Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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86331

Billing code 86331

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

Medicaid paid $523K on code 86331 from 2018 through 2024, to 42 providers — the #4,545 code in the file by dollars. 94% of it was billed in California.

28Total paid$523K
24GClaims59,352
Paid per claim line$8.81
33Providers billing it42
Box 32 · Location

Where 86331 is billed

  1. CACalifornia
    $490K
  2. NCNorth Carolina
    $21K
  3. KYKentucky
    $5.4K
  4. NYNew York
    $4.4K
  5. AZArizona
    $2.0K
  6. OHOhio
    $234
  7. PRPuerto Rico
    $132
  8. ILIllinois
    $76
  9. NJNew Jersey
    $54
  10. FLFlorida
    $36

The largest of 10 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 86331

#ProviderLocationClaimsPaid on 86331
1 Kern County Hospital Authority Bakersfield, CA 17,089 $192K
2 Pacific Point Laboratories, INC. San Luis Obispo, CA 21,226 $174K
3 Kern County Hospital Authority Bakersfield, CA 6,465 $97K
4 Laboratory Corporation of America Holdings Burlington, NC 2,556 $19K
5 Southern California Permanente Medical Group N Hollywood, CA 366 $5K
6 University of Kentucky Lexington, KY 365 $5K
7 Luther, Chase Culver City, CA 424 $5K
8 Valley Children's Hospital Madera, CA 499 $5K
9 Northwell Health Laboratories New Hyde Park, NY 189 $2K
10 Latara Enterprise INC. Pomona, CA 206 $2K
11 Laboratory Corporation of America Burlington, NC 789 $2K
12 Maricopa County Special Health Care District Phoenix, AZ 926 $2K
13 Salinas Valley Memorial Healthcare System Salinas, CA 108 $2K
14 Sunrise Medical Laboratories, INC. Hicksville, NY 293 $2K
15 San Joaquin Community Hospital Bakersfield, CA 248 $2K
16 Lasalle Medical Associates Redlands, CA 87 $1K
17 Fresno Community Hospital and Medical Center Fresno, CA 1,092 $1K
18 Pathology Associates Clovis, CA 3,412 $757.89
19 Medical Diagnostic Laboratory LLC La Verne, CA 93 $548.70
20 Sutter Valley Hospitals Tracy, CA 48 $452.06
21 Kaweah Delta Health Care District Visalia, CA 30 $346.25
22 Trinity Hospital Holding Company Steubenville, OH 12 $233.82
23 Regents of the Univ of Ca Davis, CA 65 $219.44
24 Laboratory Corporation of America San Diego, CA 1,188 $173.73
25 Valley Children's Hospital Madera, CA 24 $164.15
26 Sutter Valley Hospitals Sacramento, CA 16 $155.26
27 Laboratorio Clinico Canovanas INC Canovanas, PR 13 $131.55
28 Doctors Medical Center of Modesto, INC. Turlock, CA 12 $88.25
29 Quest Diagnostics LLC Il Wood Dale, IL 12 $75.72
30 Laboratory Corporation of America Holdings Raritan, NJ 40 $53.78
31 Madera Community Hospital Madera, CA 179 $45.90
32 Laboratory Corporation of America Tampa, FL 13 $35.95
33 Unilab Corporation West Hills, CA 14 $23.96
34 Premier Pathology Laboratories INC Porterville, CA 40 $15.34
35 Premier Pathology Laboratories Porterville, CA 12 $10.14
36 Independence Ipa, a Medical Group, INC. Dba Independence Medical Group Bakersfield, CA 800 $0.00
37 Futoran, Robert Clovis, CA 50 $0.00
38 Pitts, William Clovis, CA 63 $0.00
39 Pollard, John Clovis, CA 12 $0.00
40 Employee Health Systems Medical Group Monterey Park, CA 12 $0.00
41 Independence Medical Group of Central California, INC. Visalia, CA 168 $0.00
42 Maricopa County Special Health Care District Phoenix, AZ 96 $0.00