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NPI 1417062076 · Melbourne, FL · Clinical Medical Laboratory
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Florida Clinical Laboratory, Inc is a clinical medical laboratory provider located in Melbourne, Florida. This profile covers 148 Medicare and 128 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 | Florida Clinical Laboratory, Inc |
| Address | 27 E Hibiscus Blvd |
| City | Melbourne |
| State | FL |
| ZIP | 32901 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | August 21, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $4.7M |
| Medicaid | $549K |
FLORIDA CLINICAL LABORATORY, INC (NPI enumerated 2006-08-21 (~20 years ago)) presents the profile of a high-volume outpatient clinical laboratory: its Medicare top codes are dominated by routine chemistry and endocrine panels such as 80053 (48.1K claims, $480.8K revenue, 13.2% of Medicare revenue), 84443 (23.4K claims, $373.7K revenue, 10.3%), and 80061 (25.2K claims, $328.2K revenue, 9.0%), each described as notably above typical national volume. This mix of CMPs, TSH, and lipid panels indicates core business lines are automated routine chemistry, endocrine testing, and chronic disease monitoring for ambulatory populations.
Revenue concentration is meaningful but not extreme across both payers: the top three Medicare codes account for 32.6% of the provider's Medicare revenue and the top three Medicaid codes account for 35.3% of Medicaid revenue (precomputed). That concentration shows a dependence on a relatively small set of high-volume routine tests while the remaining revenue is spread across many other assays and services.
Payer mix is heavily weighted toward Medicare in scale: Total Medicare revenue is $4.7M compared with Total Medicaid revenue of $549K. The provider therefore operates with Medicare as the primary revenue driver and Medicaid as a smaller, secondary payer line rather than being a dual-balanced or Medicaid-dominant facility.
National competitive standing on Medicare is strong: many routine analytes register in the 99–100th percentile versus national peers (for example, 80053 ranks #67 of 26416 providers nationally, 84443 ranks #74 of 19722, and 80061 ranks #80 of 21671), and several codes are labeled as extreme or notably above typical volume (eg, 82728 and 83540 are cited as extreme outliers, far above typical national volume). These high percentiles indicate the provider functions as a major national-volume contributor for common chemistry, hematology, and selected specialty assays.
In-state Medicaid competitive posture is solid but more typical: the highest Medicaid revenue code is U0003 (8.4K claims, $100.3K revenue, 18.8% of Medicaid revenue) and it ranks #41 of 320 in-state (87th percentile; typical, unremarkable volume). Other Medicaid codes such as 80053 and 85025 appear in the 90s percentiles in-state (91st and 90th percentiles respectively), indicating strong volumes relative to Florida peers but fewer of the extreme outlier rankings seen on the Medicare side.
The laboratory offers a mix of infectious disease molecular testing and cytology services across payers: COVID PCR (U0003) appears in both Medicare (738 claims, $54.6K revenue) and Medicaid (8.4K claims, $100.3K revenue) lineups, and cytopathology screening (G0145 on Medicare; 3.2K claims, $84.1K revenue) and cervical cytology (88175 on Medicaid; 3.2K claims, $31.9K revenue) are present. This indicates capability for both high-throughput molecular diagnostics and cytology workflows, implying investments in molecular platforms and automated screening systems.
Operational footprint is consistent with a specimen-collection and reference testing model: a high volume of phlebotomy/blood-draw encounters is visible (36415 with 14.3K claims and $100.3K Medicare revenue) alongside numerous automated panel tests and immunoassays (eg, 85025 CBC at 30.2K Medicare claims, $241.7K revenue; 82306 vitamin D at 10.6K Medicare claims, $307.5K revenue). The combination of large claim counts and many algorithmic panels suggests broad ambulatory draw-capture and centralized testing throughput rather than a low-volume specialty center.
The data show targeted specialty offerings within a routine testing platform: notable endocrine and hormone testing volumes (84403 total testosterone, 5.9K Medicare claims, $147.4K revenue; 82670 estradiol, 1.9K Medicare claims, $52K revenue) alongside micronutrient and hematologic markers (82607 B12, 14.2K Medicare claims, $213.7K revenue; 82728 ferritin, 11.5K Medicare claims, $149.4K revenue). These patterns support a business strategy emphasizing comprehensive outpatient laboratory services that serve primary care and specialty ordering clinicians across Medicare and Medicaid 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.
148 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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. | 48,080 | $10 | $480.8K |
| 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… | 23,360 | $20 | $373.7K |
| 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. | 25,240 | $10 | $328.2K |
| 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… | 10,600 | $30 | $307.5K |
| 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… | 30,210 | $10 | $241.7K |
| 82607 | The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood. | 14,250 | $20 | $213.7K |
| 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).… | 15,520 | $10 | $155.2K |
| 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… | 11,490 | $10 | $149.4K |
| 84403 | The lab analyst performs a test to measure total testosterone, typically in patient serum. | 5,890 | $30 | $147.3K |
| 82746 | The lab analyst measures the folic acid level in serum to determine if there is a deficiency. Folic acid deficiency is attributed to many conditions such as malabsorption, Crohn’s disease, celiac… | 9,900 | $10 | $138.5K |
Showing 1–10 of 148
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 148 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
148 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 88374 | 12 | 30 | 130 | $160 | $278.1K |
| 88185 | 12 | 20 | 4,720 | $20 | $222.5K |
| 82652 | 6 | 10 | 470 | $40 | $93.8K |
| 86480 | 12 | 20 | 90 | $60 | $87.3K |
| 88305 | 830 | 980 | 570 | $40 | $83.5K |
| 82784 | 7 | 40 | 210 | $10 | $64.3K |
| 87634 | 4 | 10 | 20 | $70 | $58.7K |
| U0003 | 14 | 50 | 190 | $70 | $47.1K |
| G0145 | 4 | 20 | 1,020 | $30 | $44.9K |
| 87522 | 6 | 10 | 810 | $40 | $42.9K |
Showing 1–10 of 148
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.
128 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… | 8,360 | $10 | $100.3K |
| 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. | 46,800 | $1 | $46.8K |
| 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… | 41,310 | $1 | $41.3K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 2,790 | $10 | $36.3K |
| 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… | 5,690 | $10 | $34.1K |
| 88175 | The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer… | 3,190 | $10 | $31.9K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 2,800 | $10 | $28K |
| 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… | 24,100 | $1 | $24.1K |
| 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… | 10,620 | $1 | $21.2K |
| 84702 | The 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. | 2,840 | $10 | $19.9K |
Showing 1–10 of 128
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
128 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… | 41 | 320 | 750 | $40 | $232.7K |
| 88175 | The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer… | 10 | 40 | 400 | $10 | $225.6K |
| 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. | 61 | 640 | 4,400 | $10 | $193.4K |
| 84520 | The lab analyst performs a test to measure the amount of urea nitrogen in patient blood. | 204 | 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… | 57 | 70 | 180 | $20 | $178K |
| 87624 | The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result. | 11 | 60 | 500 | $20 | $169.2K |
| 82310 | The lab analyst measures the calcium level, primarily on a serum sample. | 143 | 220 | 880 | $50 | $151.3K |
| 86480 | The lab analyst performs a test to evaluate a cell mediated immunity gamma interferon antigen response to certain tuberculosis, or TB, antibodies. | 28 | 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. | 76 | 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… | 12 | 100 | 370 | $10 | $106K |
Showing 1–10 of 128
Other providers in the same ZIP code as Florida Clinical Laboratory, Inc, ranked by combined Medicare and Medicaid revenue.
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