Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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81220

CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants

Medicaid paid $458.24M on code 81220 from 2018 through 2024, to 502 providers — the #308 code in the file by dollars. 39% of it was billed in California.

28Total paid$458.24M
24GClaims2,451,870
Paid per claim line$186.90
33Providers billing it502
Box 32 · Location

Where 81220 is billed

  1. CACalifornia
    $177M
  2. NCNorth Carolina
    $67M
  3. MAMassachusetts
    $40M
  4. NJNew Jersey
    $34M
  5. FLFlorida
    $25M
  6. NYNew York
    $21M
  7. TXTexas
    $20M
  8. ALAlabama
    $16M
  9. MIMichigan
    $13M
  10. OHOhio
    $11M
  11. GAGeorgia
    $7.1M
  12. VAVirginia
    $3.9M

The largest of 41 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 81220

#ProviderLocationClaimsPaid on 81220
1 Natera, INC. San Carlos, CA 542,275 $74.63M
2 Myriad Women's Health, INC. South San Francisco, CA 171,274 $35.30M
3 Esoterix Genetic Laboratories, LLC Westborough, MA 130,502 $32.03M
4 Laboratory Corporation of America Holdings Research Triangle Park, NC 127,475 $31.57M
5 Billiontoone INC Union City, CA 165,809 $22.35M
6 Laboratory Corporation of America Holdings Burlington, NC 73,374 $22.12M
7 Laboratory Corporation of America Holdings Raritan, NJ 86,086 $14.56M
8 State of Alabama Department of Public Health Prattville, AL 10,128 $11.28M
9 Unilab Corporation West Hills, CA 114,285 $10.38M
10 Invitae Corporation San Francisco, CA 64,325 $10.00M
11 Progenity INC. Ann Arbor, MI 53,157 $9.71M
12 Bureau of Public Health Laboratories Jacksonville, FL 40,867 $9.63M
13 NSTX, INC Austin, TX 46,375 $7.71M
14 Bioreference Health, LLC Elmwood Park, NJ 44,186 $7.62M
15 Laboratory Corporation of America Holdings Dublin, OH 36,855 $7.29M
16 Quest Diagnostics Clinical Laboratories INC Miramar, FL 27,025 $7.09M
17 Laboratory Corporation of America Tampa, FL 39,146 $7.08M
18 Quest Diagnostics Incorporated Clifton, NJ 29,409 $6.54M
19 Quest Diagnostics Nichols Institute San Juan Capistrano, CA 39,795 $6.45M
20 Unilab Corporation Sacramento, CA 46,033 $6.04M
21 Laboratory Corporation of America Holdings Birmingham, AL 23,266 $4.91M
22 Otogenetics Corporation Atlanta, GA 15,195 $4.30M
23 Laboratory Corporation of America Holdings Burlington, NC 13,917 $4.08M
24 Laboratory Corporation of America San Diego, CA 55,192 $3.96M
25 Advanced Molecular Diagnostics, LLC Montvale, NJ 6,900 $3.86M
26 Quest Diagnostics Clinical Laboratories INC Irving, TX 19,197 $3.79M
27 Laboratory Corporation of America Holdings Research Triangle Park, NC 18,625 $3.38M
28 Laboratory Corporation of America Houston, TX 15,042 $3.15M
29 Laboratory Corporation of America Holdings Research Triangle Park, NC 10,272 $2.98M
30 Montefiore Medical Center Bronx, NY 8,941 $2.96M
31 Quest Diagnostics Nichols Institute, INC. Chantilly, VA 10,811 $2.87M
32 Nxgen MDX, LLC Grand Rapids, MI 14,770 $2.84M
33 Quest Diagnostics Clinical Laboratories INC Tucker, GA 7,910 $2.77M
34 Trustees of Columbia University in the City of New York New York, NY 4,534 $2.52M
35 Quest Diagnostics Massachusetts LLC Marlborough, MA 6,290 $2.46M
36 Quest Diagnostics LLC Il Wood Dale, IL 11,482 $2.15M
37 Sema4 Opco, INC Branford, CT 11,676 $2.12M
38 Trustees of Columbia University in the City of New York New York, NY 3,344 $2.08M
39 Northwell Health Laboratories New Hyde Park, NY 6,477 $2.06M
40 Latara Enterprise INC. Pomona, CA 13,830 $1.97M
41 Advanta Genetics LLC Tyler, TX 2,086 $1.86M
42 Laboratory Corporation of America Burlington, NC 8,696 $1.80M
43 New York City Health and Hospitals Corporation Bronx, NY 3,495 $1.52M
44 Quest Diagnostics Incorporated MD Baltimore, MD 6,400 $1.37M
45 Laboratory Corporation of America Dallas, TX 4,772 $1.31M
46 Quest Diagnostics of Pennsylvania, INC. Pittsburgh, PA 4,322 $1.20M
47 Columbia Presbyterian Pathologists New York, NY 1,074 $1.17M
48 Esoterix, INC Calabasas Hills, CA 5,484 $1.15M
49 Ohiohealth Corporation Columbus, OH 3,642 $1.13M
50 Laboratory Corporation of America Seattle, WA 3,801 $1.13M
51 Esoterix Genetic Laboratories, LLC Westborough, MA 3,668 $1.09M
52 Cambridge Public Health Commission Cambridge, MA 3,230 $1.04M
53 Associated Pathologists, LLC Nashville, TN 4,859 $998K
54 New York City Health and Hospitals Corporation Elmhurst, NY 2,172 $964K
55 Labone of Ohio INC Cincinnati, OH 4,633 $946K
56 Laboratory Corporation of America Holdings Overland Park, KS 2,750 $926K
57 Quest Diagnostics Clinical Laboratories INC Tampa, FL 9,222 $924K
58 Boston Medical Center Corporation Boston, MA 2,605 $913K
59 Baystate Medical Center INC Springfield, MA 3,094 $912K
60 New York City Health and Hospitals Corporation Bronx, NY 1,842 $813K
61 Associated Pathologists LLC Nashville, TN 2,748 $774K
62 Virginia Commonwealth University Health System Authority Richmond, VA 1,334 $739K
63 Sunrise Medical Laboratories, INC. Hicksville, NY 3,581 $696K
64 Louisiana Department of Health - Office of Public Health Baton Rouge, LA 3,801 $692K
65 Esoterix Genetic Laboratories, LLC Santa Fe, NM 2,754 $644K
66 Laboratory Corporation of America Knoxville, TN 3,111 $605K
67 Labone LLC Lenexa, KS 1,825 $601K
68 Quest Diagnostics Clinical Laboratories INC Seattle, WA 1,738 $600K
69 New York City Health and Hospitals Corporation Brooklyn, NY 1,333 $592K
70 New York City Health and Hospitals Corporation New York, NY 1,251 $581K
71 Alameda Health System Oakland, CA 3,039 $530K
72 New York City Health and Hospitals Corporation New York, NY 1,156 $515K
73 Bioreference Health, LLC Houston, TX 3,042 $514K
74 Sonora Quest Laboratories LLC Phoenix, AZ 1,976 $498K
75 Pikeville Medical Center INC Pikeville, KY 1,869 $478K
76 New York City Health and Hospitals Corporation Jamaica, NY 983 $453K
77 Memphis Pathology Laboratory Memphis, TN 3,125 $452K
78 New York City Health and Hospitals Corporation Brooklyn, NY 1,052 $442K
79 University Hospital Newark, NJ 2,690 $441K
80 Baystate Medical Center INC Springfield, MA 1,458 $438K
81 Gulf Coast Pathology Associates PLLC Dallas, TX 1,367 $436K
82 Umass Memorial Medical Center, INC. Worcester, MA 1,005 $433K
83 Quest Diagnostics Clinical Laboratories INC Collegeville, PA 779 $430K
84 New York City Health and Hospitals Corporation New York, NY 877 $417K
85 Women & Infants Hospital of Rhode Island Providence, RI 1,302 $412K
86 New York City Health and Hospitals Corporation Brooklyn, NY 944 $410K
87 Regents of the University of California San Diego, CA 2,790 $392K
88 Newark Beth Israel Medical Center INC Newark, NJ 1,401 $391K
89 Laboratory Corporation of America Holdings Burlington, NC 2,026 $389K
90 The Metrohealth System Cleveland, OH 1,652 $388K
91 Mattison Pathology, L.L.P. Dallas, TX 2,776 $387K
92 University of Rochester Rochester, NY 1,372 $385K
93 Enzo Clinical Labs, INC. Farmingdale, NY 2,015 $376K
94 Esoterix Genetic Laboratories, LLC Shelton, CT 1,147 $363K
95 Clinical Pathology Laboratories, INC. Austin, TX 3,233 $336K
96 Sherman Abrams Laboratory INC Brooklyn, NY 1,660 $327K
97 Saint Peter's University Hospital New Brunswick, NJ 846 $326K
98 Associated Clinical Laboratories Erie, PA 932 $313K
99 Sequenom Center for Molecular Medicine LLC San Diego, CA 1,661 $311K
100 The Griffin Hospital Derby, CT 1,206 $307K