Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Louisiana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Louisiana only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Louisiana (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Quest Diagnostics Clinical Laboratories Inc (NPI 1902471360)

Field	Value
Entity Type	Organization
Organization	Quest Diagnostics Clinical Laboratories Inc
Address	1203 S Tyler St Ste 100
City	Covington
State	LA
ZIP	70433
Taxonomy	Clinical Medical Laboratory
NPI Enumerated	May 26, 2021

Payer Source	Total Paid
Medicare	$64.5K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

9 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.	2,790	$10	$27.9K
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…	3,200	$10	$25.6K
83550	The lab analyst measures the iron binding capacity, typically in a serum sample. This analyte is an important measurement of the capacity of iron to bind to transferrin. That capacity is also known…	420	$10	$3.8K
83735	The lab analyst performs a test to measure the amount of magnesium in a patient specimen.	410	$10	$2.9K
83540	The lab analyst measures the iron level, primarily in serum. Iron is one of the essential elements in the body, and the greatest portion is present combined with hemoglobin within the red blood cells.	420	$10	$2.5K
83615	The lab analyst measures the lactate dehydrogenase, typically in a serum sample. Lactate dehydrogenase is found in many body tissues, especially in the liver, kidney, and heart, and also in red blood…	300	$10	$1.8K
84550	The lab analyst performs a test to measure the amount of uric acid in patient blood.	70	$1	$290
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…	20	$10	$110
84520	The lab analyst performs a test to measure the amount of urea nitrogen in patient blood.	20	$1	$80

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Louisiana Distribution

Quest Diagnostics Clinical Laboratories Inc — 2 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
80053	11	420	130	$10	$4.8K
85025	11	430	140	$10	$3.7K
83615	7	20	140	$10	$1.7K
83735	14	110	40	$10	$1.5K
83550	5	70	30	$10	$1.1K
83540	7	90	30	$10	$790
84550	27	100	40	$1	$790
82565	31	40	40	$1	$560
84520	21	30	30	$1	$470

Quest Diagnostics Clinical Laboratories Inc — Billing Profile & Reimbursement Data

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Quest Diagnostics Clinical Laboratories Inc — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References