diagnostics Clinical Laboratories IncTXClinical Medical Laboratory$46.7M$276.8M
    Quest Diagnostics Clinical Laboratories IncGAClinical Medical Laboratory$53.3M$211.1M
    Quest Diagnostics Clinical Laboratories IncFLClinical Medical Laboratory$42.2M$197.6M
    Quest Diagnostics Clinical Laboratories IncFLClinical Medical Laboratory$107.1M$50M
    Quest Diagnostics Clinical Laboratories IncWAClinical Medical Laboratory$10.6M$109.2M
    Quest Diagnostics Nichols Institute, Inc.VAClinical Medical Laboratory$2.3M$46.9M
    Hca Health Services Of Tennessee, Inc.TNGeneral Acute Care Hospital$0$45.9M
    Quest Diagnostics Nichols InstituteCAClinical Medical Laboratory$5.6M$39.9M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    A&r Case ManagementIDCase Management Agency$0$18.1M
    High Valley DevelopmentalIDDevelopmentally Disabled Services Day Training Agency$0$15.5M
    Nampa School District #131IDLocal Education Agency (LEA)$0$15.2M
    The Lilypad, LLCIDDevelopmentally Disabled Services Day Training Agency$0$8.3M
    Witco, Inc.IDDevelopmentally Disabled Services Day Training Agency$0$8.3M
    Allegiant Health LLCIDIn Home Supportive Care Agency$0$6.9M
    Vics Family Pharmacy IncIDPharmacy$28.2K$4.9M
    Children's Dentistry Of Idaho, PLLCIDPediatric Dentistry$0$3.9M
    Idaho Dental Aid PLLCIDDentist$0$3.6M
    All For One, LLCIDCase Management Agency$0$2.5M

    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. Idaho Distribution
    Quest Diagnostics Clinical Laboratories Inc — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho
    Medicaid Revenue by Year vs. Idaho Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Idaho Distribution
    Quest Diagnostics Clinical Laboratories Inc — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho