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NPI 1881630614 · Wood Dale, IL · Clinical Medical Laboratory
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Quest Diagnostics LLC Il is a clinical medical laboratory provider located in Wood Dale, Illinois. This profile covers 543 Medicare and 569 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 | Quest Diagnostics LLC Il |
| Address | 1355 Mittel Blvd |
| City | Wood Dale |
| State | IL |
| ZIP | 60191 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | June 21, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $429.8M |
| Medicare | $40.3M |
This entity is heavily Medicaid-biased in scale: lifetime Medicaid revenue is $429.8M compared with $40.3M in Medicare, indicating Medicaid accounts for the bulk of its billed volume and revenue activity across payers. The magnitude difference suggests the provider operates primarily as a high-volume Medicaid laboratory contractor rather than a Medicare-focused practice.
Revenue concentration is material but not singular for either payer: the top 3 Medicare codes by revenue account for 32.7% of Medicare revenue, led by 80053 ($3.3M), 80061 ($3.1M) and 84443 ($3.0M). On the Medicaid side the top 3 codes account for 26.3% of Medicaid revenue, driven by G0480 ($28.8M), U0003 ($26.9M) and 80307 ($25.9M), indicating meaningful but diversified dependence on a handful of high-volume tests.
The code mix implies a large commercial/reference laboratory operation rather than a small local lab: Medicare top codes are routine high-throughput chemistry and endocrine panels (80053, 80061, 84443, 82306) while Medicaid top codes include definitive and presumptive drug testing (G0480, 80307), high-volume infectious-agent molecular testing (U0003) and population-screening panels (80050, 85025). This combination of high-volume screening, infectious disease molecular assays, and toxicology is characteristic of a lab set up for centralized, high-throughput processing.
On Medicare measures this provider is an outsized national performer for many common lab codes: multiple top Medicare codes are flagged as “extreme outlier” and sit in the 100th percentile nationally (for example 80053 ranks #18 of 26416, 80061 ranks #16 of 21671 and 84443 ranks #16 of 19722). Those percentile and rank placements indicate this provider reports volumes far above typical national peers for a broad set of routine tests.
At the state level the provider is consistently dominant for Medicaid coding: many leading Medicaid codes rank #1 in-state and are described as “extreme outlier” (for example G0480 is #1 of 71, U0003 is #1 of 350, 80307 is #1 of 283). These rankings show the provider is a major statewide supplier for both molecular infectious testing and large-scale drug screening services.
Operational throughput is extensive across Medicaid claim counts and low per-claim payments typical of high-volume lab processing: examples include 1.8M claims for 80053, 1.2M claims for 84443, 1.7M claims for 85025, and 680.9K claims for 80307, each producing multi-million-dollar revenues. Those claim volumes and the presence of both high-claim, low-unit-price panels and high-unit-price molecular/toxicology codes indicate scale economies and centralized specimen handling.
Clinical breadth spans routine chronic-disease monitoring, infectious disease screening, sexual health screening, and toxicology: high Medicaid revenues for U0003, 87491, 87591, 87389 and 87801 combined with substantial payments for 83036, 82306 and 84443 show simultaneous emphasis on population infectious screening, women’s health and chronic condition surveillance. This mix suggests the lab supports outpatient and public-health testing use cases across diverse patient populations.
The provider is long-tenured on the NPI file (enumerated 2006-06-21, ~20 years ago), which combined with its Medicaid dominance and repeated #1 in-state rankings implies well-established contracting and referral relationships within Illinois. Long enumeration plus the concentrated high-volume code footprint supports the interpretation of an established commercial lab footprint rather than a recent entrant.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
543 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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. | 326,960 | $10 | $3.3M |
| 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. | 239,450 | $10 | $3.1M |
| 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… | 189,390 | $20 | $3M |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 350,290 | $10 | $2.8M |
| 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… | 91,420 | $30 | $2.7M |
| 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… | 266,500 | $10 | $2.1M |
| 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… | 12,950 | $110 | $1.5M |
| 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).… | 140,870 | $10 | $1.4M |
| 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. | 27,740 | $40 | $1.1M |
| 82607 | The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood. | 62,190 | $20 | $932.8K |
Showing 1–10 of 543
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 543 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
543 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 82507 | 3 | 10 | 22,650 | $30 | $477.2K |
| 83945 | 3 | 10 | 22,600 | $10 | $247.9K |
| 87798 | 53 | 70 | 750 | $30 | $172.3K |
| 83520 | 1 | 10 | 8,000 | $20 | $135.4K |
| 81513 | 3 | 10 | 80 | $140 | $118.9K |
| G0483 | 5 | 10 | 200 | $240 | $112.7K |
| 84105 | 3 | 10 | 22,650 | $10 | $98.7K |
| 82436 | 3 | 10 | 22,580 | $10 | $97.6K |
| 83704 | 1 | 10 | 2,830 | $30 | $94.8K |
| 84540 | 3 | 10 | 22,660 | $10 | $94.8K |
Showing 1–10 of 543
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.
569 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 505,160 | $60 | $28.8M |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high… | 364,170 | $70 | $26.9M |
| 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. | 680,900 | $40 | $25.9M |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 893,810 | $30 | $24.1M |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 890,900 | $30 | $24.1M |
| 87389 | The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an… | 589,190 | $40 | $21.2M |
| 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… | 1,247,640 | $10 | $15M |
| 87801 | The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique. | 319,250 | $50 | $14.7M |
| 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. | 1,849,470 | $10 | $12.9M |
| 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. | 1,523,070 | $10 | $12.2M |
Showing 1–10 of 569
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
569 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 81513 | The lab analyst performs the technical lab test on a vaginal fluid specimen for quantitative real–time amplification of RNA markers for three bacterial species listed in the code descriptor, and… | 1 | 10 | 210 | $70 | $1.4M |
| G0483 | 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… | 7 | 20 | 940 | $110 | $1.1M |
| 81420 | The lab analyst performs a genomic sequence analysis panel to evaluate circulating cell free fetal DNA in maternal blood for genetic sequences of at least the genes on chromosomes 13, 18, and 21,… | 1 | 10 | 30 | $400 | $883.9K |
| 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… | 1 | 70 | 570 | $50 | $565.6K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high… | 1 | 350 | 400 | $70 | $514.7K |
| 87637 | The 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)… | 24 | 80 | 530 | $130 | $505.1K |
| 87799 | The 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… | 1 | 20 | 500 | $30 | $399.9K |
| 87901 | The lab analyst performs the technical lab test to analyze the patient specimen, typically serum, for the reverse transcriptase and protease regions of the specific genotype of the virus causing the… | 1 | 10 | 2,450 | $160 | $386.4K |
| 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… | 1 | 10 | 390 | $940 | $362.4K |
| 87512 | The lab analyst performs a test to quantify infection with Gardnerella vaginalis using nucleic acid probe technique. Gardnerella vaginalis, typically causes bacterial vaginosis, an infection of the… | 1 | 10 | 180 | $30 | $362.3K |
Showing 1–10 of 569
Other providers in the same ZIP code as Quest Diagnostics LLC Il, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Optimalab Inc | IL | Clinical Medical Laboratory | $4M | $20.4M |
| Kci Usa, Inc. | IL | Durable Medical Equipment & Medical Supplies | $0 | $20.8M |
| Dominic Tolitano | IL | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | $1.1M | $0 |
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