Loading...
NPI 1255314704 · Tampa, FL · Clinical Medical Laboratory
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Laboratory Corporation Of America is a clinical medical laboratory provider located in Tampa, Florida. This profile covers 525 Medicare and 582 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 | Laboratory Corporation Of America |
| Address | 5610 W Lasalle Street |
| City | Tampa |
| State | FL |
| ZIP | 33607 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | November 29, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $171.2M |
| Medicare | $47.4M |
Provider is a long-established clinical laboratory (NPI enumerated 2005-11-29, ~21 years ago) with a payer mix heavily weighted to Medicaid: lifetime Medicaid revenue is $171.2M versus $47.4M in Medicare, indicating Medicaid is the larger revenue source by scale for this entity. This split suggests operations and contracting priorities are likely driven by state Medicaid volume and reimbursement dynamics rather than Medicare alone.
Revenue concentration differs by payer: the top 3 Medicare codes by revenue account for 35.2% of this provider's total Medicare revenue, driven primarily by 80061 ($4M, 12.0%), 80053 ($4M, 11.9%), and 84443 ($3.8M, 11.3%). Those three routine chemistry and endocrine panel codes substantively concentrate Medicare dollars into a small set of high-volume tests.
On the Medicaid side the top 3 codes by revenue account for 23.8% of total Medicaid revenue, with 87491 ($10.3M, 8.8%), 80050 ($8.9M, 7.6%), and 82306 ($8.6M, 7.4%) supplying most of that concentration. The Medicaid top codes combine high-volume infectious disease and broad screening/general health panels, showing the provider captures large shares of state screening and population-level testing business.
The code mix indicates a hybrid operation that pairs very high-volume, low-unit-price routine testing with higher-paid molecular/genomic and specialty assays. Examples of scale and specialty: Medicaid claims include 2.3M claims for 80061 ($6.9M revenue) and 959.4K claims for 82306 ($8.6M revenue), while molecular/genomic items such as 81420 ($7.6M revenue, 33.1K claims) and 81220 ($7.1M revenue, 39.1K claims) show a meaningful presence of higher-reimbursement, lower-volume services.
Competitive standing on Medicare is national leadership for many routine codes: multiple Medicare codes rank at or near the top nationally with 100th percentile/"extreme outlier" labels (for example 80061 ranks #9 of 21671, 80053 ranks #13 of 26416, and 84443 ranks #12 of 19722). This pattern indicates the provider operates at an outsized national scale for common lab tests compared with typical national providers.
State-level competitive standing in Florida is dominant across a broad set of Medicaid codes: numerous Medicaid codes are ranked #1 in-state with 100th percentile/"extreme outlier" labels (for example 87491 #1 of 343, 80050 #1 of 71, 82306 #1 of 344). That dominance implies a primary role in the state’s Medicaid lab network, particularly for STI testing, prenatal/general panels, and vitamin D testing.
Operational implications include a logistics-heavy specimen collection and high-throughput processing model: very large claim counts such as 2.3M claims for 80061 (Medicaid), 2.4M claims for 80053 (Medicaid), and 353.2K claims for 36415 (Medicare) paired with low average paid/claim amounts (e.g., $3–$18) are consistent with centralized, high-volume reference laboratory operations and distribution of testing across many clinical sites. The mix of numerous low-paid, very high-count codes suggests efficiency and scale in specimen intake, automated analyzers, and billing throughput.
The provider’s product mix is diversified across public health and specialty diagnostics: high Medicaid volumes for infectious disease NAATs (87491, 87591, 87798) and screening tests (87389, 87624), plus significant investment in molecular/genomic services (81420 $7.6M, 81220 $7.1M and Medicare 81490 $742.4K with $824 avg paid/claim). This diversification positions the laboratory to serve routine population screening, infectious disease surveillance, prenatal screening, and targeted genomic testing within both Medicaid and Medicare populations.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
525 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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. | 307,200 | $10 | $4M |
| 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. | 397,120 | $10 | $4M |
| 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… | 235,230 | $20 | $3.8M |
| 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… | 106,790 | $30 | $3.1M |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 353,210 | $10 | $2.8M |
| 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… | 294,550 | $10 | $2.4M |
| 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).… | 199,030 | $10 | $2M |
| 82607 | The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood. | 90,370 | $20 | $1.4M |
| 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. | 25,460 | $40 | $1M |
| 84153 | The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and… | 51,930 | $20 | $934.7K |
Showing 1–10 of 525
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 525 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
525 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 81490 | 1 | 10 | 610 | $820 | $461.1K |
| 87798 | 11 | 110 | 590 | $30 | $218.6K |
| 88237 | 6 | 10 | 140 | $140 | $175.8K |
| 87150 | 39 | 40 | 1,660 | $30 | $173.2K |
| 87801 | 6 | 60 | 450 | $70 | $166.5K |
| 83521 | 4 | 10 | 3,990 | $20 | $163.5K |
| 83013 | 3 | 10 | 1,640 | $70 | $107K |
| 81279 | 29 | 30 | 140 | $180 | $106.7K |
| 83698 | 4 | 10 | 240 | $50 | $104.5K |
| 87536 | 3 | 10 | 90 | $80 | $100.3K |
Showing 1–10 of 525
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.
582 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 1,030,420 | $10 | $10.3M |
| 80050 | The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the… | 496,790 | $20 | $8.9M |
| 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… | 959,420 | $10 | $8.6M |
| 81420 | The lab analyst performs a genomic sequence analysis panel to evaluate circulating cell free fetal DNA in maternal blood for genetic sequences of at least the genes on chromosomes 13, 18, and 21,… | 33,080 | $230 | $7.6M |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 1,018,380 | $10 | $7.1M |
| 81220 | The lab analyst performs the technical lab test to detect the presence of changes in the gene for cystic fibrosis transmembrane conductance regulator, also known as CFTR. The test evaluates the CFTR… | 39,150 | $180 | $7.1M |
| 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. | 2,290,850 | $1 | $6.9M |
| 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… | 253,160 | $20 | $5.3M |
| 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… | 78,300 | $60 | $4.9M |
| 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. | 2,425,100 | $1 | $4.9M |
Showing 1–10 of 582
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
582 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 81420 | The lab analyst performs a genomic sequence analysis panel to evaluate circulating cell free fetal DNA in maternal blood for genetic sequences of at least the genes on chromosomes 13, 18, and 21,… | 1 | 10 | 8,980 | $280 | $4.2M |
| 81479 | Use 81479 to report a molecular pathology procedure that does not have a specific code. | 4 | 10 | 80 | $50 | $2.4M |
| 81220 | The lab analyst performs the technical lab test to detect the presence of changes in the gene for cystic fibrosis transmembrane conductance regulator, also known as CFTR. The test evaluates the CFTR… | 2 | 20 | 130 | $210 | $1.5M |
| 80081 | The lab analyst performs an obstetric panel; this panel must include tests for a complete blood count with differential, a hepatitis B surface antigen test, a single–result test for HIV–1 antigens… | 1 | 10 | 28,880 | $30 | $1.4M |
| 83498 | The lab analyst measures the 17 hydroxyprogesterone in a sample such as blood, serum, urine, or even amniotic fluid. This hormone is a building block for the adrenal cortex hormone cortisol. | 2 | 10 | 7,990 | $10 | $932.8K |
| 81229 | The lab analyst performs the technical lab test using comparative genomic hybridization (CGH) microarray, also referred to as chromosomal microarray (CMA) or molecular karyotype performed by… | 2 | 10 | 680 | $270 | $506.2K |
| 83789 | The lab analyst performs the technical lab test to evaluate the specimen for the presence or amount of a nondrug analyte by using mass spectrometry and tandem mass spectrometry. | 2 | 10 | 30 | $1 | $449.4K |
| 86003 | The lab analyst performs the technical lab test to analyze a specimen such as serum for allergen–specific immunoglobulin E (IgE), using a crude allergen extract. The test result is quantitative or… | 2 | 20 | 620 | $30 | $423.4K |
| 80055 | The lab analyst performs an obstetric panel; this panel must include tests for a complete blood count with differential, a hepatitis B surface antigen, a rubella antibody, a qualitative non… | 3 | 10 | 170 | $40 | $366K |
| 87902 | The lab analyst performs the technical lab test to analyze the specific genotype by nucleic acid of a specimen containing hepatitis C virus. | 2 | 10 | 3,220 | $80 | $309.4K |
Showing 1–10 of 582
Other providers in the same ZIP code as Laboratory Corporation Of America, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| St. Joseph's Hospital, Inc. | FL | General Acute Care Hospital | $0 | $70.7M |
| Maxim Healthcare Services, Inc. | FL | Home Health Agency | $0 | $45.3M |
| Cr & Ra Investments LLC | FL | Home Health Agency | $0 | $37.4M |
| Florida Woman Care, LLC | FL | Obstetrics & Gynecology Physician | $0 | $30.9M |
| Emergency Medical Associates Of Tampa Bay, LLC | FL | Emergency Medicine Physician | $0 | $25.1M |
| Pchp | FL | Case Manager/Care Coordinator | $0 | $16.7M |
| Women's Care Florida LLC | FL | Obstetrics & Gynecology Physician | $0 | $14.7M |
| Care For America Corp | FL | Home Health Agency | $0 | $11.3M |
| Macdonald Traning Center, Inc | FL | Community/Behavioral Health Agency | $0 | $10.8M |
| Abc Home Care Inc | FL | Home Health Agency | $0 | $8.3M |
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.