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    OpenPayerNPI Medicare & MedicaidKaiser Foundation Health Plan Of Georgia Inc.
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    Kaiser Foundation Health Plan Of Georgia Inc. — Billing Profile & Reimbursement Data

    NPI 1932361789 · Tucker, GA · Clinical Medical Laboratory

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    Kaiser Foundation Health Plan Of Georgia Inc. is a clinical medical laboratory provider located in Tucker, Georgia. This profile covers 65 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationKaiser Foundation Health Plan Of Georgia Inc.
    Address200 Crescent Center Pkwy
    CityTucker
    StateGA
    ZIP30084
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedJuly 1, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$97.6K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    65 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…220$50$11.1K
    83036Sugar 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).…730$10$7.3K
    83970Parathyroid 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.160$40$6.4K
    84443The 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…270$20$4.4K
    80053The 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.350$10$3.5K
    85027The 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…590$10$3.5K
    80048The 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…440$10$3.5K
    82306The 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…120$30$3.3K
    82274The lab analyst uses an immunoassay method to perform a test for hidden blood in a fecal specimen that the patient collects from three consecutive bowel movements or that the clinician acquires…210$20$3.3K
    82607The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.160$20$2.5K

    Showing 1–10 of 65

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 65 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    65 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8738921040$20$26.1K
    8680341060$10$22.9K
    8707051030$10$20.3K
    8670421030$10$18.8K
    8734041040$10$17.4K
    839702913040$40$15.2K
    8759131030$30$11.6K
    8749131020$30$10.7K
    84443152590130$20$10.6K
    87086119040$10$10.3K

    Showing 1–10 of 65

    Nearby Providers

    Other providers in the same ZIP code as Kaiser Foundation Health Plan Of Georgia Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Quest Diagnostics Clinical Laboratories IncGAClinical Medical Laboratory$53.3M$211.1M
    Vision Medical Consulting, P.C.GAFamily Medicine Physician$0$4.6M
    Quest Diagnostics Clinical Laboratories IncGAClinical Medical Laboratory$0$3.7M
    Atlanta Heart Specialists LLCGACardiovascular Disease Physician$0$2.2M
    Jairus RobinsonGAClinical Social Worker$0$691.9K
    Sandeep ChandraGAInterventional Cardiology Physician$363.7K$0
    Zoubin AlikhaniGAClinical Cardiac Electrophysiology Physician$354.8K$0
    David SongGAInterventional Cardiology Physician$339K$0
    David SuhGACardiovascular Disease Physician$318.4K$0
    Binu KunjummenGAInterventional Cardiology Physician$198.8K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Georgia Distribution
    Kaiser Foundation Health Plan Of Georgia Inc. — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia