Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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81243

Billing code 81243

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

Medicaid paid $21.30M on code 81243 from 2018 through 2024, to 205 providers — the #1,491 code in the file by dollars. 37% of it was billed in California.

28Total paid$21.30M
24GClaims1,228,607
Paid per claim line$17.34
33Providers billing it205
Box 32 · Location

Where 81243 is billed

  1. CACalifornia
    $7.9M
  2. NCNorth Carolina
    $2.2M
  3. NYNew York
    $2.1M
  4. MAMassachusetts
    $1.8M
  5. NJNew Jersey
    $1.6M
  6. MIMichigan
    $1.4M
  7. TXTexas
    $817K
  8. MDMaryland
    $741K
  9. UTUtah
    $703K
  10. FLFlorida
    $554K
  11. OHOhio
    $402K
  12. SCSouth Carolina
    $234K

The largest of 37 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 81243

#ProviderLocationClaimsPaid on 81243
1 Natera, INC. San Carlos, CA 490,461 $6.13M
2 Esoterix Genetic Laboratories, LLC Westborough, MA 78,410 $1.76M
3 Progenity INC. Ann Arbor, MI 47,737 $1.05M
4 Laboratory Corporation of America Holdings Research Triangle Park, NC 32,618 $1.01M
5 Myriad Women's Health, INC. South San Francisco, CA 106,742 $950K
6 Montefiore Medical Center Bronx, NY 8,849 $816K
7 Laboratory Corporation of America Holdings Burlington, NC 25,863 $776K
8 Lineagen, INC. Salt Lake City, UT 10,485 $703K
9 Genedx LLC Gaithersburg, MD 36,323 $670K
10 NSTX, INC Austin, TX 47,376 $616K
11 Laboratory Corporation of America Holdings Raritan, NJ 40,888 $526K
12 Bioreference Health, LLC Elmwood Park, NJ 21,811 $478K
13 Quest Diagnostics Incorporated Clifton, NJ 18,698 $380K
14 Nxgen MDX, LLC Grand Rapids, MI 13,075 $317K
15 Unilab Corporation West Hills, CA 22,072 $289K
16 Laboratory Corporation of America Tampa, FL 17,005 $287K
17 Trustees of Columbia University in the City of New York New York, NY 4,503 $259K
18 Greenwood Genetic Center Lab Greenwood, SC 1,815 $230K
19 Laboratory Corporation of America Holdings Research Triangle Park, NC 4,329 $202K
20 Quest Diagnostics Clinical Laboratories INC Miramar, FL 14,411 $199K
21 Quest Diagnostics Nichols Institute San Juan Capistrano, CA 15,215 $155K
22 Laboratory Corporation of America Holdings Dublin, OH 10,412 $154K
23 Trustees of Columbia University in the City of New York New York, NY 3,682 $152K
24 Advanced Molecular Diagnostics, LLC Montvale, NJ 1,676 $152K
25 Laboratory Corporation of America Holdings Burlington, NC 5,516 $149K
26 Esoterix Genetic Laboratories, LLC Santa Fe, NM 2,012 $143K
27 Sema4 Opco, INC Branford, CT 10,103 $139K
28 Northwell Health Laboratories New Hyde Park, NY 6,559 $110K
29 Nationwide Children's Hospital Columbus, OH 812 $102K
30 Laboratory Corporation of America San Diego, CA 8,874 $99K
31 New York City Health and Hospitals Corporation Bronx, NY 2,179 $97K
32 Invitae Corporation San Francisco, CA 6,986 $95K
33 New York City Health and Hospitals Corporation Elmhurst, NY 2,289 $92K
34 Billiontoone INC Union City, CA 6,213 $88K
35 Dayton Children's Hospital Dayton, OH 514 $88K
36 Columbia Presbyterian Pathologists New York, NY 1,297 $82K
37 New York City Health and Hospitals Corporation Bronx, NY 1,630 $73K
38 Quest Diagnostics Clinical Laboratories INC Irving, TX 5,650 $68K
39 New York City Health and Hospitals Corporation New York, NY 1,392 $63K
40 New York City Health and Hospitals Corporation Brooklyn, NY 1,417 $62K
41 Laboratory Corporation of America Houston, TX 6,910 $58K
42 Quest Diagnostics Clinical Laboratories INC Tampa, FL 4,599 $58K
43 Laboratory Corporation of America Holdings Birmingham, AL 8,783 $54K
44 Upmc Children's Hospital of Pittsburgh Pittsburgh, PA 274 $51K
45 Quest Diagnostics Incorporated MD Baltimore, MD 2,093 $50K
46 New York City Health and Hospitals Corporation New York, NY 1,026 $49K
47 Unilab Corporation Sacramento, CA 3,750 $48K
48 Laboratory Corporation of America Holdings Research Triangle Park, NC 2,216 $45K
49 New York City Health and Hospitals Corporation Jamaica, NY 988 $44K
50 Childrens Hospital of Philadelphia Philadelphia, PA 347 $42K
51 Laboratory Corporation of America Dallas, TX 2,834 $40K
52 New York City Health and Hospitals Corporation New York, NY 887 $40K
53 Rector & Visitors of the University of Virginia Charlottesville, VA 930 $39K
54 Sonora Quest Laboratories LLC Phoenix, AZ 845 $38K
55 Quest Diagnostics Clinical Laboratories INC Tucker, GA 1,402 $38K
56 Associated Clinical Laboratories Erie, PA 603 $37K
57 Laboratory Corporation of America Burlington, NC 1,490 $36K
58 Sunrise Medical Laboratories, INC. Hicksville, NY 2,771 $33K
59 Children's Hospital Medical Center of Akron Akron, OH 177 $32K
60 Quest Diagnostics of Puerto Rico INC San Juan, PR 807 $30K
61 Sherman Abrams Laboratory INC Brooklyn, NY 1,651 $30K
62 Laboratory Corporation of America Holdings Overland Park, KS 1,566 $26K
63 Newark Beth Israel Medical Center INC Newark, NJ 706 $25K
64 Quest Diagnostics Massachusetts LLC Marlborough, MA 500 $24K
65 ST Josephs University Medical Center INC. Paterson, NJ 427 $22K
66 Nyu Langone Hospitals New York, NY 657 $21K
67 State of Mississippi - University of Mississippi Medical Center Jackson, MS 1,340 $21K
68 Quest Diagnostics LLC Il Wood Dale, IL 1,141 $21K
69 Mid Atlantic Pemanente Medical Group Rockville, MD 369 $21K
70 Ambry Genetics Corporation Aliso Viejo, CA 737 $19K
71 The New York and Presbyterian Hospital Bronxville, NY 382 $18K
72 Enzo Clinical Labs, INC. Farmingdale, NY 1,789 $18K
73 Medical Neurogenetics, LLC Atlanta, GA 637 $13K
74 Laboratory Corporation of America Knoxville, TN 1,995 $13K
75 Laboratory Corporation of America Holdings Worcester, MA 65 $12K
76 Pure Diagnostic, LLC Atlanta, GA 110 $12K
77 Children's Hospital Corporation Boston, MA 699 $11K
78 Virginia Commonwealth University Health System Authority Richmond, VA 286 $11K
79 Gulf Coast Pathology Associates PLLC Dallas, TX 1,395 $11K
80 Labone of Ohio INC Cincinnati, OH 1,200 $11K
81 Children's Hospital Medical Center Cincinnati, OH 330 $10K
82 New Hanover Regional Medical Center Wilmington, NC 406 $10K
83 Sequenom Center for Molecular Medicine LLC San Diego, CA 1,303 $10K
84 Bioreference Health, LLC Houston, TX 1,022 $9K
85 Long Island Jewish Medical Center New Hyde Park, NY 175 $8K
86 Public Health Trust of Miami Dade County Florida Miami, FL 1,341 $8K
87 Sentara Reference Lab Solutions, LLC Norfolk, VA 944 $8K
88 Arkansas Childrens Hospital Little Rock, AR 204 $8K
89 MH Mission Hospital, LLLP Asheville, NC 183 $7K
90 State of Mississippi-University of Mississippi Medical Center Grenada, MS 1,136 $7K
91 Norton Hospitals INC Louisville, KY 141 $6K
92 New York City Health and Hospitals Corporation Brooklyn, NY 187 $6K
93 Arbor Diagnostics INC Dallas, TX 226 $6K
94 University of Kentucky Lexington, KY 142 $6K
95 A2cl Services, LLC West Allis, WI 182 $6K
96 Southern California Permanente Medical Group Los Angeles, CA 1,248 $6K
97 Laboratory Corporation of America Phoenix, AZ 2,952 $5K
98 Yale University New Haven, CT 197 $5K
99 Quest Diagnostics of Pennsylvania, INC. Pittsburgh, PA 163 $5K
100 The Brooklyn Hospital Center Brooklyn, NY 489 $5K