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    OpenPayerNPI Medicare & MedicaidDynix Diagnostix
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    Dynix Diagnostix — Billing Profile & Reimbursement Data

    NPI 1760930697 · Fort Pierce, FL · Clinical Medical Laboratory

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    Dynix Diagnostix is a clinical medical laboratory provider located in Fort Pierce, Florida. This profile covers 57 Medicare and 35 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
    OrganizationDynix Diagnostix
    Address2260 N Us Highway 1
    CityFort Pierce
    StateFL
    ZIP34946
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedSeptember 20, 2016

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

    Payer SourceTotal Paid
    Medicare$13.4M
    Medicaid$102.7K

    Key Findings

    This lab’s Medicare business is concentrated and skewed toward a few high-revenue codes: its top 3 Medicare codes account for 57.2% of total Medicare revenue, driven primarily by K1034 which alone generates $5.8M (42.5% of Medicare revenue). That concentration indicates the operation relies heavily on a small set of services for Medicare income rather than a broad, evenly distributed test mix.

    K1034 is an outlier nationally for Medicare volume and dominates this provider’s Medicare receipts. The code K1034 is listed as an "extreme outlier" (rank #81 of 30143 providers nationally, 100th percentile) and produces $5.8M in revenue, signaling unusually large scale for provision of nonprescription self‑administered COVID tests compared with typical national providers.

    Alongside mass COVID test provisioning, the practice also reports substantial specialized molecular/genetic testing on Medicare. High-revenue genetic codes such as 81307 ($1.1M, $663 avg paid/claim; rank #9 of 62, 87th percentile), 81321 ($946.7K; rank #5 of 37, 89th percentile) and several other gene‑sequencing CPTs appear repeatedly in the top Medicare codes, indicating an operational mix that includes both high-volume COVID testing and high-margin molecular diagnostics.

    Compared to Medicare, Medicaid is negligible in scale for this provider: lifetime Medicare revenue is $13.4M versus lifetime Medicaid revenue of $102.7K, so the business is effectively Medicare‑dominant. The very small Medicaid footprint suggests limited Medicaid contracting or low Medicaid patient utilization for the lab’s core services.

    Medicaid revenue is highly concentrated in a small set of COVID-related codes: the top 3 Medicaid codes account for 97.2% of total Medicaid revenue, led by U0004 at $78.1K (76.3% of Medicaid revenue) with U0005 and 87811 contributing most of the remainder. This pattern shows the provider’s Medicaid activity is almost entirely pandemic testing rather than the broader genetic test mix seen in Medicare.

    Competitive standing differs by code set: the provider is a national volume leader for K1034 (extreme outlier) and is among high-volume providers for multiple specialized genetic tests (for example, 81307 ranks #9 of 62 and 81321 ranks #5 of 37, both in the upper percentiles). In contrast, its in‑state Medicaid ranks for COVID PCR/antigen codes are middling to modest (U0004 rank #30 of 70, 58th percentile; U0005 rank #70 of 175, 60th percentile), so it is not a dominant Medicaid player in Florida.

    There are additional notable above‑typical volumes in specific genetic and coagulation tests that reinforce a specialty lab profile: 81241 (Factor V Leiden) is $110.7K and ranks #4 of 55 nationally (94th percentile, "notably above typical"), and 81279 (JAK2) appears at $284.5K and ranks in the 95th percentile. These placements point to consistent, above‑typical throughput on certain hereditary and hematology-related assays.

    Operational tenure is established but not long-standing compared with legacy labs: the NPI was enumerated 2016-09-20 (~10 years ago). That timeline is consistent with a relatively recent entrant that has scaled nationally on selected services (notably K1034 and specialized genetic panels) rather than a decades-old regional pathology network.

    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.

    57 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count479,230$10$5.8M
    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.1,590$660$1.1M
    81321The lab analyst performs the technical lab test to analyze the entire gene sequence for the phosphatase and tensin homolog, or PTEN, gene.1,610$590$946.7K
    81249The lab analyst performs the technical lab test to analyze known the full gene sequence of the glucose–6–phosphate dehydrogenase (G6PD) gene.1,520$590$894.3K
    81238The lab analyst performs the technical lab test to analyze the full gene sequence of the coagulation factor IX (F9) gene.1,510$590$887.3K
    81223The lab analyst performs the technical lab test to analyze the entire gene sequence for cystic fibrosis transmembrane conductance regulator gene, also known as CFTR.1,520$490$742.8K
    81334The lab analyst performs the technical lab test to detect the presence of specific changes in the runt related transcription factor 1 (RUNX) gene for targeted sequence analysis, such as exons 3–8.1,560$320$504.5K
    81311The lab analyst performs the technical lab test to analyze variants in exon 2, such as codons 12 and 13, and exon 3, such as codon 61, for the neuroblastoma RAS viral, v–ras, oncogene homolog, also…1,560$290$453.3K
    81320The lab analyst performs the technical lab test to detect the presence of common changes in the phospholipase C gamma 2 gene (PLCG2).1,560$290$447K
    81279The lab analyst performs the technical lab test on a specimen such as blood to analyze specific gene sequences of the JAK2 (Janus kinase 2) gene, such as exons 12 and 13, which may be associated with…1,560$180$284.5K

    Showing 1–10 of 57

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 57 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    57 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    81307430320$660$508.3K
    81321430430$580$467.7K
    81238420330$590$440.3K
    81162920100$1,780$403.3K
    81249320290$590$383.1K
    81223420340$490$329.3K
    813511420210$630$307.8K
    81334420390$320$295.7K
    81311320270$290$213K
    81320420210$290$210.6K

    Showing 1–10 of 57

    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.

    35 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    U00042019-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…1,400$60$78.1K
    87811The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…890$10$10.7K
    U0005Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc,…1,190$10$10.7K
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count1,140$1$2.3K
    G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…290$1$290
    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.220$1$220
    82746The 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…30$1$30
    80050The 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…10$0$0
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.170$0$0
    82040The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.130$0$0

    Showing 1–10 of 35

    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

    35 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    U00042019-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…3070500$30$231.8K
    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.5176404,400$10$193.4K
    84520The lab analyst performs a test to measure the amount of urea nitrogen in patient blood.2463001,170$60$186K
    80050The 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…7070180$20$178K
    82310The lab analyst measures the calcium level, primarily on a serum sample.158220880$50$151.3K
    G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…2650360$40$96.2K
    84155The lab analyst performs the technical lab test to quantitate total protein in a serum, plasma, or whole blood specimen using one of several assay methods, excluding refractometry. Total protein is a…194250680$60$94.3K
    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…5968201,430$1$92.8K
    82040The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.179240580$60$92.3K
    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…259340220$10$67.4K

    Showing 1–10 of 35

    Nearby Providers

    Other providers in the same ZIP code as Dynix Diagnostix, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rg Ambulance Service, Inc.FLLand Ambulance$1.2M$1.1M
    Rocky Mountain Holdings, LLCFLAir Ambulance$692.5K$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
    Dynix Diagnostix — 1 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 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    Dynix Diagnostix — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida