Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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81255

Billing code 81255

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

Medicaid paid $7.23M on code 81255 from 2018 through 2024, to 62 providers — the #2,265 code in the file by dollars. 42% of it was billed in California.

28Total paid$7.23M
24GClaims480,350
Paid per claim line$15.05
33Providers billing it62
Box 32 · Location

Where 81255 is billed

  1. CACalifornia
    $3.0M
  2. NJNew Jersey
    $1.5M
  3. MIMichigan
    $1.2M
  4. NCNorth Carolina
    $405K
  5. MAMassachusetts
    $401K
  6. TXTexas
    $274K
  7. NYNew York
    $187K
  8. CTConnecticut
    $84K
  9. OHOhio
    $78K
  10. ALAlabama
    $49K
  11. FLFlorida
    $24K
  12. GAGeorgia
    $23K

The largest of 17 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 81255

#ProviderLocationClaimsPaid on 81255
1 Natera, INC. San Carlos, CA 301,905 $2.71M
2 Advanced Molecular Diagnostics, LLC Montvale, NJ 5,214 $1.38M
3 Progenity INC. Ann Arbor, MI 25,998 $997K
4 Esoterix Genetic Laboratories, LLC Westborough, MA 22,048 $376K
5 Myriad Women's Health, INC. South San Francisco, CA 37,562 $294K
6 Laboratory Corporation of America Holdings Burlington, NC 6,871 $274K
7 NSTX, INC Austin, TX 30,418 $239K
8 Nxgen MDX, LLC Grand Rapids, MI 1,786 $213K
9 Laboratory Corporation of America Holdings Research Triangle Park, NC 4,499 $130K
10 Sema4 Opco, INC Branford, CT 9,112 $84K
11 Laboratory Corporation of America Holdings Dublin, OH 2,914 $71K
12 Laboratory Corporation of America Holdings Raritan, NJ 7,446 $51K
13 Laboratory Corporation of America Holdings Birmingham, AL 4,540 $49K
14 New York City Health and Hospitals Corporation Elmhurst, NY 1,154 $47K
15 New York City Health and Hospitals Corporation Brooklyn, NY 704 $28K
16 Laboratory Corporation of America Holdings Worcester, MA 57 $24K
17 New York City Health and Hospitals Corporation New York, NY 571 $24K
18 Sherman Abrams Laboratory INC Brooklyn, NY 1,271 $24K
19 New York City Health and Hospitals Corporation New York, NY 538 $23K
20 Otogenetics Corporation Atlanta, GA 815 $23K
21 Bioreference Health, LLC Elmwood Park, NJ 1,295 $23K
22 New York City Health and Hospitals Corporation New York, NY 516 $22K
23 Laboratory Corporation of America Tampa, FL 1,804 $14K
24 Laboratory Corporation of America Dallas, TX 1,121 $13K
25 Quest Diagnostics Clinical Laboratories INC Miramar, FL 419 $11K
26 Sequenom Center for Molecular Medicine LLC San Diego, CA 440 $8K
27 Invitae Corporation San Francisco, CA 568 $8K
28 Licking Memorial Hospital Newark, OH 109 $7K
29 Enzo Clinical Labs, INC. Farmingdale, NY 963 $7K
30 Laboratory Corporation of America Knoxville, TN 584 $6K
31 New York City Health and Hospitals Corporation Bronx, NY 183 $6K
32 Genview Diagnosis INC Houston, TX 175 $6K
33 Laboratory Corporation of America Houston, TX 944 $4K
34 Arbor Diagnostics INC Dallas, TX 136 $4K
35 Laboratory Corporation of America Phoenix, AZ 1,527 $4K
36 New York City Health and Hospitals Corporation Brooklyn, NY 108 $4K
37 Gulf Coast Pathology Associates PLLC Houston, TX 337 $3K
38 Laboratory Corporation of America San Diego, CA 438 $2K
39 Gulf Coast Pathology Associates PLLC Dallas, TX 1,209 $2K
40 Mattison Pathology, L.L.P. Dallas, TX 1,197 $2K
41 Northwell Health Laboratories New Hyde Park, NY 46 $1K
42 New York City Health and Hospitals Corporation New York, NY 26 $1K
43 Sma Medical, INC. Feasterville, PA 17 $823.20
44 Laboratory Corporation of America Holdings Burlington, NC 244 $816.58
45 Quest Diagnostics Clinical Laboratories INC Irving, TX 124 $665.38
46 New York City Health and Hospitals Corporation Bronx, NY 14 $535.11
47 Laboratory Corporation of America Holdings Research Triangle Park, NC 13 $511.03
48 US Diagnostic Labs Azle, TX 15 $450.60
49 Medical Diagnostic Laboratories,llc Hamilton, NJ 49 $414.20
50 Tricore Reference Laboratories Albuquerque, NM 12 $185.25
51 Fulgent Therapeutics, LLC. El Monte, CA 39 $28.82
52 Baylor Miraca Genetics Laboratories LLC Houston, TX 38 $23.86
53 Unilab Corporation West Hills, CA 56 $0.00
54 Unilab Corporation Sacramento, CA 22 $0.00
55 Elixir Diagnostics, LLC Houston, TX 12 $0.00
56 Yale New Haven Hospital New Haven, CT 31 $0.00
57 Esoterix Genetic Laboratories, LLC Westborough, MA 12 $0.00
58 American Premier Labs Richardson, TX 13 $0.00
59 Elite Bio Reference Laboratory LLC Tampa, FL 16 $0.00
60 Pathadvantage, PA Dallas, TX 29 $0.00
61 The Griffin Hospital Derby, CT 14 $0.00
62 Graves Gilbert Clinic PLLC Bowling Green, KY 12 $0.00