Loading...
NPI 1831228709 · Miami, FL · Clinical Medical Laboratory
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Eccolab Group Co is a clinical medical laboratory provider located in Miami, Florida. This profile covers 152 Medicare and 127 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Eccolab Group Co |
| Address | 8370 W Flagler St |
| City | Miami |
| State | FL |
| ZIP | 33144 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | March 5, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $5.3M |
| Medicaid | $2.4M |
ECCOLAB GROUP CO reports materially larger Medicare activity than Medicaid, with $5.3M in lifetime Medicare revenue versus $2.4M in lifetime Medicaid revenue, indicating Medicare is the dominant payer by scale for this provider. This is not a single-payer profile — both payers contribute meaningfully but Medicare drives the larger share of lifetime revenue.
Medicare revenue is concentrated in a few laboratory services: the precomputed top three Medicare codes account for 45.7% of this provider's total Medicare revenue, led by 87186, G0471, and P9603. This concentration means a small set of services disproportionately determines Medicare siting and revenue stability.
The code mix signals a lab operation focused on high-volume microbiology and decentralized specimen collection: 87186 (antimicrobial susceptibility testing), G0471 (venipuncture/collection from SNF or on behalf of HHA), and P9603 (travel allowance for homebound specimen collection) are the top Medicare drivers. Together these codes imply both in-lab testing capacity for cultures and an active field collection footprint serving nursing-home or homebound populations.
ECCOLAB is a national standout on specific assays: 87186 ranks #2 of 2821 providers nationally (100th percentile; extreme outlier), and multiple routine panels such as 80053 and 85025 are at the 100th percentile (described as notably above typical or extreme outlier). These rank positions indicate the provider is a major national volume contributor for selected microbiology and routine chemistry/hematology tests.
Medicaid revenue is even more concentrated on a few services and is heavily driven by COVID testing: U0004 generates $1M and represents 48.1% of the provider's total Medicaid revenue, and the precomputed top three Medicaid codes account for 69.7% of Medicaid revenue. The Medicaid mix shows reliance on pandemic-era high-throughput molecular testing plus susceptibility and basic panels.
State-level competitive standing on Medicaid shows dominance for specific tests: U0004 ranks #2 of 70 in-state (99th percentile; extreme outlier) and 87186 ranks #5 of 343 in-state (99th percentile; extreme outlier), while several routine panels (80053, 80048, 84443) sit in high state percentiles. These rankings suggest ECCOLAB is a leading Medicaid lab partner in Florida for COVID diagnostics and certain high-volume analytes.
The provider’s operational footprint includes substantial specimen-collection activity: Medicare volumes include 469.4K claims for P9603 and 40.2K claims for P9604, and G0471 shows 88.3K claims, which together reflect a sustained focus on travel/field specimen collection and venipuncture services for SNF/HHA settings. High claim counts for collection and travel allowance codes are consistent with a mobile or distributed phlebotomy network supporting the lab business.
ECCOLAB’s NPI was enumerated 2007-03-05 (~19 years ago), indicating a long-tenured presence in the market; when combined with the code-level rank outliers and large claim volumes, this tenure supports the interpretation of an established lab operation with sustained high-volume services rather than a transient provider.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
152 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 87186 | The lab analyst performs the technical steps to evaluate a culture isolate’s susceptibility, or sensitivity, to multiple antimicrobial agents, commonly called antibiotics, by observing growth of the… | 111,480 | $10 | $891.8K |
| G0471 | Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) | 88,320 | $10 | $794.9K |
| P9603 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled | 469,350 | $1 | $469.4K |
| 80053 | The 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. | 36,540 | $10 | $365.4K |
| 85025 | A 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… | 44,470 | $10 | $355.8K |
| 84443 | The 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… | 12,290 | $20 | $196.7K |
| 80048 | The 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… | 21,290 | $10 | $170.3K |
| 87798 | The 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… | 4,310 | $30 | $146.5K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 11,070 | $10 | $143.9K |
| 82652 | The lab analyst measures the level of vitamin D, 1, 25 dihydroxy, a fat soluble steroid that stimulates calcium absorption in the intestine. Vitamin D, 1, 25 dihydroxy is the hormonally active form… | 3,080 | $40 | $116.9K |
Showing 1–10 of 152
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 152 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
152 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| G0471 | 2 | 10 | 41,970 | $10 | $631.6K |
| P9603 | 8 | 40 | 43,600 | $1 | $290.1K |
| 87798 | 24 | 110 | 590 | $30 | $218.6K |
| 82652 | 4 | 10 | 470 | $40 | $93.8K |
| 86480 | 15 | 20 | 90 | $60 | $87.3K |
| 87481 | 30 | 80 | 340 | $30 | $72.8K |
| 82784 | 22 | 40 | 210 | $10 | $64.3K |
| 87634 | 7 | 10 | 20 | $70 | $58.7K |
| 84402 | 35 | 40 | 50 | $20 | $36.4K |
| 87640 | 34 | 70 | 210 | $30 | $30.9K |
Showing 1–10 of 152
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
127 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| U0004 | 2019-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… | 111,130 | $10 | $1M |
| 87186 | The lab analyst performs the technical steps to evaluate a culture isolate’s susceptibility, or sensitivity, to multiple antimicrobial agents, commonly called antibiotics, by observing growth of the… | 60,520 | $1 | $242.1K |
| 80053 | The 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. | 207,200 | $1 | $207.2K |
| 80048 | The 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… | 142,440 | $1 | $142.4K |
| 84443 | The 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… | 72,480 | $1 | $72.5K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 71,310 | $1 | $71.3K |
| 82306 | The 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… | 32,920 | $1 | $65.8K |
| 83880 | The lab analyst measures the amount of natriuretic peptide, a hormone made by heart muscle cells, in the patient specimen. Blood levels of the hormone increase in patients with congestive heart… | 14,160 | $1 | $42.5K |
| 82652 | The lab analyst measures the level of vitamin D, 1, 25 dihydroxy, a fat soluble steroid that stimulates calcium absorption in the intestine. Vitamin D, 1, 25 dihydroxy is the hormonally active form… | 10,660 | $1 | $32K |
| 80164 | The lab analyst measures the amount of total valproic acid, also called dipropylacetic acid, in the blood. Valproic acid is a drug that a provider uses to treat certain types of seizures. | 28,880 | $1 | $28.9K |
Showing 1–10 of 127
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
127 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| U0004 | 2019-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… | 2 | 70 | 500 | $30 | $231.8K |
| 80053 | The 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. | 11 | 640 | 4,400 | $10 | $193.4K |
| 84520 | The lab analyst performs a test to measure the amount of urea nitrogen in patient blood. | 226 | 300 | 1,170 | $60 | $186K |
| 80050 | The 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… | 41 | 70 | 180 | $20 | $178K |
| 82310 | The lab analyst measures the calcium level, primarily on a serum sample. | 195 | 220 | 880 | $50 | $151.3K |
| 87633 | The 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… | 102 | 160 | 450 | $50 | $115.7K |
| 86480 | The lab analyst performs a test to evaluate a cell mediated immunity gamma interferon antigen response to certain tuberculosis, or TB, antibodies. | 31 | 40 | 170 | $20 | $114.7K |
| 83970 | Parathyroid 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. | 14 | 460 | 510 | $50 | $110.2K |
| 87389 | The 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… | 59 | 100 | 370 | $10 | $106K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 326 | 340 | 720 | $10 | $100.6K |
Showing 1–10 of 127
Other providers in the same ZIP code as Eccolab Group Co, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Csi Catalano's Nurses Registry, Inc. | FL | Attendant Care Provider | $0 | $26.1M |
| Florida Ent Associates, Inc. | FL | Otolaryngology Physician | $0 | $10.5M |
| New Broward Community Center | FL | Case Management Agency | $0 | $7.9M |
| Humanity Home Health Care, Inc | FL | Home Health Agency | $0 | $7.3M |
| Annie Casta | FL | Family Medicine Physician | $4.2M | $0 |
| Sandor Romero | FL | Internal Medicine Physician | $962.6K | $0 |
| David Alduncin | FL | Family Nurse Practitioner | $783.7K | $0 |
| Jose Garcia | FL | Internal Medicine Physician | $486.7K | $20.1K |
| Zurester Fleitas | FL | Family Nurse Practitioner | $364K | $0 |
| Damaris Benitez | FL | Optometrist | $296.6K | $7.1K |
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.