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NPI 1891778346 · Fond Du Lac, WI · Clinical Medical Laboratory
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Consultants Laboratory Of Wisconsin, LLC is a clinical medical laboratory provider located in Fond Du Lac, Wisconsin. This profile covers 232 Medicare and 121 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 | Consultants Laboratory Of Wisconsin, LLC |
| Address | 430 E Division St |
| City | Fond Du Lac |
| State | WI |
| ZIP | 54935 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | November 29, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4.6M |
| Medicare | $1.2M |
This provider operates as a high‑volume outpatient clinical laboratory with heavy throughput for venous specimen collection and routine chemistry panels: on Medicare the top procedure by claims is 36415 (21.7K claims, $173.6K revenue) and major analytes include 80053 (10K claims, $99.8K) and 80061 (6.4K claims, $83.7K), while on Medicaid the practice reports very large volumes of molecular infectious disease testing such as U0003 (13.9K claims, $819.8K) alongside high counts for STD NAAT testing (87491 7.4K claims, 87591 7.3K claims). Together these patterns indicate an operation centered on venipuncture specimen collection, high-throughput chemistry panels and substantial infectious‑disease/NAAT testing capacity across payers.
Revenue concentration differs by payer: Medicare is concentrated with the top three codes (36415, 80053, 80061) accounting for 39.9% of total Medicare revenue, driven principally by 36415 at $173.6K (19.4% of Medicare revenue). Medicaid shows a different concentration pattern with its top three codes (U0003, 87491, 87591) accounting for 34.1% of total Medicaid revenue and a single code, U0003, contributing $819.8K (21.9% of Medicaid revenue).
Payer mix is materially skewed toward Medicaid: lifetime Medicaid revenue is $4.6M compared with $1.2M in Medicare, so Medicaid represents the larger share of the provider’s recorded public‑payer billing. This scale disparity suggests operational emphasis or contracting focus on Medicaid populations and programs, particularly for COVID and infectious‑disease testing.
National competitive standing on Medicare shows very high volume for core specimen‑collection and routine tests: 36415 ranks #122 of 86467 providers nationally (100th percentile; notably above typical national volume for this code), and common panels like 80053 and 80061 rank in the 99th percentile. A cluster of other routine chemistry and screening tests (for example, 85025, 84443, 82306) also sit in high national percentiles, indicating above‑average throughput relative to peers rather than niche specialization.
State competitive standing on Medicaid highlights dominance in select testing lines: U0003 ranks #15 of 172 in-state (92th percentile) and multiple high-volume Medicaid panels (80050, 80053, 80061, 82306) rank in the upper state percentiles, showing strong presence across common lab services. Notably, 87880 (strep A immunoassay) is flagged as an extreme outlier in-state (ranks #1 of 5; 100th percentile; notably above typical state volume), signaling a local area of exceptional volume relative to other Wisconsin providers.
The provider’s reported billing mix shows a pronounced infectious‑disease and NAAT testing footprint on Medicaid: U0003 ($819.8K, 21.9% of Medicaid revenue), U0005 ($148.9K) and multiplex respiratory codes (87636, 87637, 87653) appear among top Medicaid revenue drivers, reflecting substantial Medicaid revenue exposure to COVID and multiplex pathogen testing. On Medicare, COVID-related codes (U0003, U0005) are present but represent much smaller shares of the $1.2M total, indicating the provider’s Medicaid business is more dependent on pandemic-era molecular testing revenue.
The provider has long tenure in the NPI registry (NPI enumerated 2005-11-29 (~21 years ago)), which supports interpretation of these high volumes as the output of an established lab operation rather than a newly created entity. That longevity, combined with the mix of high-volume routine panels and specialized molecular/NAAT services, suggests mature operational capacity and likely established relationships with ambulatory sites, SNFs and public health testing programs.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
232 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. | 21,710 | $10 | $173.6K |
| 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. | 9,980 | $10 | $99.8K |
| 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. | 6,440 | $10 | $83.7K |
| 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… | 9,080 | $10 | $72.6K |
| 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… | 4,310 | $20 | $69K |
| 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… | 1,860 | $30 | $54K |
| 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).… | 4,790 | $10 | $43.1K |
| 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… | 430 | $70 | $31.7K |
| 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… | 3,720 | $10 | $29.7K |
| 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. | 740 | $40 | $29.6K |
Showing 1–10 of 232
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 232 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
232 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| U0003 | 4 | 10 | 430 | $70 | $61.9K |
| 87502 | 4 | 10 | 10 | $90 | $55.8K |
| 88305 | 218 | 300 | 460 | $40 | $44.8K |
| 87798 | 10 | 10 | 350 | $30 | $41.1K |
| G0471 | 2 | 10 | 3,890 | $10 | $39.5K |
| 83970 | 3 | 20 | 70 | $40 | $37.9K |
| G0480 | 4 | 10 | 110 | $110 | $36.6K |
| 88185 | 3 | 10 | 1,310 | $20 | $32.7K |
| 87799 | 3 | 10 | 580 | $40 | $29.4K |
| 80197 | 4 | 10 | 1,480 | $10 | $24.5K |
Showing 1–10 of 232
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.
121 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 13,900 | $60 | $819.8K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 7,360 | $30 | $235.4K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 7,280 | $30 | $225.7K |
| 80050 | The 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… | 4,980 | $40 | $214.2K |
| 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. | 22,150 | $10 | $199.4K |
| 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… | 7,080 | $30 | $177.1K |
| 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. | 13,460 | $10 | $161.6K |
| 87636 | The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic… | 1,170 | $130 | $150.4K |
| U0005 | 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, cdc or non-cdc,… | 9,930 | $20 | $148.9K |
| 87880 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab. | 10,310 | $10 | $144.3K |
Showing 1–10 of 121
How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Wisconsin median
121 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 15 | 170 | 720 | $70 | $272.7K |
| 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)… | 39 | 80 | 650 | $110 | $244.4K |
| 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. | 43 | 260 | 3,590 | $20 | $232.2K |
| 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. | 96 | 190 | 620 | $40 | $226.6K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 29 | 160 | 990 | $30 | $191.8K |
| 87661 | The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique. | 28 | 60 | 970 | $30 | $180.5K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 29 | 160 | 970 | $30 | $174.2K |
| 88175 | The 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… | 15 | 40 | 3,060 | $20 | $147.8K |
| 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… | 50 | 220 | 2,770 | $20 | $120.2K |
| 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… | 63 | 120 | 770 | $40 | $117.9K |
Showing 1–10 of 121
Other providers in the same ZIP code as Consultants Laboratory Of Wisconsin, LLC, ranked by combined Medicare and Medicaid revenue.
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