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    OpenPayerNPI Medicare & MedicaidPrecipio Inc
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    Precipio Inc — Billing Profile & Reimbursement Data

    NPI 1841375094 · New Haven, CT · Clinical Medical Laboratory

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    Precipio Inc is a clinical medical laboratory provider located in New Haven, Connecticut. This profile covers 45 Medicare and 17 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
    OrganizationPrecipio Inc
    Address4 Science Park Ste 3
    CityNew Haven
    StateCT
    ZIP06511
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedOctober 26, 2006

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

    Payer SourceTotal Paid
    Medicare$3.3M
    Medicaid$291.5K

    Key Findings

    PRECIPIO INC's code mix is concentrated in specialized pathology and hematology/oncology diagnostics: high-volume flow cytometry codes (88185, 88189, 88184) and multiple in situ hybridization/immunostain pathology codes (88377, 88369, 88368, 88366) dominate its billed services, and molecular/genomic panel codes such as 81455 and 81479 also appear in the Medicare mix. This pattern of codes is consistent with a clinical medical laboratory that performs complex diagnostic testing and pathologist interpretation rather than routine clinical chemistry or primary-care laboratory work.

    Medicare revenue is highly concentrated: the top three Medicare codes (88377, 88185, 88313) together account for 61.8% of this provider's total Medicare revenue. Individually those codes generate sizable Medicare receipts (88377 $893.1K, 88185 $814.8K, 88313 $211.8K), indicating reliance on a small set of high-value diagnostic procedures for the bulk of Medicare income.

    Medicaid revenue is even more concentrated: the top three Medicaid codes (88185, 88377, 88189) account for 80.6% of the provider's total Medicaid revenue. The largest Medicaid contributions come from 88185 ($121.8K, 41.8%) and 88377 ($98.9K, 33.9%), showing that the same specialized testing lines drive revenue across payers.

    Payer mix is heavily Medicare-skewed: lifetime Medicare revenue is $3.3M versus $291.5K in Medicaid, so Medicare billing dominates the provider's volume and financial footprint. While the provider does bill Medicaid, Medicaid represents a much smaller share of its lifetime public-payer revenue.

    For multiple high-revenue Medicare codes the provider is a national-scale outlier: 88377 ranks #9 of 616 providers nationally (99th percentile; extreme outlier) and 88185 ranks #9 of 618 providers nationally (99th percentile; extreme outlier), with other codes such as 88189 and 88369 also flagged as extreme outlier or notably above typical. These national rankings indicate the provider is a dominant/major participant in several specialized pathology and flow-cytometry services versus typical national peers.

    On a state Medicaid basis the provider shows leadership for specific tests: 88377 ranks #1 of 2 providers in-state (100th percentile) and several in situ hybridization codes (88369, 88368) also rank at the top of the small in-state peer set. At the same time, Medicaid ranking for 88185 is more modest (#4 of 10 in-state, 67th percentile), so the provider is a leading in-state supplier for certain ISH pathology services but not uniformly dominant across all Medicaid test lines.

    Multiple codes are explicitly labeled as outliers in the supplied data (e.g., extreme outlier for 88377, 88185, 88189; notably above typical for 88341 and 88184), which supports an interpretation that this lab receives unusually high volumes of complex diagnostic specimens and likely functions as a specialized or high-throughput pathology center rather than a general-purpose lab. The presence of both high-volume flow cytometry claims (88185: 38.8K Medicare claims) and niche genomic tests (81455: 41 Medicare claims at high per-claim payment) underscores a mix of high-throughput technical work and episodic high-value molecular testing.

    The provider has long tenure in national enrollment (NPI enumerated on 2006-10-26 (~20 years ago)), which combined with the large claim counts reported (for example 38.8K Medicare claims for 88185 and 2.7K Medicare claims for 88377) suggests sustained operational capacity over time to support its concentrated, specialty-heavy billing profile. This longevity increases confidence that the observed concentration and outlier status reflect an established service-line focus rather than a transient reporting anomaly.

    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.

    45 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88377The lab analyst applies a single multiplex in situ hybridization probe stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a…2,670$340$893.1K
    88185The lab analyst performs the technical component of a flow cytometry procedure using cell surface, cytoplasmic, or nuclear markers to characterize cells and aid clinicians in diagnosing patients with…38,800$20$814.8K
    88313The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,…3,070$70$211.8K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…1,880$70$135.4K
    81455The lab analyst performs a genomic sequence analysis panel to evaluate the patient specimen, such as tumor tissue or bone marrow, for DNA and possibly RNA alterations in 51 or more genes known to…40$2,860$117.3K
    88189The clinician, typically a pathologist, interprets flow cytometry results of 16 or more markers.1,530$70$105.8K
    88369The lab analyst applies an additional in situ hybridization single probe stain on a slide or slides prepared from the same patient specimen as the initial probe stain, such as tumor tissue. Then a…990$100$102K
    88184The lab analyst performs the technical component of a flow cytometry procedure using a cell surface, cytoplasmic, or nuclear marker to characterize cells and aid clinicians in diagnosing patients…1,400$60$88.5K
    88368The lab analyst applies an initial in situ hybridization single probe stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a…520$120$62.5K
    88237The lab analyst performs a procedure to grow a culture of cells from bone marrow or blood in a neoplastic disorder.410$140$58.1K

    Showing 1–10 of 45

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 45 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    45 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8818521032,650$20$642.3K
    8837711030$300$134.4K
    8145521050$2,860$131.6K
    881842101,290$60$81.1K
    88237310460$140$64K
    88366110250$240$58K
    81207210330$140$46.7K
    8830558200410$40$44.6K
    81338110270$150$40.1K
    88369110140$100$39K

    Showing 1–10 of 45

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88185The lab analyst performs the technical component of a flow cytometry procedure using cell surface, cytoplasmic, or nuclear markers to characterize cells and aid clinicians in diagnosing patients with…1,500$80$121.8K
    88377The lab analyst applies a single multiplex in situ hybridization probe stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a…920$110$98.9K
    88189The clinician, typically a pathologist, interprets flow cytometry results of 16 or more markers.1,570$10$14.1K
    85060The physician, typically a clinical pathologist, performs a peripheral blood smear review and provides an interpretation and written report of the examination.420$30$12.2K
    88184The lab analyst performs the technical component of a flow cytometry procedure using a cell surface, cytoplasmic, or nuclear marker to characterize cells and aid clinicians in diagnosing patients…1,500$10$12K
    88369The lab analyst applies an additional in situ hybridization single probe stain on a slide or slides prepared from the same patient specimen as the initial probe stain, such as tumor tissue. Then a…310$30$8.5K
    88368The lab analyst applies an initial in situ hybridization single probe stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a…580$10$6.3K
    81279The lab analyst performs the technical lab test on a specimen such as blood to analyze specific gene sequences of the JAK2 (Janus kinase 2) gene, such as exons 12 and 13, which may be associated with…210$20$3.2K
    81208The lab analyst performs the technical lab test to evaluate BCR/ALB1 gene sequences that occur on chromosome 22 at breakpoints other than the major and minor breakpoints due to translocation, which…90$30$2.6K
    81338The lab analyst performs the technical lab test on a specimen such as blood to analyze common variants of specific gene sequences of the MPL (MPL proto–oncogene, thrombopoietin receptor) gene, such…210$10$2.6K

    Showing 1–10 of 17

    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

    17 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88184The lab analyst performs the technical component of a flow cytometry procedure using a cell surface, cytoplasmic, or nuclear marker to characterize cells and aid clinicians in diagnosing patients…410650$80$188.6K
    88185The lab analyst performs the technical component of a flow cytometry procedure using cell surface, cytoplasmic, or nuclear markers to characterize cells and aid clinicians in diagnosing patients with…410630$60$132.7K
    88377The lab analyst applies a single multiplex in situ hybridization probe stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a…110810$100$77.3K
    88237The lab analyst performs a procedure to grow a culture of cells from bone marrow or blood in a neoplastic disorder.410420$60$51.2K
    88189The clinician, typically a pathologist, interprets flow cytometry results of 16 or more markers.410170$30$47.5K
    85060The physician, typically a clinical pathologist, performs a peripheral blood smear review and provides an interpretation and written report of the examination.510390$10$23.4K
    G0452Molecular pathology procedure; physician interpretation and report3101,030$10$20.4K
    88291A qualified provider, typically a pathologist, submits an interpretation and report of cytogenetic and molecular cytogenetic testing commonly performed by lab analysts.3101,750$10$17.2K
    81206The lab analyst performs the technical lab test to evaluate the major breakpoint gene sequence BCR/ALB1 that occurs on chromosome 22 due to translocation, which involves breakage and reforming of an…410120$20$15.9K
    81207The lab analyst performs the technical lab test to evaluate the minor breakpoint gene sequence BCR/ALB1 that occurs on chromosome 22 due to translocation, which involves breakage and reforming of an…310380$20$13.4K

    Showing 1–10 of 17

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Yale UniversityCTAnesthesiology Physician$0$137.3M
    Planned Parenthood Of Southern New England, Inc.CTAmbulatory Family Planning Facility$0$37.9M
    Yale New Haven Health At Home, Inc.CTHome Health Agency$0$17M
    Yale-new Haven HospitalCTPediatric Dentistry$0$13.7M
    Apt Foundation IncCTMethadone Clinic$1.2M$11.6M
    Clifford W. Beers Guidance Clinic IncCTAdolescent and Children Mental Health Clinic/Center$0$11.6M
    Chemical Abuse Services Agency, Inc.CTCommunity/Behavioral Health Agency$162.8K$10.6M
    New Era Rehabilitation Center, Inc.CTMental Health Clinic/Center (Including Community Mental Health Center)$0$8.7M
    Sanjay AggarwalCTInternal Medicine Physician$0$4.5M
    Kristi RossomandoCTGeneral Practice Dentistry$0$4M

    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
    Precipio Inc — 12 of 25 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
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Connecticut Distribution
    Precipio Inc — 3 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut