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    OpenPayerNPI Medicare & MedicaidLaboratory Corporation Of America
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    Laboratory Corporation Of America — Billing Profile & Reimbursement Data

    NPI 1871578260 · Albany, NY · Clinical Medical Laboratory

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    Laboratory Corporation Of America is a clinical medical laboratory provider located in Albany, New York. This profile covers 38 Medicare and 86 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
    OrganizationLaboratory Corporation Of America
    Address400 Patroon Creek Blvd
    CityAlbany
    StateNY
    ZIP12206
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedDecember 8, 2005

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

    Payer SourceTotal Paid
    Medicaid$2.1M
    Medicare$168.6K

    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.

    38 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…1,330$50$62.4K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…140$240$33K
    83520The lab analyst measures the analyte, which is not an infectious agent antibody or infectious agent antigen, by immunoassay. Use 83520 for procedures that have no specific code assigned for the…870$20$14.8K
    82657The lab analyst measures the enzyme activity found from within the cells, which can be from a variety of locations including tissue. He uses a nonradioactive substrate for the test. Use this code…530$20$11.7K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,330$10$10.6K
    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…620$10$4.9K
    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.490$10$4.9K
    G0124Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician210$20$4.6K
    83516The lab analyst performs the technical immunoassay test involving several steps to detect and measure an analyte of a noninfectious nature. The results show as positive or negative, or in…350$10$3.8K
    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…830$1$3.3K

    Showing 1–10 of 38

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 38 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    38 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305189980370$50$58.5K
    867693450180$40$32.3K
    88341736740210$30$11.2K
    88342718850100$50$10.3K
    8625671090$10$8.5K
    835161540150$10$7.3K
    8830712662070$70$7K
    800533041,970120$10$6.9K
    83520240180$20$5.7K
    87449410460$10$5.5K

    Showing 1–10 of 38

    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.

    86 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    82306The 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…9,640$30$299K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…11,550$20$231K
    84443The 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…10,470$20$188.4K
    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.17,190$10$171.9K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.11,940$10$155.2K
    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…16,000$10$128K
    83036Sugar 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).…12,450$10$124.5K
    82607The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.6,730$20$107.6K
    82746The lab analyst measures the folic acid level in serum to determine if there is a deficiency. Folic acid deficiency is attributed to many conditions such as malabsorption, Crohn’s disease, celiac…6,140$20$98.3K
    86480The lab analyst performs a test to evaluate a cell mediated immunity gamma interferon antigen response to certain tuberculosis, or TB, antibodies.550$90$47.6K

    Showing 1–10 of 86

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New York median

    86 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.2642901,900$30$390.6K
    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.1375901,160$20$277.2K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…546401,080$60$251.5K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.3104101,190$20$209.8K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.2853701,530$20$192.3K
    82306The 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…493801,130$20$179K
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…1743002,790$20$174.1K
    80050The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…75170210$20$162.3K
    86480The lab analyst performs a test to evaluate a cell mediated immunity gamma interferon antigen response to certain tuberculosis, or TB, antibodies.91170620$50$161K
    88175The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…461201,050$20$121.2K

    Showing 1–10 of 86

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Laboratory Corporation Of America, 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
    Laboratory Corporation Of America HoldingsOHClinical Medical Laboratory$56.9M$617M
    Laboratory Corporation Of America HoldingsALClinical Medical Laboratory$60.5M$289.1M
    Laboratory Corporation Of AmericaAZClinical Medical Laboratory$38.5M$265.9M
    Laboratory Corporation Of America HoldingsNCClinical Medical Laboratory$3.5M$281.4M
    Laboratory Corporation Of America HoldingsNCClinical Medical Laboratory$0$264.7M
    Laboratory Corporation Of America HoldingsWVClinical Medical Laboratory$1.9M$220M
    Laboratory Corporation Of AmericaFLClinical Medical Laboratory$47.4M$171.2M
    Laboratory Corporation Of AmericaWAClinical Medical Laboratory$25M$186.7M

    Nearby Providers

    Other providers in the same ZIP code as Laboratory Corporation Of America, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Visiting Nurse Association Of Albany Home Care CorporationNYHome Health Agency$0$23.3M
    Equinox IncNYSubstance Use Disorder Rehabilitation Clinic/Center$0$19.1M
    St. Peter's Ambulatory Surgery Center LLCNYAmbulatory Surgical Clinic/Center$1.2M$2.8M
    Capital Region Ambulatory Surgery Center, L.L.C.NYAmbulatory Surgical Clinic/Center$1.1M$585.8K
    Qin ZenNYHematology & Oncology Physician$1.3M$2.9K
    Joseph DudekNYHematology & Oncology Physician$1.3M$830
    Lawrence GarboNYHematology & Oncology Physician$947.1K$210
    Hao WangNYOphthalmology Physician$852.5K$40
    Nischala AmmannagariNYHematology & Oncology Physician$787.2K$0
    Mohamad YounesNYHematology & Oncology Physician$780.5K$380

    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. New York Distribution
    Laboratory Corporation Of America — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Laboratory Corporation Of America — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York