Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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81209

Billing code 81209

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

Medicaid paid $2.42M on code 81209 from 2018 through 2024, to 71 providers — the #3,136 code in the file by dollars. 27% of it was billed in Michigan.

28Total paid$2.42M
24GClaims160,111
Paid per claim line$15.09
33Providers billing it71
Box 32 · Location

Where 81209 is billed

  1. $658K
  2. $624K
  3. $393K
  4. $254K
  5. $124K
  6. $69K
  7. $51K
  8. $49K
  9. $47K
  10. $39K
  11. $37K
  12. $36K

The largest of 20 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 81209

#ProviderLocationClaimsPaid on 81209
1 Advanced Molecular Diagnostics, LLC Montvale, NJ 4,298 $588K
2 Progenity INC. Ann Arbor, MI 22,826 $533K
3 Esoterix Genetic Laboratories, LLC Westborough, MA 22,885 $251K
4 Myriad Women's Health, INC. South San Francisco, CA 38,046 $245K
5 Nxgen MDX, LLC Grand Rapids, MI 3,610 $125K
6 Natera, INC. San Carlos, CA 12,152 $80K
7 Laboratory Corporation of America Holdings Burlington, NC 6,895 $76K
8 Trupath Laboratories INC Loveland, CO 295 $66K
9 Invitae Corporation San Francisco, CA 3,580 $60K
10 Sema4 Opco, INC Branford, CT 8,710 $47K
11 Laboratory Corporation of America Holdings Dublin, OH 2,917 $42K
12 Laboratory Corporation of America Holdings Research Triangle Park, NC 4,400 $42K
13 Laboratory Corporation of America Holdings Birmingham, AL 4,541 $36K
14 Otogenetics Corporation Atlanta, GA 1,702 $35K
15 Laboratory Corporation of America Tampa, FL 1,831 $29K
16 Laboratory Corporation of America Holdings Raritan, NJ 7,523 $21K
17 Sherman Abrams Laboratory INC Brooklyn, NY 1,277 $15K
18 Bioreference Health, LLC Elmwood Park, NJ 1,291 $15K
19 Genview Diagnosis INC Houston, TX 602 $15K
20 Laboratory Corporation of America Dallas, TX 1,120 $11K
21 Laboratory Corporation of America Houston, TX 944 $10K
22 Pure Diagnostic, LLC Atlanta, GA 130 $10K
23 Quest Diagnostics Clinical Laboratories INC Miramar, FL 494 $7K
24 Licking Memorial Hospital Newark, OH 109 $7K
25 Sequenom Center for Molecular Medicine LLC San Diego, CA 440 $7K
26 Speciality Screening LLC Wauwatosa, WI 171 $6K
27 Enzo Clinical Labs, INC. Farmingdale, NY 838 $6K
28 Labsolutions LLC Atlanta, GA 56 $5K
29 Laboratory Corporation of America Phoenix, AZ 1,527 $3K
30 Laboratory Corporation of America Holdings Worcester, MA 57 $3K
31 Ameridrug Laboratories INC Loveland, CO 134 $2K
32 Laboratory Corporation of America Holdings Research Triangle Park, NC 106 $2K
33 Laboratory Corporation of America Knoxville, TN 584 $2K
34 Laboratory Corporation of America Holdings Burlington, NC 224 $1K
35 Foundation Medicine, INC. Morrisville, NC 295 $1K
36 Laboratory Corporation of America San Diego, CA 441 $1K
37 Gulf Coast Pathology Associates PLLC Houston, TX 196 $1K
38 Prism Molecular LLC Blakely, PA 27 $919.88
39 Sma Medical, INC. Feasterville, PA 17 $628.96
40 Analyze Pathology INC. Deerfield Beach, FL 18 $565.92
41 Northwell Health Laboratories New Hyde Park, NY 44 $558.55
42 Pro Diametrics Corp Pinecrest, FL 679 $492.84
43 Quest Diagnostics Clinical Laboratories INC Irving, TX 123 $487.24
44 Bioconfirm Laboratories LLC Doraville, GA 39 $361.67
45 Biogroup Laboratory Corp Pompano Beach, FL 58 $303.16
46 Etx Diagnostics LLC Stafford, TX 131 $192.60
47 Tricore Reference Laboratories Albuquerque, NM 12 $141.54
48 Claro Scientific Laboratories Corp Lafayette, CO 15 $78.62
49 Arcticax US LTD Grand Rapids, MI 147 $58.97
50 Reliance Diagnostics LLC Miami, FL 49 $38.52
51 North Central Florida Neurodiagnostic Services, LLC Alachua, FL 169 $36.17
52 Fulgent Therapeutics, LLC. El Monte, CA 39 $22.02
53 Baylor Miraca Genetics Laboratories LLC Houston, TX 39 $18.22
54 Mattison Pathology, L.L.P. Dallas, TX 503 $0.00
55 Delaware Valley Community Health, INC. Philadelphia, PA 51 $0.00
56 E-Lab of Florida INC. Hollywood, FL 168 $0.00
57 Lehigh Valley Toxicology LLC Bethlehem, PA 59 $0.00
58 Precheck Health Services INC Miami, FL 143 $0.00
59 Watson DX, INC. Fort Myers, FL 21 $0.00
60 Su, Henry Philadelphia, PA 14 $0.00
61 Gulf Coast Pathology Associates PLLC Dallas, TX 58 $0.00
62 Lab Diagnostics LLC Miami Gardens, FL 64 $0.00
63 Eqx Labs LLC Houston, TX 37 $0.00
64 Graves Gilbert Clinic PLLC Bowling Green, KY 12 $0.00
65 Elite Clinical Laboratory, INC Houston, TX 16 $0.00
66 Star Laboratory Piscataway, NJ 25 $0.00
67 Intelligenecg LLC Stilwell, KS 16 $0.00
68 Best Care Laboratory, LLC. Haledon, NJ 16 $0.00
69 Cliffside Labs L.L.C. Monmouth, NJ 31 $0.00
70 Delaware Valley Community Health, INC. Philadelphia, PA 12 $0.00
71 Esoterix Genetic Laboratories, LLC Westborough, MA 12 $0.00