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    OpenPayerNPI Medicare & MedicaidRuffolo Hooper & Associates Md PA
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    Ruffolo Hooper & Associates Md PA — Billing Profile & Reimbursement Data

    NPI 1790732360 · Tampa, FL · Anatomic Pathology & Clinical Pathology Physician

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    Ruffolo Hooper & Associates Md PA is a anatomic pathology & clinical pathology physician provider located in Tampa, Florida. This profile covers 0 Medicare and 277 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
    OrganizationRuffolo Hooper & Associates Md PA
    Address5751 Hoover Blvd
    CityTampa
    StateFL
    ZIP33634
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedMay 28, 2006

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

    Payer SourceTotal Paid
    Medicaid$10.1M
    Medicare$0

    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.

    277 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…809,090$1$1.6M
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…34,000$40$1.2M
    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.484,500$1$969K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…14,500$40$638K
    87633The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…18,850$20$377K
    83735The lab analyst performs a test to measure the amount of magnesium in a patient specimen.298,910$1$298.9K
    87502The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…11,830$20$248.5K
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…240,290$1$240.3K
    82805The lab analyst measures any number of blood gas parameters using a blood gas analyzer. The test must also include the O2 saturation by direct measurement.30,730$10$215.1K
    81001Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…214,030$1$214K

    Showing 1–10 of 277

    • More pages

    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

    277 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    86003The lab analyst performs the technical lab test to analyze a specimen such as serum for allergen–specific immunoglobulin E (IgE), using a crude allergen extract. The test result is quantitative or…1520620$30$423.4K
    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.66404,400$10$193.4K
    84520The lab analyst performs a test to measure the amount of urea nitrogen in patient blood.3003001,170$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…870180$20$178K
    87536A lab tests a patient’s specimen to measure the amount of HIV–1 present. This may be referred to as viral load.1230300$20$116K
    87633The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…2160450$50$115.7K
    86480The lab analyst performs a test to evaluate a cell mediated immunity gamma interferon antigen response to certain tuberculosis, or TB, antibodies.640170$20$114.7K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…7440610$40$111.5K
    83970Parathyroid 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.25460510$50$110.2K
    87389The 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…4100370$10$106K

    Showing 1–10 of 277

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Ruffolo Hooper & Associates Md PA, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Liying FuAZClinical Pathology/Laboratory Medicine Physician$130K$0
    Cassie BoothMOAnatomic Pathology & Clinical Pathology Physician$101.2K$12.7K
    Edward O'neillFLAnatomic Pathology & Clinical Pathology Physician$91.3K$0
    Jon FinanFLAnatomic Pathology & Clinical Pathology Physician$90.4K$0
    Jonathon HeathFLAnatomic Pathology & Clinical Pathology Physician$63.8K$0
    Geza AcsFLAnatomic Pathology Physician$59.8K$0
    Megan SelbstFLAnatomic Pathology & Clinical Pathology Physician$58.6K$0
    Jon FrankelFLAnatomic Pathology & Clinical Pathology Physician$56.3K$0
    John HancockMSAnatomic Pathology & Clinical Pathology Physician$28K$0
    Kurt StonesiferFLAnatomic Pathology & Clinical Pathology Physician$23K$0

    Nearby Providers

    Other providers in the same ZIP code as Ruffolo Hooper & Associates Md PA, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Option Care Enterprises, Inc.FLHome Infusion Therapy Pharmacy$0$29.3M
    Families First Of Florida LLCFLCommunity/Behavioral Health Agency$0$25.4M
    Carecentrix, Inc.FLCase Management Agency$0$13.7M
    Bioscrip Infusion Services, LLCFLHome Infusion Therapy Pharmacy$0$12.5M
    Eye Doctors Optical Outlets PAFLOptometrist$0$9.2M
    Physicians Toxicology Laboratory, LLCFLClinical Medical Laboratory$1.6M$6.1M
    Delivrxd LLCFLCommunity/Retail Pharmacy$4.3M$1.9K
    Infiniti Labs, IncFLClinical Medical Laboratory$798.4K$2.5M
    Apex Labs, IncFLClinical Medical Laboratory$427.3K$1.6M
    Gh Labb LLCFLClinical Medical Laboratory$1.2M$198.1K

    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
    3 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    Ruffolo Hooper & Associates Md PA — 25 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida