Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Raj Enterprises of Central Florida LLC

Raj Enterprises of Central Florida LLC was paid $74K by Medicaid between Jan 2018 and May 2018, across 30 billing codes. Its largest line is 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 — 65% of everything it billed.

33Billing provider infoRAJ ENTERPRISES OF CENTRAL FLORIDA LLC
OCALA, FL 34470
33aNPI1861748659assigned 07/30/2012
28Total paid$74K
24GClaims13,278
24DCodes billed30
24AFirst – last monthJan 2018 – May 2018
Compared with peers

Next to other Clinical Medical Laboratory providers in Florida

Rank by total paid#113 of 225
Median peer was paid$74K
This provider vs. median1.0×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
201813,278$74K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 65% 721 512 $48K
G0482 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; 15-21 drug class(es), including metabolite(s) if performed 21% 634 544 $15K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 7.8% 556 475 $6K
80369 <1% 670 306 $359.43
80373 <1% 342 306 $299.28
G0481 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; 8-14 drug class(es), including metabolite(s) if performed <1% 516 443 $289.19
80366 <1% 297 269 $280.98
80324 <1% 1,470 301 $239.74
80355 <1% 296 269 $237.15
80335 <1% 1,156 219 $216.00
80346 <1% 344 303 $205.35
80356 <1% 343 306 $188.70
18 more codes
80362 <1% 806 $158.10
80361 <1% 346 $157.10
80358 <1% 669 $137.88
83992 <1% 278 $130.62
80371 <1% 248 $123.75
80367 <1% 269 $112.83
80372 <1% 276 $112.83
80351 <1% 237 $108.90
80332 <1% 245 $106.90
80349 <1% 245 $94.05
80323 <1% 240 $94.05
80365 <1% 336 $92.21
80353 <1% 341 $87.09
80342 <1% 240 $84.27
80354 <1% 338 $81.60
80360 <1% 306 $79.20
80345 <1% 472 $77.43
80321 <1% 41 $60.80

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 officialPORTER, JAMES (OWNER)
Same official

Other billing entities under PORTER, JAMES

Full network →
ProviderLocationPaid
James W. Porter II, DMD, LLCAlbertville, AL$73K
Suttons Bay-Bingham Fire & Rescue AuthoritySuttons Bay, MI$3K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.