Physician
Carmona Pathology Associates PA
Carmona Pathology Associates PA was paid $251K by Medicaid between Jan 2018 and Dec 2024, across 67 billing codes. Its largest line is 80053, Comprehensive metabolic panel — 33% of everything it billed.
33Billing provider infoCARMONA PATHOLOGY ASSOCIATES PA
TITUSVILLE, FL 32796
TITUSVILLE, FL 32796
33aNPI1669669214assigned 09/27/2007
33bProvider typeAnatomic Pathology & Clinical Pathology Physician
28Total paid$251K
24GClaims209,771
24DCodes billed67
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Anatomic Pathology & Clinical Pathology Physician providers in Florida
Rank by total paid#42 of 207
Median peer was paid$39K
This provider vs. median6.4×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 8,845 | $84.19 | |
| 2019 | 28,531 | $53K | |
| 2020 | 25,930 | $50K | |
| 2021 | 33,521 | $64K | |
| 2022 | 58,581 | $36K | |
| 2023 | 38,581 | $25K | |
| 2024incomplete | 15,782 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 80053 | Comprehensive metabolic panel | 33% | 23,024 | 13,784 | $83K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 10% | 1,663 | 1,131 | $26K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 6.2% | 970 | 910 | $15K |
| 81003 | 6.0% | 18,517 | 12,507 | $15K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 5.9% | 5,650 | 3,970 | $15K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 5.1% | 28,540 | 15,399 | $13K |
| 80048 | Basic metabolic panel (calcium, ionized) | 4.6% | 8,093 | 3,022 | $11K |
| 84484 | 2.4% | 5,897 | 3,623 | $6K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 2.3% | 13,102 | 8,933 | $6K |
| 82962 | 2.3% | 11,775 | 2,823 | $6K | |
| 83735 | 1.7% | 9,037 | 3,307 | $4K | |
| 84702 | 1.4% | 1,885 | 1,255 | $3K |
55 more codes
| 87420 | 1.1% | 1,579 | $3K | |
| 87040 | 1.1% | 2,358 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.0% | 2,968 | $3K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 2,967 | $2K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 1,489 | $2K |
| 81025 | <1% | 4,599 | $2K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 1,489 | $2K |
| 85730 | <1% | 6,577 | $2K | |
| 83690 | <1% | 5,737 | $2K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 346 | $2K |
| 85027 | <1% | 5,772 | $2K | |
| 86850 | <1% | 3,274 | $2K | |
| 80061 | Lipid panel | <1% | 1,896 | $2K |
| 84703 | <1% | 3,808 | $2K | |
| 85610 | <1% | 7,293 | $2K | |
| 87186 | <1% | 2,207 | $1K | |
| 87070 | <1% | 593 | $1K | |
| 83605 | <1% | 1,833 | $1K | |
| 82803 | <1% | 773 | $1K | |
| 80320 | <1% | 1,328 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,902 | $956.84 |
| 86900 | <1% | 4,279 | $840.31 | |
| 84100 | <1% | 2,507 | $821.42 | |
| 85379 | <1% | 1,693 | $794.21 | |
| 86901 | <1% | 4,288 | $730.25 | |
| 87088 | <1% | 1,755 | $714.96 | |
| 84030 | <1% | 1,020 | $512.46 | |
| 80329 | <1% | 380 | $365.04 | |
| 88342 | <1% | 14 | $293.04 | |
| 82330 | <1% | 316 | $292.87 | |
| 84439 | <1% | 286 | $199.25 | |
| 82607 | <1% | 139 | $133.70 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 58 | $131.50 |
| 86140 | <1% | 331 | $126.78 | |
| 82247 | <1% | 121 | $82.30 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 263 | $75.85 |
| 87075 | <1% | 108 | $68.04 | |
| 87210 | <1% | 287 | $62.38 | |
| 82043 | <1% | 506 | $55.75 | |
| 85652 | <1% | 297 | $51.89 | |
| 82728 | <1% | 82 | $45.40 | |
| 83550 | <1% | 130 | $35.88 | |
| 83880 | <1% | 456 | $33.46 | |
| 83540 | <1% | 152 | $30.96 | |
| 87081 | <1% | 34 | $22.26 | |
| 82746 | <1% | 18 | $19.44 | |
| 87498 | <1% | 13 | $18.88 | |
| 82550 | <1% | 52 | $12.60 | |
| 82565 | <1% | 38 | $10.95 | |
| 83615 | <1% | 63 | $7.29 | |
| 87205 | <1% | 26 | $6.91 | |
| 84145 | <1% | 1,056 | $4.44 | |
| 86592 | <1% | 35 | $3.90 | |
| 82150 | <1% | 14 | $0.97 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 13 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialCARMONA, PEDRO (PRESIDENT)