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    OpenPayerNPI Medicare & MedicaidSm Diagnostics LLC
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    Sm Diagnostics LLC — Billing Profile & Reimbursement Data

    NPI 1689322232 · Miami, FL · Clinical Medical Laboratory

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    Sm Diagnostics LLC is a clinical medical laboratory provider located in Miami, Florida. This profile covers 15 Medicare and 0 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
    OrganizationSm Diagnostics LLC
    Address7290 Sw 42nd St
    CityMiami
    StateFL
    ZIP33155
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedMarch 14, 2022

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

    Payer SourceTotal Paid
    Medicare$1.5M
    Medicaid$0

    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    81162The lab analyst performs the technical lab test to analyze the entire gene sequence for the BRCA1, DNA repair–associated gene, also called BRCA1; and BRCA2, DNA repair–associated gene, also called…110$1,790$202K
    81351The lab analyst performs the technical lab test on a specimen such as blood to analyze the entire gene sequence for the tumor protein 53 (TP53) gene, which may indicate a diagnosis of Li–Fraumeni…260$630$165.4K
    81292The lab analyst performs the technical lab test to analyze the entire gene sequence for the mutL homolog 1, or MLH1 gene, also known as the colon cancer or nonpolyposis type 2 gene.220$660$146.3K
    81307The lab analyst performs the technical lab test on a specimen such as blood, to analyze the entire gene sequence for the partner and localizer of BRCA2 (PALB2) gene.220$660$145.2K
    81321The lab analyst performs the technical lab test to analyze the entire gene sequence for the phosphatase and tensin homolog, or PTEN, gene.240$590$138.2K
    81317The lab analyst performs the technical lab test to analyze the entire gene sequence for the postmeiotic segregation increased 2 [S. cerevisiae], or PMS2 gene.190$660$127.3K
    81298The lab analyst performs the technical lab test to analyze the entire gene sequence for the mutS homolog 6 [E. coli], or MSH6 gene.190$630$120.8K
    81272The lab analyst performs the technical lab test for a partial gene sequence analysis for the v–kit Hardy–Zuckerman 4 feline sarcoma viral oncogene homolog, or KIT, gene. The analysis does not analyze…260$320$84.6K
    81295The lab analyst performs the technical lab test to analyze the entire gene sequence for the mutS homolog 2, or MSH2 gene, also known as the colon cancer or nonpolyposis type 1 gene.210$370$78.2K
    81323The lab analyst performs the technical lab test to detect genetic changes involving long sequences of deleted or duplicated DNA in the gene for the phosphatase and tensin homolog, or PTEN, gene.250$290$72.3K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    813071530320$660$508.3K
    813211530430$580$467.7K
    81162720100$1,780$403.3K
    81351820210$630$307.8K
    81323310470$290$229.2K
    81272410200$320$168.9K
    8129241070$660$153.4K
    81300310740$230$153.2K
    81297310760$210$140.3K
    81317410100$660$135.4K

    Showing 1–10 of 15

    Nearby Providers

    Other providers in the same ZIP code as Sm Diagnostics LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Variety Children's HospitalFLChildren's Hospital$0$175.3M
    Nicklaus Children's Pediatric Specialists, LLCFLPediatric Emergency Medicine (Pediatrics) Physician$0$66.2M
    Alternative Medical Healthcare Services, Corp.FLHome Health Agency$0$61.9M
    Harmony Homes Of Miami, IncFLHome Health Agency$0$41.7M
    Hha Home Services CorpFLDevelopmentally Disabled Services Day Training Agency$0$30M
    Bocasa Gourmet, LLC.FLAttendant Care Provider$0$24.8M
    Continental Home Health Care, Inc.FLHome Health Agency$0$23.4M
    Preferred Home Health Care, Inc.FLHome Health Agency$0$15.7M
    First Quality Medical Supplies, IncFLDurable Medical Equipment & Medical Supplies$0$14.8M
    Syx, Corp.FLCommunity/Behavioral Health Agency$0$13.4M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Sm Diagnostics LLC — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida