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    OpenPayerNPI Medicare & MedicaidMolecular Lab Associates Illinois
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    Molecular Lab Associates Illinois — Billing Profile & Reimbursement Data

    NPI 1841999430 · Springfield, IL · Clinical Medical Laboratory

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    Molecular Lab Associates Illinois is a clinical medical laboratory provider located in Springfield, Illinois. This profile covers 16 Medicare and 10 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
    OrganizationMolecular Lab Associates Illinois
    Address2908 Greenbriar Dr Ste A
    CitySpringfield
    StateIL
    ZIP62704
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedMarch 2, 2023

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

    Payer SourceTotal Paid
    Medicare$186.8K
    Medicaid$30

    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…2,790$30$94.8K
    87481The lab analyst performs a test for Candida species using amplified nucleic acid probe technique.840$30$28.4K
    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…340$40$14.1K
    87637The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…60$140$8.7K
    87640The lab analyst performs the technical lab test to look for Staphylococcus aureus nucleic acid using an amplified probe technique.230$30$7.8K
    87651The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.210$30$7.3K
    87500The lab analyst performs a test for vancomycin resistance in an infectious organism’s nucleic acid using amplified probe technique. VRE, vancomycin resistant enterococcus, is the most common organism…210$30$7.1K
    87653The lab analyst performs a test for Streptococcus, group B, using amplified nucleic acid probe technique. The amplified probe provides a rapid means to assess colonization by Streptococcus, group B,…190$30$6.5K
    87581The lab analyst performs a test for Mycoplasma pneumonia, a bacteria, using amplified nucleic acid probe technique.70$30$2.2K
    87529The lab analyst performs a test for Herpes simplex virus, HSV, using amplified nucleic acid probe technique. HSV causes clusters of blisters, or vesicles, on different parts of the body and spreads…60$30$2K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    87637245050$140$557.3K
    877982270750$30$172.3K
    874811860120$30$47.3K
    87799310340$40$46.3K
    8749831060$30$16.8K
    87653216080$30$15.1K
    87640185080$30$14.8K
    87500144080$30$13.4K
    8754161060$30$10.9K
    87661153030$30$10.8K

    Showing 1–10 of 16

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    87481The lab analyst performs a test for Candida species using amplified nucleic acid probe technique.60$0$0
    87500The lab analyst performs a test for vancomycin resistance in an infectious organism’s nucleic acid using amplified probe technique. VRE, vancomycin resistant enterococcus, is the most common organism…190$0$0
    87563he lab analyst performs a test on a patient specimen such as blood, for Mycoplasma genitalium antigen detection using amplified nucleic acid probe technique.10$0$0
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…20$0$0
    87640The lab analyst performs the technical lab test to look for Staphylococcus aureus nucleic acid using an amplified probe technique.200$0$0
    87641The lab analyst performs a test for methicillin–resistant Staphylococcus aureus (MRSA) using an amplified nucleic acid probe technique.200$0$0
    87651The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.150$0$0
    87653The lab analyst performs a test for Streptococcus, group B, using amplified nucleic acid probe technique. The amplified probe provides a rapid means to assess colonization by Streptococcus, group B,…90$0$0
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…200$0$0
    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…40$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Illinois median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…1820500$30$399.9K
    87481The lab analyst performs a test for Candida species using amplified nucleic acid probe technique.4360120$50$51.1K
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…86190160$60$45.7K
    87563he lab analyst performs a test on a patient specimen such as blood, for Mycoplasma genitalium antigen detection using amplified nucleic acid probe technique.2420420$20$41.9K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…80089090$40$35K
    87641The lab analyst performs a test for methicillin–resistant Staphylococcus aureus (MRSA) using an amplified nucleic acid probe technique.74110450$20$27.4K
    87653The lab analyst performs a test for Streptococcus, group B, using amplified nucleic acid probe technique. The amplified probe provides a rapid means to assess colonization by Streptococcus, group B,…4570230$20$18.2K
    87651The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.375810120$30$18K
    87500The lab analyst performs a test for vancomycin resistance in an infectious organism’s nucleic acid using amplified probe technique. VRE, vancomycin resistant enterococcus, is the most common organism…1020190$20$17.5K
    87640The lab analyst performs the technical lab test to look for Staphylococcus aureus nucleic acid using an amplified probe technique.1030160$30$14.5K

    Nearby Providers

    Other providers in the same ZIP code as Molecular Lab Associates Illinois, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Springfield Unit 186ILLocal Education Agency (LEA)$0$3.4M
    Craig RussoILDiagnostic Radiology Physician$129.6K$800.1K
    Orthopaedic Surgery Center Of Illinois, LLCILAmbulatory Surgical Clinic/Center$693.8K$0
    Alexander RyanILDiagnostic Radiology Physician$128.6K$564K
    Ronald HidalgoILDiagnostic Radiology Physician$204.1K$409K
    Stephanie SwopeILDiagnostic Radiology Physician$109.7K$475.5K
    Lisa LoringILNurse Practitioner$564.7K$11.2K
    John SigleILPrimary Podiatric Medicine Podiatrist$349.8K$1K
    Aaron GouldILDiagnostic Radiology Physician$126.2K$209.3K
    David CrabtreeILPulmonary Disease Physician$217.4K$114.5K

    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. Illinois Distribution
    Molecular Lab Associates Illinois — 1 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Molecular Lab Associates Illinois — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois