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NPI 1881340826 · Mansfield, MA · Clinical Medical Laboratory
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American Health Ne, LLC is a clinical medical laboratory provider located in Mansfield, Massachusetts. This profile covers 78 Medicare and 54 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 | American Health Ne, LLC |
| Address | 171 Forbes Blvd Ste 2000 |
| City | Mansfield |
| State | MA |
| ZIP | 02048 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | February 28, 2022 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $639.7K |
| Medicaid | $96K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
78 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G0471 | Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) | 15,660 | $10 | $156.6K |
| P9603 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled | 60,980 | $1 | $61K |
| 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… | 6,620 | $10 | $52.9K |
| 80048 | The 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… | 5,990 | $10 | $47.9K |
| 80053 | The 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. | 4,610 | $10 | $46.1K |
| 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… | 2,160 | $20 | $34.5K |
| 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… | 790 | $30 | $22.9K |
| 85027 | The 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… | 3,310 | $10 | $19.9K |
| 83880 | The lab analyst measures the amount of natriuretic peptide, a hormone made by heart muscle cells, in the patient specimen. Blood levels of the hormone increase in patients with congestive heart… | 520 | $40 | $19.7K |
| 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).… | 1,800 | $10 | $18K |
Showing 1–10 of 78
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 78 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
78 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| P9603 | 2 | 10 | 38,630 | $1 | $294.6K |
| 83921 | 5 | 10 | 1,280 | $20 | $122.5K |
| G0471 | 1 | 10 | 7,980 | $10 | $80.4K |
| P9604 | 8 | 10 | 5,270 | $10 | $44.4K |
| 86141 | 9 | 20 | 60 | $10 | $20.2K |
| 87209 | 4 | 10 | 620 | $20 | $15.8K |
| 84165 | 54 | 60 | 250 | $10 | $13.7K |
| 80164 | 5 | 10 | 450 | $10 | $13.2K |
| 82784 | 16 | 20 | 100 | $10 | $12.6K |
| 83880 | 7 | 70 | 30 | $40 | $12K |
Showing 1–10 of 78
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.
54 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 14,250 | $1 | $14.3K |
| ATP14 | N/A | 4,900 | $1 | $9.8K |
| P9604 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge | 8,990 | $1 | $9K |
| ATP08 | N/A | 7,240 | $1 | $7.2K |
| 85027 | The 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… | 5,890 | $1 | $5.9K |
| 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… | 1,460 | $1 | $4.4K |
| 85610 | Prothrombin 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… | 4,060 | $1 | $4.1K |
| 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).… | 3,830 | $1 | $3.8K |
| 83880 | The lab analyst measures the amount of natriuretic peptide, a hormone made by heart muscle cells, in the patient specimen. Blood levels of the hormone increase in patients with congestive heart… | 930 | $1 | $3.7K |
| 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… | 3,640 | $1 | $3.6K |
Showing 1–10 of 54
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
54 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 61 | 160 | 570 | $10 | $167.2K |
| 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… | 69 | 190 | 1,240 | $10 | $137.4K |
| 80053 | The 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. | 72 | 250 | 970 | $1 | $96K |
| 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… | 67 | 410 | 820 | $1 | $95.7K |
| 87086 | Culture, bacterial; quantitative, colony count, urine. | 56 | 150 | 980 | $1 | $77.3K |
| ATP14 | N/A | 62 | 130 | 4,660 | $10 | $74.7K |
| 83880 | The lab analyst measures the amount of natriuretic peptide, a hormone made by heart muscle cells, in the patient specimen. Blood levels of the hormone increase in patients with congestive heart… | 57 | 80 | 2,960 | $10 | $74.6K |
| 82607 | The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood. | 61 | 130 | 1,400 | $10 | $63.9K |
| P9604 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge | 10 | 30 | 5,180 | $1 | $57.8K |
| 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).… | 87 | 350 | 440 | $1 | $55K |
Showing 1–10 of 54
Other providers in the same ZIP code as American Health Ne, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Pentec Health, Inc. | MA | Home Infusion Therapy Pharmacy | $347.7K | $20.2M |
| Clinical Science Laboratory Inc. | MA | Clinical Medical Laboratory | $9.5K | $8.7M |
| Town Of Mansfield | MA | Land Ambulance | $303.4K | $663.1K |
| Raymond Paul-blanc | MA | Urology Physician | $111.7K | $930 |
| Stephanie Favreau | MA | Internal Medicine Physician | $23.3K | $83.4K |
| Madeleine Sampson | MA | Radiation Oncology Physician | $98.8K | $0 |
| Erin Van Der Veer | MA | Family Nurse Practitioner | $55.1K | $0 |
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