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NPI 1912000308 · Oak Park, IL · Clinical Medical Laboratory
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Unilab Inc is a clinical medical laboratory provider located in Oak Park, Illinois. This profile covers 80 Medicare and 92 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 | Unilab Inc |
| Address | 418 N Austin Blvd |
| City | Oak Park |
| State | IL |
| ZIP | 60302 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | September 7, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.9M |
| Medicaid | $1M |
This provider reports $2.9M in total Medicare revenue and $1M in total Medicaid revenue, making Medicare the larger payer by the figures on file; both payers are material but Medicare is the dominant source of billed revenue. The NPI was enumerated on 2006-09-07 (~20 years ago), indicating an established clinical laboratory presence over multiple policy cycles.
Medicare revenue is highly concentrated in a small set of molecular assays: the precomputed top 3 Medicare codes account for 69.6% of this provider's total Medicare revenue. The single largest Medicare line is 87798 (40.7K claims, $1.4M revenue, 49.7% of Medicare revenue) followed by 87481 ($447.4K, 16.1%); this concentration signals that amplified nucleic acid probe testing is the core revenue driver for Medicare-billed services.
The mix of top Medicare CPT/HCPCS codes (87798, 87481, 87640, 87651, 87500, 87529 and other amplified-nucleic-acid assays) describes a lab operation focused on molecular infectious-disease testing, including STIs (87491, 87591, 87529), colonization/colonization screening (87653), and antimicrobial-resistance markers (87500 VRE). High counts for diagnostic molecular codes (for example 87798 40.7K claims and 87481 13.2K claims) point to centralized processing of high-volume specimen streams rather than primarily low-volume anatomic pathology or clinical chemistry work.
On Medicare competitive standing, several molecular codes appear in high national percentiles: 87798 ranks #47 of 1319 providers nationally (97th percentile; typical, unremarkable volume), 87481 ranks #30 of 1117 (97th percentile; typical, unremarkable volume), and 87651 is #36 of 3530 (99th percentile; notably above typical national volume). Taken together, these ranks indicate a strong national footprint for specific molecular assays — above-average volume for many codes and notably above-typical volume for select targets — but not a single dominant national monopoly across all lab services.
Medicaid billing is more diversified across routine chemistry, endocrine, and molecular testing: the precomputed top 3 Medicaid codes account for 44.6% of this provider's total Medicaid revenue, with 87798 (1.9K claims, $236.7K, 26.2% of Medicaid) plus high-claim routine panels such as 84443 (6K claims, $84.3K, 9.3%) and 87481 (1.8K claims, $82.8K, 9.2%). Large Medicaid claim volumes for 80053 (9.8K claims) and 85025 (8.4K claims) imply substantial routine chemistry and hematology throughput for the Medicaid population alongside the molecular testing business.
In-state competitive standing for Medicaid shows the provider often above median but not the statewide leader: 87798 ranks #21 of 194 providers in-state (90th percentile; typical, unremarkable volume) and 87481 ranks #9 of 58 (86th percentile), while high-volume chemistry codes like 80053 rank #141 of 741 (81th percentile). These positions indicate the lab is a meaningful participant in Illinois Medicaid lab networks, frequently in the upper percentiles for specific assays but not uniformly the top-ranked provider across all routine panels.
Operationally, the Medicare top-25 list includes P9604 (travel allowance; 1.2K claims, $19.2K, 0.7% of Medicare revenue), which documents billed home- or nursing-home specimen collection activity. That line item, together with the mix of high-volume molecular and routine panels, suggests this business model combines centralized molecular testing with specimen-collection outreach to homebound or institutionalized patients.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
80 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 87798 | The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified… | 40,710 | $30 | $1.4M |
| 87481 | The lab analyst performs a test for Candida species using amplified nucleic acid probe technique. | 13,160 | $30 | $447.4K |
| 87640 | The lab analyst performs the technical lab test to look for Staphylococcus aureus nucleic acid using an amplified probe technique. | 3,080 | $30 | $104.8K |
| 87653 | The lab analyst performs a test for Streptococcus, group B, using amplified nucleic acid probe technique. The amplified probe provides a rapid means to assess colonization by Streptococcus, group B,… | 2,800 | $30 | $95.3K |
| 87500 | The lab analyst performs a test for vancomycin resistance in an infectious organism’s nucleic acid using amplified probe technique. VRE, vancomycin resistant enterococcus, is the most common organism… | 2,710 | $30 | $92.1K |
| 87529 | The lab analyst performs a test for Herpes simplex virus, HSV, using amplified nucleic acid probe technique. HSV causes clusters of blisters, or vesicles, on different parts of the body and spreads… | 2,390 | $30 | $81.4K |
| 87651 | The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat. | 2,250 | $30 | $76.6K |
| 87563 | he lab analyst performs a test on a patient specimen such as blood, for Mycoplasma genitalium antigen detection using amplified nucleic acid probe technique. | 1,790 | $30 | $60.8K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 1,780 | $30 | $60.6K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 1,780 | $30 | $60.6K |
Showing 1–10 of 80
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 80 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
80 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| P9603 | 39 | 40 | 35,960 | $1 | $232.2K |
| 87798 | 1 | 70 | 750 | $30 | $172.3K |
| G0471 | 9 | 10 | 940 | $10 | $166.2K |
| 82140 | 8 | 10 | 100 | $10 | $71.4K |
| 87481 | 1 | 60 | 120 | $30 | $47.3K |
| 87641 | 2 | 10 | 90 | $30 | $32.4K |
| 87088 | 12 | 30 | 140 | $10 | $31.9K |
| 87556 | 2 | 10 | 600 | $40 | $31.4K |
| 87631 | 14 | 30 | 40 | $140 | $23.9K |
| 87186 | 17 | 40 | 70 | $10 | $21.4K |
Showing 1–10 of 80
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.
92 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 87798 | The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified… | 1,940 | $120 | $236.7K |
| 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… | 6,020 | $10 | $84.3K |
| 87481 | The lab analyst performs a test for Candida species using amplified nucleic acid probe technique. | 1,760 | $50 | $82.8K |
| 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. | 9,810 | $10 | $78.5K |
| 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… | 8,450 | $10 | $50.7K |
| 87641 | The lab analyst performs a test for methicillin–resistant Staphylococcus aureus (MRSA) using an amplified nucleic acid probe technique. | 1,450 | $20 | $33.4K |
| 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. | 4,900 | $10 | $29.4K |
| 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… | 1,320 | $20 | $29.1K |
| 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. | 5,810 | $10 | $29K |
| 82150 | The lab analyst performs a quantitative measurement of amylase, typically in serum or urine. Amylase is primarily produced in the pancreas, but is also produced in the salivary gland. | 4,610 | $10 | $27.7K |
Showing 1–10 of 92
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
92 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 87633 | The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for… | 137 | 170 | 150 | $200 | $190.9K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 124 | 360 | 600 | $30 | $165.1K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 123 | 360 | 630 | $30 | $165K |
| 87661 | The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique. | 44 | 160 | 300 | $20 | $145.2K |
| 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. | 141 | 740 | 960 | $10 | $75.9K |
| 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… | 98 | 530 | 840 | $10 | $73.9K |
| 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 | 6 | 20 | 1,750 | $10 | $66.6K |
| 87624 | The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result. | 124 | 140 | 400 | $20 | $64.8K |
| 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… | 123 | 370 | 560 | $10 | $60.5K |
| 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 | 15 | 30 | 910 | $1 | $57.4K |
Showing 1–10 of 92
Other providers in the same ZIP code as Unilab Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Pcc Community Wellness Center | IL | Federally Qualified Health Center (FQHC) | $0 | $102.1M |
| Thrive Counseling Center | IL | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $9.5M |
| Randall Mcgivney | IL | Clinical Pathology/Laboratory Medicine Physician | $27.6K | $4.1M |
| Sabrina Albert | IL | Clinical Social Worker | $0 | $3.1M |
| Timothy Mccarthy | IL | Ophthalmology Physician | $151.5K | $2.3M |
| Mark Balek | IL | Cardiovascular Disease Physician | $1.1M | $516.2K |
| Dheeraj Mahajan | IL | Internal Medicine Physician | $518.5K | $958K |
| Kamran Heydarpour | IL | Gastroenterology Physician | $129.5K | $1.2M |
| David Springer | IL | Ophthalmology Physician | $429.9K | $174.1K |
| Victoria Chirman | IL | Podiatrist | $473.7K | $20K |
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