Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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81242

Billing code 81242

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

Medicaid paid $2.32M on code 81242 from 2018 through 2024, to 82 providers — the #3,167 code in the file by dollars. 27% of it was billed in Michigan.

28Total paid$2.32M
24GClaims180,433
Paid per claim line$12.89
33Providers billing it82
Box 32 · Location

Where 81242 is billed

  1. MIMichigan
    $638K
  2. NJNew Jersey
    $429K
  3. CACalifornia
    $377K
  4. MAMassachusetts
    $232K
  5. NCNorth Carolina
    $177K
  6. GAGeorgia
    $159K
  7. OHOhio
    $58K
  8. CTConnecticut
    $58K
  9. AZArizona
    $43K
  10. LALouisiana
    $40K
  11. ALAlabama
    $37K
  12. TXTexas
    $25K

The largest of 22 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 81242

#ProviderLocationClaimsPaid on 81242
1 Progenity INC. Ann Arbor, MI 22,720 $582K
2 Advanced Molecular Diagnostics, LLC Montvale, NJ 4,206 $390K
3 Esoterix Genetic Laboratories, LLC Westborough, MA 22,537 $229K
4 Myriad Women's Health, INC. South San Francisco, CA 38,035 $223K
5 Natera, INC. San Carlos, CA 22,552 $140K
6 Laboratory Corporation of America Holdings Burlington, NC 6,847 $115K
7 Otogenetics Corporation Atlanta, GA 1,931 $72K
8 Sema4 Opco, INC Branford, CT 9,049 $58K
9 Nxgen MDX, LLC Grand Rapids, MI 3,718 $56K
10 Laboratory Corporation of America Holdings Research Triangle Park, NC 4,387 $54K
11 Laboratory Corporation of America Holdings Dublin, OH 2,892 $52K
12 Bioconfirm Laboratories LLC Doraville, GA 2,295 $43K
13 Caris Mpi, INC. Phoenix, AZ 6,304 $40K
14 Laboratory Corporation of America Holdings Birmingham, AL 4,541 $37K
15 Specialty Drug Testing, LLC Monroe, LA 683 $32K
16 Pure Diagnostic, LLC Atlanta, GA 570 $29K
17 Laboratory Corporation of America Holdings Raritan, NJ 7,491 $24K
18 Bioreference Health, LLC Elmwood Park, NJ 1,354 $15K
19 Labsolutions LLC Atlanta, GA 483 $13K
20 Crestar Labs LLC Spring Hill, TN 651 $12K
21 Laboratory Corporation of America Dallas, TX 1,122 $11K
22 Genview Diagnosis INC Houston, TX 374 $9K
23 Acadian Diagnostic Laboratories LLC Baton Rouge, LA 211 $8K
24 Sequenom Center for Molecular Medicine LLC San Diego, CA 440 $7K
25 Quest Diagnostics Clinical Laboratories INC Miramar, FL 413 $7K
26 Licking Memorial Hospital Newark, OH 109 $6K
27 Laboratory Corporation of America Tampa, FL 1,812 $6K
28 Speciality Screening LLC Wauwatosa, WI 171 $6K
29 Invitae Corporation San Francisco, CA 929 $6K
30 Enzo Clinical Labs, INC. Farmingdale, NY 854 $5K
31 Premier Medical, INC. Greenville, SC 306 $5K
32 Laboratory Corporation of America Holdings Research Triangle Park, NC 106 $5K
33 Sherman Abrams Laboratory INC Brooklyn, NY 368 $4K
34 Laboratory Corporation of America Holdings Worcester, MA 57 $3K
35 Laboratory Corporation of America Houston, TX 944 $3K
36 National Premier Laboratories INC Stockbridge, GA 43 $3K
37 Laboratory Corporation of America Phoenix, AZ 1,527 $3K
38 Laboratory Corporation of America Knoxville, TN 585 $2K
39 Laboratory Corporation of America San Diego, CA 443 $2K
40 Foundation Medicine, INC. Morrisville, NC 531 $2K
41 Lehigh Valley Toxicology LLC Bethlehem, PA 59 $2K
42 Gulf Coast Pathology Associates PLLC Houston, TX 195 $1K
43 Prism Molecular LLC Blakely, PA 27 $856.96
44 Landmark Diagnostics, LLC Houston, TX 139 $602.09
45 Quest Diagnostics Clinical Laboratories INC Irving, TX 119 $571.36
46 Northwell Health Laboratories New Hyde Park, NY 45 $517.81
47 Pro Diametrics Corp Pinecrest, FL 678 $495.77
48 Foundation Medicine, INC. Cambridge, MA 105 $342.24
49 Laboratory Corporation of America Holdings Burlington, NC 224 $341.03
50 Clinical Lab Solutions LLC Fort Myers, FL 412 $183.10
51 Etx Diagnostics LLC Stafford, TX 131 $179.45
52 Claro Scientific Laboratories Corp Lafayette, CO 15 $73.22
53 Arcticax US LTD Grand Rapids, MI 147 $54.93
54 Sma Medical, INC. Feasterville, PA 20 $36.62
55 Reliance Diagnostics LLC Miami, FL 49 $35.89
56 Ellwood Medical Center Operations, LLC Ellwood City, PA 55 $35.89
57 North Central Florida Neurodiagnostic Services, LLC Alachua, FL 171 $33.69
58 Baylor Miraca Genetics Laboratories LLC Houston, TX 39 $25.47
59 Fulgent Therapeutics, LLC. El Monte, CA 39 $20.50
60 Biogroup Laboratory Corp Pompano Beach, FL 58 $2.92
61 Delong, Kira Philadelphia, PA 144 $0.00
62 Ryan, Meredith Philadelphia, PA 144 $0.00
63 Mattison Pathology, L.L.P. Dallas, TX 503 $0.00
64 Watson DX, INC. Fort Myers, FL 21 $0.00
65 Delaware Valley Community Health, INC. Philadelphia, PA 501 $0.00
66 Su, Henry Philadelphia, PA 292 $0.00
67 Gulf Coast Pathology Associates PLLC Dallas, TX 58 $0.00
68 Lazarus Services, LLC New Orleans, LA 25 $0.00
69 Inhealth Diagnostic, LLC Dallas, TX 73 $0.00
70 Precheck Health Services INC Miami, FL 94 $0.00
71 Crestar Labs LLC Richardson, TX 15 $0.00
72 Delaware Valley Community Health, INC. Philadelphia, PA 583 $0.00
73 Eqx Labs LLC Houston, TX 37 $0.00
74 Express Diagnostics LLC Somerset, NJ 145 $0.00
75 Phi Life Sciences LLC College Park, MD 52 $0.00
76 Turner, Clinton Philadelphia, PA 317 $0.00
77 Esoterix Genetic Laboratories, LLC Westborough, MA 12 $0.00
78 Star Laboratory Piscataway, NJ 25 $0.00
79 Intelligenecg LLC Stilwell, KS 16 $0.00
80 Graves Gilbert Clinic PLLC Bowling Green, KY 12 $0.00
81 Cliffside Labs L.L.C. Monmouth, NJ 31 $0.00
82 Elite Clinical Laboratory, INC Houston, TX 15 $0.00