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    OpenPayerNPI Medicare & MedicaidQuest Diagnostics LLC
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    Quest Diagnostics LLC — Billing Profile & Reimbursement Data

    NPI 1982111555 · Norwich, CT · Clinical Medical Laboratory

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    Quest Diagnostics LLC is a clinical medical laboratory provider located in Norwich, Connecticut. This profile covers 6 Medicare and 22 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)

    FieldValue
    Entity TypeOrganization
    OrganizationQuest Diagnostics LLC
    Address118 New London Tpke
    CityNorwich
    StateCT
    ZIP06360
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedJanuary 4, 2018

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

    Payer SourceTotal Paid
    Medicaid$8.7K
    Medicare$3K

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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.80$10$820
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.100$10$780
    85025A 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…60$10$490
    85610Prothrombin time is most commonly measured using the blood plasma. Chemicals like calcium and tissue factor are added to the plasma sample and then the time is noted when the plasma clots. To analyze…120$1$460
    P9604Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge30$10$260
    83615The 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…20$10$100

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    P96044102,280$10$21.2K
    8005313224090$10$2.5K
    8502515925090$10$2.1K
    836151520330$10$2.1K
    3641521457060$10$1.7K
    85610256090$1$1.6K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    85610Prothrombin time is most commonly measured using the blood plasma. Chemicals like calcium and tissue factor are added to the plasma sample and then the time is noted when the plasma clots. To analyze…1,630$1$3.3K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,040$1$1K
    85730The analyst performs the technical lab test using plasma or whole blood to measure partial thromboplastin time, PTT, also called APTT, activated partial thromboplastin time. The PTT assay can help…340$1$1K
    85025A 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…320$1$320
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.40$10$310
    84702The lab analyst performs the technical lab test to measure the amount of hCG, also known as beta hCG, in blood to confirm or monitor pregnancy, or to diagnose certain tumors of the testes or ovaries.70$1$280
    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…20$1$20
    82040The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.550$0$0
    82247The lab analyst measures the amount of total bilirubin in a patient’s blood. Bilirubin is the yellow color pigment found in the bile, a fluid made by the liver.520$0$0
    82310The lab analyst measures the calcium level, primarily on a serum sample.620$0$0

    Showing 1–10 of 22

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Connecticut providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Connecticut median

    22 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    85025A 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…751002,240$1$67.1K
    82947The lab analyst performs a test to measure the amount of glucose in a patient's blood using a method other than a reagent strip.4280780$1$50K
    82247The lab analyst measures the amount of total bilirubin in a patient’s blood. Bilirubin is the yellow color pigment found in the bile, a fluid made by the liver.23307,770$1$40.8K
    82040The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.34501,510$1$32.4K
    82310The lab analyst measures the calcium level, primarily on a serum sample.38501,930$1$27.2K
    84702The lab analyst performs the technical lab test to measure the amount of hCG, also known as beta hCG, in blood to confirm or monitor pregnancy, or to diagnose certain tumors of the testes or ovaries.34303,630$1$25.4K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.87200810$1$22.4K
    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…45503,930$1$20.6K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.188230300$10$14.3K
    84075The lab analyst measures the alkaline phosphatase, typically in a serum sample. The origin of the enzyme alkaline phosphatase is primarily from the liver, bone, intestine, and lungs.36501,520$1$9.4K

    Showing 1–10 of 22

    Nearby Providers

    Other providers in the same ZIP code as Quest Diagnostics LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The William W Backus HospitalCTGeneral Acute Care Hospital$0$163M
    United Community And Family Services, Inc.CTFederally Qualified Health Center (FQHC)$0$63.8M
    United Community And Family Services, Inc.CTFederally Qualified Health Center (FQHC)$0$24.8M
    American Ambulance Service, Inc.CTLand Ambulance$2.2M$12.4M
    United Community And Family Services, IncCTFederally Qualified Health Center (FQHC)$0$7.7M
    City Of Norwich Board Of EducationCTLocal Education Agency (LEA)$0$6.7M
    Norwich Pediatric Group, P.C.CTPediatrics Physician$0$3.4M
    Norwich Ophthalmology Group, P.C.CTOphthalmology Physician$0$2.9M
    Hi Dental Care LLCCTDental Clinic/Center$0$2.7M
    Ob-gyn Services, P.C.CTObstetrics & Gynecology Physician$0$2.3M

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Connecticut Distribution
    Quest Diagnostics LLC — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut
    Medicaid Revenue by Year vs. Connecticut Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Connecticut Distribution
    Quest Diagnostics LLC — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut