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    OpenPayerNPI Medicare & MedicaidBureau Of Public Health Laboratories
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    Bureau Of Public Health Laboratories — Billing Profile & Reimbursement Data

    NPI 1518983642 · Jacksonville, FL · Clinical Medical Laboratory

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    Bureau Of Public Health Laboratories is a clinical medical laboratory provider located in Jacksonville, Florida. This profile covers 0 Medicare and 18 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationBureau Of Public Health Laboratories
    Address1217 Pearl St
    CityJacksonville
    StateFL
    ZIP32202
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedJuly 14, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$81.4M
    Medicare$0

    Key Findings

    This entity is effectively a Medicaid-centered laboratory: there is no Medicare billing on file and all recorded lifetime revenue is Medicaid-based totaling $81.4M. The absence of Medicare activity indicates the provider operates primarily under state contracts or public-health funding streams rather than fee-for-service Medicare volume.

    Revenue is highly concentrated in a small set of tests: the precomputed top three Medicaid codes (81479, 81220, 83498) account for 59.6% of this provider's total Medicaid revenue. Those three codes are 81479 (658.9K claims, $51 avg paid/claim, $33.6M revenue — 41.3% of total), 81220 (40.9K claims, $236 avg paid/claim, $9.6M revenue — 11.8% of total), and 83498 (660.5K claims, $8 avg paid/claim, $5.3M revenue — 6.5% of total).

    The mix of top codes indicates core public-health and newborn/genetic screening services: 81479 is an unspecified molecular pathology code, 81220 is CFTR panel testing for cystic fibrosis, and 83498 measures 17 hydroxyprogesterone used in newborn screening. The broader code list — including acylcarnitine panels, hemoglobin fractionation, mass spectrometry assays, TSH, and biotinidase testing — reinforces that the operation is a high-throughput state/public health laboratory focused on genetic and metabolic screening and diagnostic assays.

    Operational throughput is very large with low per-claim payments for many assays: examples include 658.9K claims for 81479, 660.5K claims for 83498, multiple other codes with ~650K claims each, and many tests paid in the single-dollar to low‑teens per claim. This pattern (very high claim volumes with low avg paid/claim) is consistent with centralized newborn-screening and population-level public-health testing rather than low-volume, high‑margin clinical diagnostics.

    The provider is a dominant statewide player for its core tests: 81479 ranks #1 of 14 providers in-state and is flagged as an extreme outlier (100th percentile), 81220 ranks #1 of 17 (100th percentile), and 83498 ranks #1 of 6 (100th percentile). Numerous additional codes (e.g., 84443, 83021, 82657, 83520, 82139) also show top-in-state ranks and high percentiles, indicating the lab holds a leading market position for a broad set of public-health assays.

    Several individual codes are statistical outliers relative to in-state peers, reflecting volumes far above typical state levels: 81479 is described as an "extreme outlier, far above typical state volume," 84443 and 83021 are labeled similarly, and multiple other assays are marked as "notably above typical" or "extreme outlier." These labels point to centralized processing of tests that most other labs perform at much lower volumes.

    The provider has longstanding enrollment: the NPI was enumerated on 2006-07-14 (≈20 years ago), supporting an established operational role and likely longstanding contracts or state public-health responsibilities. This tenure, combined with dominant statewide ranks, strengthens the interpretation that the lab functions as a primary public-health testing hub in Florida.

    Because revenue is concentrated in a handful of high-volume Medicaid-funded assays and there is no Medicare activity, the provider’s financial exposure is closely tied to Medicaid reimbursement policies and state screening programs. Analysts evaluating future revenue risk should prioritize changes in state newborn-screening panels, CF testing guidelines, or Medicaid fee schedules for molecular and mass‑spec testing, since such policy shifts could materially affect the $81.4M Medicaid revenue base.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    81479Use 81479 to report a molecular pathology procedure that does not have a specific code.658,880$50$33.6M
    81220The 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…40,870$240$9.6M
    83498The 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.660,480$10$5.3M
    82775The lab analyst measures the amount of galactose–1–phosphate uridyl transferase in a blood sample, usually following a positive newborn screen that shows an abnormal result, or to monitor compliance…660,020$10$5.3M
    84443The 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…659,340$10$5.3M
    83021The lab analyst measures and calculates the hemoglobin fractions in a whole blood sample demonstrated by this hemoglobin fractionation test by chromatography.660,520$10$4M
    83789The 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.651,890$10$3.3M
    82726The lab analyst performs the technical lab test to analyze the amount of very long chain fatty acids, typically in the blood.651,500$10$3.3M
    82657The lab analyst measures the enzyme activity found from within the cells, which can be from a variety of locations including tissue. He uses a nonradioactive substrate for the test. Use this code…478,730$10$2.4M
    83520The lab analyst measures the analyte, which is not an infectious agent antibody or infectious agent antigen, by immunoassay. Use 83520 for procedures that have no specific code assigned for the…649,470$1$1.9M

    Showing 1–10 of 18

    Medicaid: Competitive Analysis & Benchmarks

    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

    18 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    82775The lab analyst measures the amount of galactose–1–phosphate uridyl transferase in a blood sample, usually following a positive newborn screen that shows an abnormal result, or to monitor compliance…110660,020$10$5.1M
    82726The lab analyst performs the technical lab test to analyze the amount of very long chain fatty acids, typically in the blood.110651,500$1$3M
    81479Use 81479 to report a molecular pathology procedure that does not have a specific code.11080$50$2.4M
    82016The lab analysis for qualitative acylcarnitines can be on plasma, serum, or urine. Clinicians frequently order this test as a newborn screen test for inborn errors of metabolism.110482,390$1$2M
    82128The lab analyst tests for multiple amino acids in a specimen, such as blood, plasma, urine, amniotic fluid, or cerebrospinal fluid. The usual search is for the presence of amino acids associated with…110481,490$1$1.9M
    81220The 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…120130$210$1.5M
    83498The 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.1107,990$10$932.8K
    83789The 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.11030$1$449.4K
    82261The lab analyst performs a measurement of the enzyme biotinidase, typically on a blood sample. This enzyme test is useful for the identification of a deficiency of biotinidase and also for the…11080$1$351.7K
    84437The lab analyst performs a test to measure thyroxine in specimens that require elution, which is washing whole blood from an absorbent material using a solvent, typically in whole blood neonatal…110110$1$305.3K

    Showing 1–10 of 18

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Bureau Of Public Health Laboratories, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Florida Department Of HealthFLPublic Health or Welfare Agency$0$10.2M
    Florida Department Of HealthFLClinical Medical Laboratory$8.8K$1.4M
    Ndubuisi EdeogaFLInfectious Disease Physician$488.7K$0
    County Of BakerORState or Local Public Health Clinic/Center$8.7K$235K
    Taweh BeysolowFLNephrology Physician$151.8K$0
    Jerry JacksonFLInfectious Disease Physician$106.1K$0
    Carl EasonFLGeneral Practice Physician$49K$0
    Meena JosephFLPediatrics Physician$10.2K$0
    Merfat HassanFLGeneral Practice Physician$5.2K$0

    Nearby Providers

    Other providers in the same ZIP code as Bureau Of Public Health Laboratories, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dialysis Clinic IncFLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$28.4M
    City Of JacksonvilleFLAmbulance$7.5M$17.1M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    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.

    Medicaid Revenue by Year vs. Florida Providers
    6 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    Bureau Of Public Health Laboratories — 13 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida