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NPI 1851454011 · Richmond, CA · Clinical Medical Laboratory
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Permanente Medical Group, Inc. is a clinical medical laboratory provider located in Richmond, California. This profile covers 93 Medicare and 266 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Permanente Medical Group, Inc. |
| Address | 914 Marina Way S |
| City | Richmond |
| State | CA |
| ZIP | 94804 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | December 19, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $51.1M |
| Medicare | $924.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
93 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 19,470 | $10 | $155.8K |
| 84443 | The 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… | 3,670 | $20 | $58.8K |
| 83036 | Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).… | 4,920 | $10 | $49.2K |
| 82565 | The lab analyst measures the amount of creatinine in a patient specimen, typically of blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine… | 9,660 | $10 | $48.3K |
| 83970 | Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function. | 1,080 | $40 | $43.1K |
| 85025 | A 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… | 5,290 | $10 | $42.4K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 2,820 | $10 | $36.7K |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but… | 320 | $110 | $34.9K |
| 84460 | The lab analyst performs the technical lab test, typically using serum or plasma, to quantitate the enzyme alanine amino transferase, or ALT, also called SGPT, serum glutamate pyruvate transaminase.… | 6,590 | $10 | $32.9K |
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 490 | $60 | $29.2K |
Showing 1–10 of 93
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 93 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
93 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| G0480 | 11 | 50 | 70 | $110 | $119.4K |
| 80307 | 46 | 150 | 220 | $60 | $69.2K |
| 83970 | 25 | 190 | 160 | $40 | $45.6K |
| 86146 | 27 | 30 | 240 | $20 | $45.3K |
| 86147 | 27 | 40 | 200 | $20 | $44.7K |
| 82306 | 75 | 490 | 100 | $30 | $44.2K |
| 84443 | 40 | 620 | 120 | $20 | $39.4K |
| 86360 | 10 | 10 | 110 | $50 | $36.4K |
| 80061 | 44 | 700 | 110 | $10 | $35.3K |
| 80197 | 5 | 20 | 520 | $10 | $32.2K |
Showing 1–10 of 93
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
266 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 84443 | The 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… | 558,250 | $10 | $5.6M |
| 83036 | Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).… | 727,850 | $10 | $4.4M |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 1,243,090 | $1 | $3.7M |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 447,090 | $10 | $3.6M |
| 82306 | The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced… | 152,510 | $20 | $2.4M |
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 59,040 | $40 | $2.4M |
| 82565 | The lab analyst measures the amount of creatinine in a patient specimen, typically of blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine… | 765,940 | $1 | $2.3M |
| 84460 | The lab analyst performs the technical lab test, typically using serum or plasma, to quantitate the enzyme alanine amino transferase, or ALT, also called SGPT, serum glutamate pyruvate transaminase.… | 616,360 | $1 | $1.8M |
| 82728 | The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute… | 286,610 | $10 | $1.7M |
| 85025 | A 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… | 376,140 | $1 | $1.5M |
Showing 1–10 of 266
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
266 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 81443 | The lab analyst performs a genomic sequence analysis panel to evaluate the patient specimen for genetic sequences of at least 15 genes, such as the 20 gene examples listed in the code descriptor. The… | 3 | 10 | 3,040 | $290 | $4.7M |
| 81329 | The 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,… | 10 | 60 | 400 | $40 | $748.5K |
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 10 | 660 | 1,490 | $30 | $417.2K |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but… | 19 | 340 | 970 | $40 | $343.6K |
| 80323 | The 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. | 5 | 10 | 440 | $10 | $328.2K |
| 80321 | The lab analyst detects and measures the alcohol biomarker in a patient specimen. Alcohol biomarkers are physiological indicators of the alcohol exposure or ingestion. In this test, the analyst tests… | 5 | 20 | 290 | $10 | $304.6K |
| 81401 | The lab analyst performs the technical lab test to complete one of the specific genetic analyses listed in this Tier 2, Level 2 molecular pathology code. | 13 | 20 | 410 | $20 | $280.6K |
| 80356 | The lab analyst measures the amount of or detects the presence of heroin metabolite in the patient specimen. | 8 | 20 | 490 | $1 | $275.3K |
| 88377 | The 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… | 9 | 10 | 110 | $100 | $252.6K |
| 80373 | The lab analyst measures the amount of or detects the presence of tramadol, which is a centrally acting opioid pain medication, in the patient specimen. | 12 | 20 | 290 | $1 | $223.4K |
Showing 1–10 of 266
Other providers in the same ZIP code as Permanente Medical Group, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Genetic Disease Screening Program, State Of Ca | CA | Clinical Medical Laboratory | $0 | $182.6M |
| Addiction Research And Treatment, Inc | CA | Substance Use Disorder Rehabilitation Clinic/Center | $654.9K | $3K |
| Costco Wholesale Corporation | CA | Community/Retail Pharmacy | $109.6K | $0 |
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