Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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81260

Billing code 81260

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

Medicaid paid $4.87M on code 81260 from 2018 through 2024, to 68 providers — the #2,579 code in the file by dollars. 52% of it was billed in California.

28Total paid$4.87M
24GClaims495,655
Paid per claim line$9.82
33Providers billing it68
Box 32 · Location

Where 81260 is billed

  1. CACalifornia
    $2.5M
  2. MIMichigan
    $735K
  3. NJNew Jersey
    $623K
  4. MAMassachusetts
    $240K
  5. TXTexas
    $202K
  6. NCNorth Carolina
    $168K
  7. NYNew York
    $142K
  8. OHOhio
    $61K
  9. GAGeorgia
    $47K
  10. CTConnecticut
    $47K
  11. ALAlabama
    $40K
  12. FLFlorida
    $14K

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 81260

#ProviderLocationClaimsPaid on 81260
1 Natera, INC. San Carlos, CA 315,408 $2.29M
2 Progenity INC. Ann Arbor, MI 22,952 $616K
3 Advanced Molecular Diagnostics, LLC Montvale, NJ 4,054 $583K
4 Esoterix Genetic Laboratories, LLC Westborough, MA 22,447 $240K
5 Myriad Women's Health, INC. South San Francisco, CA 38,342 $239K
6 NSTX, INC Austin, TX 30,785 $180K
7 Nxgen MDX, LLC Grand Rapids, MI 3,165 $120K
8 Laboratory Corporation of America Holdings Burlington, NC 6,787 $105K
9 Laboratory Corporation of America Holdings Research Triangle Park, NC 4,403 $58K
10 Laboratory Corporation of America Holdings Dublin, OH 2,916 $54K
11 Sema4 Opco, INC Branford, CT 8,779 $47K
12 Laboratory Corporation of America Holdings Birmingham, AL 4,538 $40K
13 Otogenetics Corporation Atlanta, GA 1,675 $38K
14 New York City Health and Hospitals Corporation Elmhurst, NY 1,153 $36K
15 Laboratory Corporation of America Holdings Raritan, NJ 7,493 $26K
16 New York City Health and Hospitals Corporation Brooklyn, NY 702 $21K
17 New York City Health and Hospitals Corporation New York, NY 571 $18K
18 New York City Health and Hospitals Corporation New York, NY 538 $18K
19 New York City Health and Hospitals Corporation New York, NY 517 $17K
20 Sherman Abrams Laboratory INC Brooklyn, NY 1,276 $16K
21 Bioreference Health, LLC Elmwood Park, NJ 1,286 $15K
22 Laboratory Corporation of America Dallas, TX 1,122 $10K
23 Pure Diagnostic, LLC Atlanta, GA 96 $10K
24 Sequenom Center for Molecular Medicine LLC San Diego, CA 440 $7K
25 Laboratory Corporation of America Tampa, FL 1,816 $7K
26 Quest Diagnostics Clinical Laboratories INC Miramar, FL 480 $7K
27 Licking Memorial Hospital Newark, OH 109 $6K
28 Enzo Clinical Labs, INC. Farmingdale, NY 941 $5K
29 Invitae Corporation San Francisco, CA 926 $5K
30 New York City Health and Hospitals Corporation Bronx, NY 185 $5K
31 Laboratory Corporation of America Holdings Research Triangle Park, NC 149 $5K
32 Laboratory Corporation of America San Diego, CA 500 $4K
33 Arbor Diagnostics INC Dallas, TX 135 $3K
34 Laboratory Corporation of America Houston, TX 943 $3K
35 New York City Health and Hospitals Corporation Brooklyn, NY 108 $3K
36 Laboratory Corporation of America Phoenix, AZ 1,525 $3K
37 Laboratory Corporation of America Knoxville, TN 583 $3K
38 Gulf Coast Pathology Associates PLLC Houston, TX 337 $2K
39 Gulf Coast Pathology Associates PLLC Dallas, TX 1,209 $2K
40 New York City Health and Hospitals Corporation New York, NY 26 $888.39
41 Pro Diametrics Corp Pinecrest, FL 1,116 $749.27
42 Sma Medical, INC. Feasterville, PA 17 $628.96
43 Northwell Health Laboratories New Hyde Park, NY 45 $555.65
44 Quest Diagnostics Clinical Laboratories INC Irving, TX 123 $487.24
45 Etx Diagnostics LLC Stafford, TX 470 $441.64
46 New York City Health and Hospitals Corporation Bronx, NY 14 $408.82
47 Laboratory Corporation of America Holdings Burlington, NC 224 $211.25
48 Tricore Reference Laboratories Albuquerque, NM 12 $141.54
49 Elite Bio Reference Laboratory LLC Tampa, FL 40 $108.17
50 Esoterix Genetic Laboratories, LLC Westborough, MA 27 $94.32
51 Reliance Diagnostics LLC Miami, FL 93 $38.52
52 American Premier Labs Richardson, TX 25 $36.92
53 Star Laboratory Piscataway, NJ 12 $35.46
54 Baylor Miraca Genetics Laboratories LLC Houston, TX 39 $27.33
55 Fulgent Therapeutics, LLC. El Monte, CA 39 $22.02
56 Delaware Valley Community Health, INC. Philadelphia, PA 405 $0.00
57 Turner, Clinton Philadelphia, PA 185 $0.00
58 Graves Gilbert Clinic PLLC Bowling Green, KY 12 $0.00
59 Pathadvantage, PA Dallas, TX 29 $0.00
60 Delaware Valley Community Health, INC. Philadelphia, PA 389 $0.00
61 Su, Henry Philadelphia, PA 229 $0.00
62 Delong, Kira Philadelphia, PA 54 $0.00
63 Delaware Valley Community Health, INC. Philadelphia, PA 12 $0.00
64 Mattison Pathology, L.L.P. Dallas, TX 504 $0.00
65 Unilab Corporation Sacramento, CA 22 $0.00
66 Ryan, Meredith Philadelphia, PA 49 $0.00
67 Unilab Corporation West Hills, CA 40 $0.00
68 Elixir Diagnostics, LLC Houston, TX 12 $0.00