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NPI 1245720820 · Deland, FL · Clinical Medical Laboratory
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Total Renal Laboratories Inc is a clinical medical laboratory provider located in Deland, Florida. This profile covers 47 Medicare and 90 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 | Total Renal Laboratories Inc |
| Address | 3000 Davita Way |
| City | Deland |
| State | FL |
| ZIP | 32724 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | May 18, 2018 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $37.7M |
| Medicare | $3.2M |
TOTAL RENAL LABORATORIES INC is a Clinical Medical Laboratory in DELAND, FL (NPI enumerated 2018-05-18, ~8 years ago) whose Medicare and Medicaid billing mix is dominated by high-volume chemistry and immunoassay testing. Medicare top codes include chemistry staples such as 84460 (ALT), 83036 (A1C), and 80061 (lipid panel), and the Medicare list also shows molecular infectious testing (U0003/U0005) and viral load/hepatitis assays among secondary contributors.
The provider’s payer mix is heavily skewed toward Medicaid: reported lifetime Medicaid revenue is $37.7M versus $3.2M in Medicare, indicating the business operates at much larger scale on the state Medicaid program than on Medicare. This suggests the lab’s primary commercial footprint or referral network is oriented toward Medicaid-covered populations or state-contracted testing volume.
Medicare revenue is highly concentrated: the top three Medicare codes account for 84.5% of the provider’s total Medicare revenue, with 84460 contributing $1.9M (60.8% of Medicare revenue), 83036 contributing $566K (18.3%), and 80061 contributing $167.8K (5.4%). This concentration implies heavy dependence on a narrow set of routine chemistry assays for Medicare income.
On Medicaid the top three codes account for 48.4% of Medicaid revenue, led by 83970 at $12.1M (33.7% of Medicaid revenue), followed by 82728 at $3M (8.5%) and 83550 at $2.3M (6.3%). These figures indicate that parathyroid hormone and iron-related testing are major business drivers in the Medicaid population rather than just routine liver panels.
Competitive standing on Medicare is notable for extreme national outlier volumes on select chemistry codes: 84460 ranks #1 of 2248 providers nationally (100th percentile; extreme outlier) and 83036 ranks #35 of 44997 providers nationally (100th percentile; extreme outlier), while some other commonly billed codes (e.g., 80061) sit at high but more typical percentiles (99th). In plain terms, the lab is a national-volume leader for specific chemistry tests on Medicare and an unusually large actor for A1C testing.
On Medicaid the lab is a dominant in-state performer across many assays: multiple high-revenue codes (including 83970, 82728, 83550, 83615, 83540, 84460, 84450, 82310, 84100 and others) rank #1 in-state (100th percentile; extreme outlier) and several more rank in the top few positions. This pattern marks the provider as a major statewide reference for endocrine, iron, renal, electrolytes and hepatitis-related testing, not a modest local participant.
The service-line mix—large Medicaid revenue for 83970 (PTH), high volumes of ferritin (82728) and iron binding capacity (83550), plus routine panels (84460, 84450, 80061) and hepatitis serology—points to a laboratory optimized for high-throughput endocrine/metabolic and iron-status testing and for infectious disease serology and monitoring. The presence of SARS‑CoV‑2 molecular codes (U0003, U0005) shows capacity for molecular high-throughput testing, though those codes are smaller shares of total revenue.
Operational tempo and specimen throughput appear substantial: Medicaid claim counts reported include very large volumes (for example, 83970 shows 433.3K claims and 84460 shows 1.1M claims on Medicaid), supporting the revenue scale reported and consistent with the lab’s in-state dominant ranking for many assays. Given NPI enumeration in 2018-05-18 (~8 years ago), the organization has scaled quickly within the state Medicaid program to achieve these extreme outlier volumes.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
47 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 84460 | The lab analyst performs the technical lab test, typically using serum or plasma, to quantitate the enzyme alanine amino transferase, or ALT, also called SGPT, serum glutamate pyruvate transaminase.… | 376,710 | $10 | $1.9M |
| 83036 | Sugar 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).… | 62,890 | $10 | $566K |
| 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. | 12,910 | $10 | $167.8K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high… | 1,980 | $70 | $144.3K |
| 87522 | A lab tests a patient’s specimen to measure the amount of hepatitis C virus present. This may be referred to as viral load. | 2,990 | $40 | $125.6K |
| 87635 | Using 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… | 1,250 | $50 | $62.6K |
| 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… | 3,620 | $20 | $58K |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc,… | 1,650 | $20 | $39.6K |
| 83970 | Parathyroid 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. | 640 | $20 | $15.3K |
| 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… | 1,210 | $1 | $4.9K |
Showing 1–10 of 47
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 47 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
47 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| U0003 | 7 | 50 | 190 | $70 | $47.1K |
| 87522 | 1 | 10 | 810 | $40 | $42.9K |
| 82306 | 353 | 920 | 70 | $30 | $21.5K |
| 84443 | 29 | 1,210 | 130 | $20 | $20.9K |
| 83970 | 23 | 320 | 50 | $40 | $20.2K |
| 80061 | 10 | 1,250 | 160 | $10 | $19.4K |
| 84460 | 1 | 120 | 90 | $10 | $18.5K |
| 87186 | 227 | 240 | 30 | $10 | $15.4K |
| 87070 | 31 | 40 | 80 | $10 | $14.1K |
| 86704 | 12 | 20 | 60 | $10 | $12.9K |
Showing 1–10 of 47
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.
90 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 83970 | Parathyroid 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. | 433,310 | $30 | $12.1M |
| 82728 | The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute… | 338,570 | $10 | $3M |
| 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… | 377,030 | $10 | $2.3M |
| 84460 | The lab analyst performs the technical lab test, typically using serum or plasma, to quantitate the enzyme alanine amino transferase, or ALT, also called SGPT, serum glutamate pyruvate transaminase.… | 1,059,970 | $1 | $2.1M |
| 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… | 464,880 | $1 | $1.9M |
| 86803 | Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody | 155,470 | $10 | $1.6M |
| 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. | 386,470 | $1 | $1.5M |
| 84450 | The lab analyst performs the technical lab test, typically using serum or plasma, to quantitate the enzyme aspartate amino transferase, or AST, also called SGOT, serum glutamic oxaloacetic… | 467,480 | $1 | $1.4M |
| 87340 | The lab analyst performs a test to detect hepatitis B surface antigen, also called HBsAg, using an immunoassay technique, such as EIA. | 182,650 | $10 | $1.3M |
| 83036 | Sugar 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).… | 233,820 | $10 | $1.2M |
Showing 1–10 of 90
How this provider's Medicaid billing volume and revenue compare to other Florida providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Florida median
90 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high… | 23 | 320 | 750 | $40 | $232.7K |
| 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. | 496 | 640 | 4,400 | $10 | $193.4K |
| 84520 | The lab analyst performs a test to measure the amount of urea nitrogen in patient blood. | 2 | 300 | 1,170 | $60 | $186K |
| 82310 | The lab analyst measures the calcium level, primarily on a serum sample. | 1 | 220 | 880 | $50 | $151.3K |
| 85041 | The lab analyst analyzes a sample of the patient’s blood on a slide and uses an automated system to determine the number of red blood cells present. | 104 | 180 | 860 | $90 | $116.6K |
| 85048 | The lab analyst evaluates a sample of the patient’s blood on a slide and uses an automated system to determine the number of white blood cells present. | 93 | 180 | 880 | $100 | $113.6K |
| 83970 | Parathyroid 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. | 1 | 460 | 510 | $50 | $110.2K |
| 87389 | The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an… | 80 | 100 | 370 | $10 | $106K |
| 84155 | The lab analyst performs the technical lab test to quantitate total protein in a serum, plasma, or whole blood specimen using one of several assay methods, excluding refractometry. Total protein is a… | 2 | 250 | 680 | $60 | $94.3K |
| 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… | 58 | 820 | 1,430 | $1 | $92.8K |
Showing 1–10 of 90
Other providers in the same ZIP code as Total Renal Laboratories Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Dva Healthcare Renal Care Inc | FL | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | $0 | $13.7M |
| Lee Metchick | FL | Endocrinology, Diabetes & Metabolism Physician | $314.1K | $0 |
| Gemma Villapando | FL | Family Nurse Practitioner | $52.8K | $0 |
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