Loading...
NPI 1295823540 · Davie, FL · Clinical Medical Laboratory
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
American Health S, LLC is a clinical medical laboratory provider located in Davie, Florida. This profile covers 263 Medicare and 157 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 | American Health S, LLC |
| Address | 15712 Sw 41st St |
| City | Davie |
| State | FL |
| ZIP | 33331 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | October 11, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $13.6M |
| Medicaid | $9.2M |
This provider bills materially to both Medicare and Medicaid, with Total Medicare revenue of $13.6M and Total Medicaid revenue of $9.2M, so Medicare represents the larger single-payer stream but Medicaid is also a substantial revenue source. The dual-payer scale means analysts should evaluate both fee schedules and contract arrangements when assessing commercial positioning or risk exposure.
Revenue is concentrated within a small set of services on Medicare: the top 3 Medicare codes by revenue account for 46.9% of this provider's total Medicare revenue. Those top Medicare drivers are P9603 ($2.6M, 21.8%), G0471 ($2M, 16.4%), and 80053 ($1M, 8.7%), indicating that specimen-collection and basic metabolic testing are the largest Medicare revenue contributors.
Medicaid revenue shows even higher concentration: the top 3 Medicaid codes by revenue account for 66.3% of this provider's total Medicaid revenue. Medicaid activity is dominated by U0003 ($4.2M, 50.5%), supported by high volumes of 85025 ($729.1K, 8.8%) and 80053 ($581.4K, 7.0%), which signals heavy reliance on SARS-CoV-2 molecular testing plus routine hematology and chemistry panels for state beneficiaries.
The mix of high-volume codes points to an operational model built around mobile or on-site specimen collection and high-throughput laboratory processing. Strong revenue from P9603 (travel allowance; 2.6M claims) and G0471 (SNF venipuncture; 197K claims) combined with large volumes of panel tests like 80053, 85025, and 80048 implies integrated specimen collection services (homebound/SNF) feeding centralized analytic capacity for CMPs, CBCs, BMPs and related assays.
Competitive standing on key codes is dominant in several dimensions: on Medicare the provider ranks extremely high for collection-related codes (P9603 ranks #2 of 267 nationally, 100th percentile and labeled an extreme outlier; G0471 ranks #2 of 117, 99th percentile, extreme outlier), and many routine assays rank at or near the top of national distributions. These high national ranks and 100th‑percentile designations indicate scale that is far above typical national volume for multiple CPT/HCPCS codes and place the provider among the largest national billers for those services.
On Medicaid the provider is a statewide leader for SARS‑CoV‑2 testing and other volumes: U0003 ranks #1 of 320 in-state (100th percentile; extreme outlier) and several routine tests are in the top 5 or top 3 in-state (for example, 85025 #5, 80053 #5, 80048 #2), signaling a dominant in-state position for both molecular testing and high-volume core lab services. This in-state dominance for U0003 and top rankings for routine panels make the provider a major Medicaid lab vendor in Florida for those services.
The claim-level payment patterns in Medicaid show very large claim counts with low average paid-per-claim amounts (for example U0003 279.5K claims at $15 avg paid/claim; many routine panels such as 85025, 80053, 80048 show hundreds of thousands of claims at $1 avg paid/claim). Those data points suggest a business model driven by volume-based throughput rather than high per-test margins, which is consistent with large-scale diagnostic or reference lab operations focused on high-frequency, low-unit-revenue testing.
This entity has a long-enumerated presence (NPI enumerated 2006-10-11, ~20 years ago), which together with the unusually high volumes and top-percentile ranks supports the interpretation of an established, high-throughput laboratory and specimen-collection operation. Analysts should consider longevity and scale when assessing contract leverage, capacity to absorb volume shifts, or potential operational consolidation opportunities.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
263 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| P9603 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled | 2,619,510 | $1 | $2.6M |
| G0471 | Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) | 196,960 | $10 | $2M |
| 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. | 104,850 | $10 | $1M |
| 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… | 121,010 | $10 | $968.1K |
| 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… | 45,730 | $20 | $731.7K |
| 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… | 24,230 | $30 | $702.6K |
| 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. | 41,660 | $10 | $541.6K |
| 80048 | The 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… | 57,890 | $10 | $463.1K |
| 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).… | 39,620 | $10 | $396.2K |
| 87086 | Culture, bacterial; quantitative, colony count, urine. | 35,370 | $10 | $283K |
Showing 1–10 of 263
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 263 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
263 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| G0471 | 1 | 10 | 41,970 | $10 | $631.6K |
| P9603 | 1 | 40 | 43,600 | $1 | $290.1K |
| 87798 | 90 | 110 | 590 | $30 | $218.6K |
| 83521 | 10 | 10 | 3,990 | $20 | $163.5K |
| 87536 | 5 | 10 | 90 | $80 | $100.3K |
| 83704 | 5 | 10 | 250 | $30 | $100K |
| 82652 | 11 | 10 | 470 | $40 | $93.8K |
| 86480 | 5 | 20 | 90 | $60 | $87.3K |
| 80197 | 5 | 10 | 4,230 | $10 | $70.8K |
| 86003 | 10 | 10 | 590 | $10 | $68.3K |
Showing 1–10 of 263
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.
157 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | 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… | 279,520 | $20 | $4.2M |
| 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… | 729,070 | $1 | $729.1K |
| 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. | 581,410 | $1 | $581.4K |
| 80048 | The 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… | 430,070 | $1 | $430.1K |
| 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… | 121,840 | $1 | $365.5K |
| 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).… | 225,390 | $1 | $225.4K |
| 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… | 224,100 | $1 | $224.1K |
| 85027 | The 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… | 207,760 | $1 | $207.8K |
| 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. | 199,370 | $1 | $199.4K |
| 87086 | Culture, bacterial; quantitative, colony count, urine. | 185,490 | $1 | $185.5K |
Showing 1–10 of 157
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
157 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… | 1 | 320 | 750 | $40 | $232.7K |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by… | 45 | 70 | 500 | $30 | $231.8K |
| 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. | 5 | 640 | 4,400 | $10 | $193.4K |
| 84520 | The lab analyst performs a test to measure the amount of urea nitrogen in patient blood. | 38 | 300 | 1,170 | $60 | $186K |
| 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… | 4 | 70 | 180 | $20 | $178K |
| 82310 | The lab analyst measures the calcium level, primarily on a serum sample. | 75 | 220 | 880 | $50 | $151.3K |
| 87536 | A lab tests a patient’s specimen to measure the amount of HIV–1 present. This may be referred to as viral load. | 13 | 30 | 300 | $20 | $116K |
| 87633 | The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for… | 108 | 160 | 450 | $50 | $115.7K |
| 86480 | The lab analyst performs a test to evaluate a cell mediated immunity gamma interferon antigen response to certain tuberculosis, or TB, antibodies. | 21 | 40 | 170 | $20 | $114.7K |
| 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. | 5 | 460 | 510 | $50 | $110.2K |
Showing 1–10 of 157
Other providers in the same ZIP code as American Health S, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Variety Children's Hospital | FL | Children's Hospital | $0 | $22.8M |
| Roberto Pancorbo | FL | Rheumatology Physician | $1.1M | $0 |
| Chakra Chaulagain | FL | Hematology & Oncology Physician | $853.2K | $0 |
| Kevin Cairns | FL | Pain Medicine Physician | $696K | $0 |
| Guillermo Davila | FL | Obstetrics & Gynecology Physician | $313.6K | $0 |
| Huan Huynh | FL | Epilepsy Physician | $65.4K | $227.6K |
| Parikshit Sharma | FL | Clinical Cardiac Electrophysiology Physician | $211.1K | $60.7K |
| Glenan Rodriguez | FL | Nurse Practitioner | $223.8K | $0 |
| Amer Hanano | FL | Diagnostic Radiology Physician | $186.5K | $0 |
| David Friedman | FL | Surgery of the Hand (Plastic Surgery) Physician | $164.4K | $0 |
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.