Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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81257

Billing code 81257

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

Medicaid paid $14.11M on code 81257 from 2018 through 2024, to 79 providers — the #1,776 code in the file by dollars. 65% of it was billed in California.

28Total paid$14.11M
24GClaims671,956
Paid per claim line$21.00
33Providers billing it79
Box 32 · Location

Where 81257 is billed

  1. CACalifornia
    $9.1M
  2. NCNorth Carolina
    $1.1M
  3. MAMassachusetts
    $769K
  4. MIMichigan
    $732K
  5. TXTexas
    $656K
  6. NJNew Jersey
    $589K
  7. NYNew York
    $392K
  8. ALAlabama
    $157K
  9. FLFlorida
    $156K
  10. GAGeorgia
    $139K
  11. OHOhio
    $135K
  12. CTConnecticut
    $66K

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 81257

#ProviderLocationClaimsPaid on 81257
1 Natera, INC. San Carlos, CA 371,245 $5.54M
2 Billiontoone INC Union City, CA 76,629 $2.65M
3 Esoterix Genetic Laboratories, LLC Westborough, MA 21,342 $723K
4 Progenity INC. Ann Arbor, MI 27,252 $722K
5 Myriad Women's Health, INC. South San Francisco, CA 39,888 $575K
6 NSTX, INC Austin, TX 36,439 $563K
7 Laboratory Corporation of America Holdings Burlington, NC 6,998 $550K
8 Laboratory Corporation of America Holdings Research Triangle Park, NC 4,445 $297K
9 Laboratory Corporation of America Burlington, NC 571 $265K
10 Advanced Molecular Diagnostics, LLC Montvale, NJ 4,235 $249K
11 Unilab Corporation West Hills, CA 6,162 $218K
12 Laboratory Corporation of America Holdings Raritan, NJ 10,977 $180K
13 Laboratory Corporation of America Holdings Birmingham, AL 4,519 $157K
14 Laboratory Corporation of America Holdings Dublin, OH 2,533 $134K
15 Quest Diagnostics Incorporated Clifton, NJ 5,986 $115K
16 Otogenetics Corporation Atlanta, GA 7,670 $96K
17 New York City Health and Hospitals Corporation Elmhurst, NY 1,236 $91K
18 Laboratory Corporation of America Tampa, FL 3,117 $78K
19 Quest Diagnostics Clinical Laboratories INC Miramar, FL 2,347 $71K
20 Sema4 Opco, INC Branford, CT 10,200 $66K
21 Laboratory Corporation of America San Diego, CA 1,411 $52K
22 New York City Health and Hospitals Corporation Brooklyn, NY 716 $48K
23 Laboratory Corporation of America Holdings Worcester, MA 57 $45K
24 Bioreference Health, LLC Elmwood Park, NJ 1,278 $44K
25 New York City Health and Hospitals Corporation New York, NY 606 $42K
26 Montefiore Medical Center Bronx, NY 485 $42K
27 New York City Health and Hospitals Corporation New York, NY 557 $40K
28 New York City Health and Hospitals Corporation New York, NY 581 $40K
29 Unilab Corporation Sacramento, CA 1,955 $39K
30 Sherman Abrams Laboratory INC Brooklyn, NY 1,267 $38K
31 Laboratory Corporation of America Knoxville, TN 584 $34K
32 Quest Diagnostics Nichols Institute San Juan Capistrano, CA 3,068 $32K
33 Laboratory Corporation of America Dallas, TX 1,145 $31K
34 Mid Atlantic Pemanente Medical Group Rockville, MD 221 $22K
35 Medical Neurogenetics, LLC Atlanta, GA 583 $22K
36 Northwell Health Laboratories New Hyde Park, NY 800 $21K
37 Bioconfirm Laboratories LLC Doraville, GA 1,276 $20K
38 Gulf Coast Pathology Associates PLLC Dallas, TX 1,370 $19K
39 Invitae Corporation San Francisco, CA 943 $16K
40 Sequenom Center for Molecular Medicine LLC San Diego, CA 430 $13K
41 Arbor Diagnostics INC Dallas, TX 209 $13K
42 New York City Health and Hospitals Corporation Bronx, NY 205 $12K
43 Laboratory Corporation of America Houston, TX 925 $11K
44 Nxgen MDX, LLC Grand Rapids, MI 121 $11K
45 Quest Diagnostics Clinical Laboratories INC Irving, TX 569 $10K
46 New York City Health and Hospitals Corporation Brooklyn, NY 134 $9K
47 Laboratory Corporation of America Phoenix, AZ 1,710 $8K
48 Laboratory Corporation of America Holdings Burlington, NC 457 $8K
49 Quest Diagnostics Clinical Laboratories INC Tampa, FL 96 $7K
50 Gulf Coast Pathology Associates PLLC Houston, TX 353 $6K
51 Enzo Clinical Labs, INC. Farmingdale, NY 225 $4K
52 Mattison Pathology, L.L.P. Dallas, TX 1,235 $3K
53 New York City Health and Hospitals Corporation Bronx, NY 49 $3K
54 Laboratory Corporation of America Holdings Research Triangle Park, NC 43 $2K
55 New York City Health and Hospitals Corporation New York, NY 26 $2K
56 Quest Diagnostics Clinical Laboratories INC Tucker, GA 37 $1K
57 Quest Diagnostics Incorporated MD Baltimore, MD 26 $1K
58 Saint Joseph Health System, INC Lexington, KY 14 $1K
59 Licking Memorial Hospital Newark, OH 17 $1K
60 New York City Health and Hospitals Corporation Bronx, NY 15 $872.10
61 Quest Diagnostics Massachusetts LLC Marlborough, MA 12 $797.81
62 Sunrise Medical Laboratories, INC. Hicksville, NY 330 $776.77
63 Performance Laboratories LLC Oklahoma City, OK 950 $624.20
64 Tricore Reference Laboratories Albuquerque, NM 12 $569.05
65 Quest Diagnostics LLC Il Wood Dale, IL 31 $551.73
66 Robert Wood Johnson University Hospital, INC New Brunswick, NJ 15 $168.52
67 Yale New Haven Hospital New Haven, CT 128 $98.32
68 Mount Sinai Hospital New York, NY 15 $61.36
69 Fulgent Therapeutics, LLC. El Monte, CA 38 $57.26
70 Esoterix Genetic Laboratories, LLC Westborough, MA 13 $15.78
71 Quest Diagnostics Clinical Laboratories INC Norristown, PA 183 $0.00
72 Express Diagnostics LLC Somerset, NJ 134 $0.00
73 Pathadvantage, PA Dallas, TX 29 $0.00
74 Graves Gilbert Clinic PLLC Bowling Green, KY 12 $0.00
75 Quest Diagnostics Incorporated Las Vegas, NV 230 $0.00
76 1881904829 175 $0.00
77 Long Island Jewish Medical Center New Hyde Park, NY 13 $0.00
78 Lazarus Services, LLC New Orleans, LA 33 $0.00
79 River City Medical Group, INC. Sacramento, CA 13 $0.00