Lab
Tomoka Medical Lab, INC.
Tomoka Medical Lab, INC. was paid $5K by Medicaid between Jan 2018 and Jul 2020, across 46 billing codes. Its largest line is 82040, — 30% of everything it billed.
33Billing provider infoTOMOKA MEDICAL LAB, INC.
ORMOND BEACH, FL 32174
ORMOND BEACH, FL 32174
33aNPI1700819794assigned 07/10/2006
33bProvider typeClinical Medical Laboratory
28Total paid$5K
24GClaims32,101
24DCodes billed46
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other Clinical Medical Laboratory providers in Florida
Rank by total paid#167 of 225
Median peer was paid$74K
This provider vs. median0.1×
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 | 6,908 | $731.28 | |
| 2019 | 17,746 | $2K | |
| 2020 | 7,447 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 82040 | 30% | 1,034 | 707 | $2K | |
| 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 | 13% | 2,580 | 1,766 | $709.86 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 12% | 2,301 | 1,676 | $636.89 |
| 84443 | Thyroid stimulating hormone (TSH) | 7.1% | 1,275 | 1,022 | $379.27 |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 5.5% | 807 | 45 | $294.84 |
| 80053 | Comprehensive metabolic panel | 3.4% | 1,037 | 933 | $183.06 |
| 80061 | Lipid panel | 3.2% | 801 | 713 | $174.04 |
| 82435 | 3.0% | 1,157 | 777 | $159.62 | |
| 82565 | 2.4% | 1,152 | 777 | $128.23 | |
| 82310 | 2.2% | 1,195 | 778 | $115.32 | |
| 84075 | 1.9% | 1,030 | 694 | $101.96 | |
| 83718 | 1.8% | 718 | 503 | $96.18 |
34 more codes
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 1.7% | 159 | $89.61 |
| 82947 | 1.5% | 1,165 | $79.57 | |
| 84132 | 1.4% | 1,164 | $73.81 | |
| 84460 | 1.1% | 1,033 | $58.99 | |
| 84450 | <1% | 1,027 | $50.90 | |
| 85027 | <1% | 417 | $50.65 | |
| 82247 | <1% | 1,010 | $49.32 | |
| 82374 | <1% | 1,161 | $43.91 | |
| 80164 | <1% | 61 | $43.23 | |
| 84155 | <1% | 1,036 | $40.40 | |
| 84478 | <1% | 721 | $38.79 | |
| 84520 | <1% | 1,165 | $35.91 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 190 | $32.40 |
| 81000 | <1% | 585 | $26.86 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 721 | $24.72 |
| P9604 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge | <1% | 157 | $11.00 |
| 84439 | <1% | 77 | $6.01 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,807 | $5.83 |
| 81001 | <1% | 15 | $2.39 | |
| 82248 | 0% | 54 | $0.00 | |
| 87481 | 0% | 48 | $0.00 | |
| 82977 | 0% | 143 | $0.00 | |
| 87653 | 0% | 48 | $0.00 | |
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed | 0% | 26 | $0.00 |
| 83540 | 0% | 41 | $0.00 | |
| 80305 | 0% | 27 | $0.00 | |
| 83615 | 0% | 138 | $0.00 | |
| 82607 | 0% | 274 | $0.00 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 127 | $0.00 |
| 87088 | 0% | 238 | $0.00 | |
| 82728 | 0% | 32 | $0.00 | |
| 87640 | 0% | 48 | $0.00 | |
| 83880 | 0% | 35 | $0.00 | |
| 82746 | 0% | 64 | $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 officialSABOUNJI, MOHAMED (MEDICAL TECHNOLOGIST)