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    OpenPayerNPI Medicare & MedicaidSuncoast Pathology Associates Inc
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    Suncoast Pathology Associates Inc — Billing Profile & Reimbursement Data

    NPI 1558550061 · Melbourne, FL · Clinical Medical Laboratory

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    Suncoast Pathology Associates Inc is a clinical medical laboratory provider located in Melbourne, Florida. This profile covers 80 Medicare and 33 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)

    FieldValue
    Entity TypeOrganization
    OrganizationSuncoast Pathology Associates Inc
    Address3030 Venture Ln
    CityMelbourne
    StateFL
    ZIP32934
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedOctober 21, 2007

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

    Payer SourceTotal Paid
    Medicare$2M
    Medicaid$75.9K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    80 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    87798The 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…17,870$30$607.6K
    87150The lab analyst performs an analysis using amplified DNA or RNA probe technique on a previously isolated and identified organism to categorize the organism more specifically, such as to the taxonomic…10,500$30$356.9K
    87529The lab analyst performs a test for Herpes simplex virus, HSV, using amplified nucleic acid probe technique. HSV causes clusters of blisters, or vesicles, on different parts of the body and spreads…2,800$30$95.3K
    88120The lab analyst performs a technical lab test on a urinary tract specimen using in situ hybridization and three to five molecular probes for manual morphometric analysis, looking at the number and…210$450$91.6K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.1,410$30$47.9K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.1,410$30$47.9K
    87496The lab analyst performs a test for cytomegalovirus, or CMV, using amplified nucleic acid probe technique. CMV may cause severe illness in newborns and immunocompromised patients.1,370$30$46.4K
    87532The lab analyst performs a test for Herpes virus 6 using amplified nucleic acid probe technique. Herpes virus 6, also called human herpes virus 6 or HHV6, causes a common childhood rash, roseola, and…1,370$30$46.4K
    87640The lab analyst performs the technical lab test to look for Staphylococcus aureus nucleic acid using an amplified probe technique.1,370$30$46.4K
    87653The lab analyst performs a test for Streptococcus, group B, using amplified nucleic acid probe technique. The amplified probe provides a rapid means to assess colonization by Streptococcus, group B,…1,370$30$46.4K

    Showing 1–10 of 80

    • More pages

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 80 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    80 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    877986110590$30$218.6K
    871503401,660$30$173.2K
    8812052070$350$78K
    87511410220$30$60.4K
    U00035250190$70$47.1K
    87640970210$30$30.9K
    87653970180$30$30.8K
    875001170190$30$29.6K
    87088138070$10$26.7K
    P9604750120$10$26.6K

    Showing 1–10 of 80

    • More pages

    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.

    33 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    87798The 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…630$60$35.6K
    87150The lab analyst performs an analysis using amplified DNA or RNA probe technique on a previously isolated and identified organism to categorize the organism more specifically, such as to the taxonomic…370$20$7.1K
    87481The lab analyst performs a test for Candida species using amplified nucleic acid probe technique.340$20$5.1K
    87529The lab analyst performs a test for Herpes simplex virus, HSV, using amplified nucleic acid probe technique. HSV causes clusters of blisters, or vesicles, on different parts of the body and spreads…620$10$3.7K
    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…840$1$3.4K
    82306The 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…330$10$2.6K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.520$1$2.1K
    87496The lab analyst performs a test for cytomegalovirus, or CMV, using amplified nucleic acid probe technique. CMV may cause severe illness in newborns and immunocompromised patients.470$1$1.9K
    87532The lab analyst performs a test for Herpes virus 6 using amplified nucleic acid probe technique. Herpes virus 6, also called human herpes virus 6 or HHV6, causes a common childhood rash, roseola, and…470$1$1.9K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.530$1$1.6K

    Showing 1–10 of 33

    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

    33 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    80053The 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.4316404,400$10$193.4K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.200340720$10$100.6K
    85025A 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…4428201,430$1$92.8K
    87661The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.3680240$10$92.2K
    82306The 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…145340220$10$67.4K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.192330690$10$61.6K
    87798The 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…100190640$10$59.9K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.4141,330340$10$54.3K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.335490680$1$45.3K
    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…2624801,100$1$42K

    Showing 1–10 of 33

    Nearby Providers

    Other providers in the same ZIP code as Suncoast Pathology Associates Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vitas Healthcare Corporation Of FloridaFLCommunity Based Hospice Care Agency$0$65.2M
    Pediatric Services Of America, LLCFLHome Health Agency$0$16.4M
    Boris HavkinFLUrology Physician$2.3M$0
    Mark MinorFLAllergy Physician$85.2K$0

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Suncoast Pathology Associates Inc — 13 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida
    Medicaid Revenue by Year vs. Florida Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    Suncoast Pathology Associates Inc — 0 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida