Top 25 Hospital Outreach Labs for 2019

Top 25 Hospital Outreach Labs for 2019

Top 25 Hospital Outreach Labs for 2019

The table below lists the top 25 hospital-based outreach labs as measured by Medicare Part B CLFS and Physician Fee Schedule anatomic pathology test payments in 2019. Overall, the top 25 hospital labs had $169 million in Part B payments, which was down approximately 8% from 2018 due to the PAMA-related CLFS rate cuts.

Top 25 Fastest-Growing Labs by Medicare Part B Volume of Services

Top 25 Hospital Outreach Labs for 2019

Top Hospital-Based Outreach Labs by Medicare CLFS Payments

Top Hospital-Based Outreach Labs by Medicare CLFS Payments

The vast majority of hospital laboratory outreach programs uses its hospital’s NPI and finance department for billing and is now required to report their private-payer data to CMS under PAMA. The table below lists the top 25 hospital-based labs based on their Medicare CLFS payments for outreach lab testing in calendar-year 2018. Medicare CLFS payments typically represent roughly 20% to 30% of total revenue generated by hospital-based outreach labs.

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