Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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85097

Billing code 85097

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

Medicaid paid $2.00M on code 85097 from 2018 through 2024, to 176 providers — the #3,294 code in the file by dollars. 37% of it was billed in California.

28Total paid$2.00M
24GClaims46,773
Paid per claim line$42.70
33Providers billing it176
Box 32 · Location

Where 85097 is billed

  1. CACalifornia
    $739K
  2. NYNew York
    $213K
  3. MIMichigan
    $124K
  4. CTConnecticut
    $103K
  5. NJNew Jersey
    $89K
  6. AZArizona
    $83K
  7. PRPuerto Rico
    $79K
  8. TXTexas
    $72K
  9. TNTennessee
    $69K
  10. FLFlorida
    $55K
  11. WAWashington
    $49K
  12. COColorado
    $40K

The largest of 39 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 85097

#ProviderLocationClaimsPaid on 85097
1 Kaiser Foundation Hospitals Los Angeles, CA 543 $383K
2 Memorial Hospital for Cancer and Allied Diseases New York, NY 1,922 $191K
3 City of Hope Medical Foundation Duarte, CA 3,195 $100K
4 Chlamg-Pathology LP Los Angeles, CA 2,002 $83K
5 Hato Rey Pathology Associates INC San Juan, PR 1,689 $79K
6 Hartford Hospital Hartford, CT 494 $78K
7 Bioreference Health, LLC Elmwood Park, NJ 3,375 $68K
8 Regents of the University of Michigan Ann Arbor, MI 1,436 $46K
9 Stanford Health Care Stanford, CA 1,122 $46K
10 Phoenix Children's Hospital Phoenix, AZ 910 $42K
11 Neogenomics Laboratories INC Carlsbad, CA 1,396 $38K
12 Inform Diagnostics, INC. Coppell, TX 1,424 $37K
13 Pathology Specialist of Arizona, LLP Phoenix, AZ 1,018 $37K
14 Seattle Children's Hospital Seattle, WA 721 $36K
15 ST Jude Children's Research Hospital, INC. Memphis, TN 1,080 $35K
16 University Physicians Incorporated Aurora, CO 768 $29K
17 Froedtert Memorial Lutheran Hospital, INC. Milwaukee, WI 951 $29K
18 Accupath Diagnostic Laboratories INC Brentwood, TN 1,469 $29K
19 Texas Childrens Hospital Houston, TX 1,026 $28K
20 William Beaumont Hospital Royal Oak, MI 888 $28K
21 Michigan Pathology Specialists PC Grand Rapids, MI 904 $26K
22 Adventist Health System-Sunbelt, INC Orlando, FL 538 $24K
23 Neogenomics Laboratories INC Aliso Viejo, CA 874 $21K
24 Ameripath Indianapolis PC Indianapolis, IN 652 $17K
25 University of North Carolina at Chapel Hill Chapel Hill, NC 617 $17K
26 Regents of the University of California San Diego, CA 578 $16K
27 University Medical Associates of the Medical University of South Carol Charleston, SC 368 $15K
28 Yale University New Haven, CT 717 $15K
29 University of Kentucky Lexington, KY 122 $15K
30 H. Lee Moffitt Cancer Center and Research Institute Hospital, INC. Tampa, FL 1,064 $14K
31 Permanente Medical Group, INC. Berkeley, CA 165 $13K
32 State of Mississippi - University of Mississippi Medical Center Jackson, MS 129 $13K
33 University Medical Diagnostic Associates, INC. Indianapolis, IN 206 $12K
34 Newport Harbor Pathology Medical Group INC Newport Beach, CA 344 $11K
35 The Association of University Physicians Seattle, WA 330 $11K
36 Spectrum Health Hospitals Grand Rapids, MI 99 $11K
37 University Professional Services Portland, OR 321 $11K
38 University of Arkansas for Medical Sciences Little Rock, AR 234 $11K
39 State University of Iowa Iowa City, IA 262 $10K
40 University Hospitals Cleveland Medical Center Cleveland, OH 109 $9K
41 University Physicians Incorporated Aurora, CO 301 $9K
42 The Cooper Health System Camden, NJ 69 $9K
43 Miller, Ira Chicago, IL 440 $8K
44 Henry Ford Health System Detroit, MI 293 $8K
45 Fpa Hospital Based New York, NY 181 $8K
46 Kansas University Physicians INC Kansas City, KS 177 $7K
47 Robert Wood Johnson University Hospital, INC New Brunswick, NJ 252 $7K
48 Hartford Pathology Associates, P.C. Hartford, CT 328 $6K
49 Kentucky Medical Services Foundation Lexington, KY 191 $6K
50 Children's Hospital Pathology Foundation, INC. Boston, MA 138 $6K
51 Brigham & Womens Physicians Organization INC Boston, MA 315 $6K
52 Neogenomics Laboratories INC Fort Myers, FL 434 $6K
53 Southern California Permanente Medical Group Los Angeles, CA 78 $6K
54 Associated Pathologists, LLC Nashville, TN 242 $5K
55 University Family Physicians, INC. Indianapolis, IN 99 $5K
56 Wake Forest University Health Sciences Winston Salem, NC 189 $5K
57 Rector & Visitors of the University of Virginia Charlottesville, VA 206 $5K
58 Neogenomics Laboratories INC Juno Beach, FL 239 $5K
59 Loma Linda University Pathology Medical Group, INC. Loma Linda, CA 96 $4K
60 Montefiore Medical Center Bronx, NY 73 $4K
61 1922001122 148 $4K
62 Usc Care Medical Group, INC Los Angeles, CA 123 $4K
63 Siparadigm LLC Pine Brook, NJ 314 $4K
64 Cook Children's Physician Network Fort Worth, TX 116 $4K
65 Private Diagnostic Clinic, PLLC Durham, NC 158 $4K
66 Gong, Shunyou Chicago, IL 130 $4K
67 Regents of the University of California Orange, CA 119 $4K
68 The Medical College of Wisconsin, INC. Milwaukee, WI 114 $4K
69 Lab Medicine of Greater Tulsa, P.C. Tulsa, OK 96 $4K
70 Nyu Langone Hospitals New York, NY 51 $3K
71 Pediatric Physician Services, INC. St Petersburg, FL 26 $3K
72 Esoterix Genetic Laboratories, LLC Shelton, CT 171 $3K
73 Carolinas Pathology Group, PA Charlotte, NC 104 $3K
74 Ochsner Clinic LLC New Orleans, LA 91 $3K
75 Osu Pathology Services LLC Columbus, OH 88 $3K
76 Lsu Health Sciences Center Shreveport Faculty Group Practice Shreveport, LA 48 $2K
77 Pathology Associates Clovis, CA 456 $2K
78 The Children's Mercy Hospital Kansas City, MO 40 $2K
79 University Hospitals Medical Group INC Cleveland, OH 68 $2K
80 Dana-Farber Cancer Institute, INC. Boston, MA 96 $2K
81 UCLA Pathology and Laboratory Medicine Group Los Angeles, CA 63 $2K
82 South Bend Medical Foundation, INC South Bend, IN 64 $2K
83 University of California Irvine Orange, CA 66 $2K
84 Phoenix Children's Hospital Phoenix, AZ 828 $2K
85 Healthone Irl Pathology Services, LLC Englewood, CO 78 $2K
86 Ecu Physicians Diagnostic Pathology Services Greenville, NC 87 $2K
87 Washington University Saint Louis, MO 27 $2K
88 Garcia, Carlos Chicago, IL 79 $2K
89 University Pediatricians Detroit, MI 44 $2K
90 The Cleveland Clinic Foundation Cleveland, OH 57 $2K
91 Clin-Path Pathology Phoenix, AZ 74 $2K
92 Quest Diagnostics Incorporated Clifton, NJ 42 $2K
93 Memorial Pathology Group New York, NY 53 $2K
94 Behm, Frederick Chicago, IL 15 $2K
95 Analytic Pathology Medical Group INC. La Mesa, CA 65 $2K
96 University Physician Group Detroit, MI 50 $2K
97 Li, Yanxia Oak Lawn, IL 68 $1K
98 The Children's Hospital of Alabama Birmingham, AL 45 $1K
99 Highland District Hospital Hillsboro, OH 103 $1K
100 MCV Associated Physicians Richmond, VA 41 $1K