Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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81205

Billing code 81205

HHS publishes no description for this code; it is likely a state-specific local code.

Medicaid paid $808K on code 81205 from 2018 through 2024, to 20 providers — the #4,140 code in the file by dollars. 56% of it was billed in Michigan.

28Total paid$808K
24GClaims47,419
Paid per claim line$17.04
33Providers billing it20
Box 32 · Location

Where 81205 is billed

  1. $449K
  2. $115K
  3. $115K
  4. $77K
  5. $17K
  6. $12K
  7. $12K
  8. $11K
  9. $0
  10. $0

The largest of 10 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.

Ranked

Top providers billing 81205

#ProviderLocationClaimsPaid on 81205
1 Progenity INC. Ann Arbor, MI 24,282 $429K
2 Sema4 Opco, INC Branford, CT 8,700 $115K
3 Advanced Molecular Diagnostics, LLC Montvale, NJ 2,700 $85K
4 Natera, INC. San Carlos, CA 3,711 $41K
5 Bioreference Health, LLC Elmwood Park, NJ 1,347 $30K
6 Myriad Women's Health, INC. South San Francisco, CA 2,026 $30K
7 Nxgen MDX, LLC Grand Rapids, MI 1,831 $20K
8 Quest Diagnostics Clinical Laboratories INC Miramar, FL 400 $17K
9 Esoterix Genetic Laboratories, LLC Westborough, MA 248 $12K
10 Genview Diagnosis INC Houston, TX 173 $11K
11 Enzo Clinical Labs, INC. Farmingdale, NY 772 $10K
12 Invitae Corporation San Francisco, CA 444 $6K
13 Quest Diagnostics Clinical Laboratories INC Irving, TX 123 $1K
14 Northwell Health Laboratories New Hyde Park, NY 45 $1K
15 Baylor Miraca Genetics Laboratories LLC Houston, TX 39 $66.06
16 Sma Medical, INC. Feasterville, PA 17 $0.00
17 Children's Hospital of Orange County Orange, CA 15 $0.00
18 Mattison Pathology, L.L.P. Dallas, TX 515 $0.00
19 Ohioguidestone Berea, OH 15 $0.00
20 Gulf Coast Pathology Associates PLLC Dallas, TX 16 $0.00