Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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86431

Billing code 86431

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

Medicaid paid $12.35M on code 86431 from 2018 through 2024, to 1,310 providers — the #1,875 code in the file by dollars.

28Total paid$12.35M
24GClaims4,212,536
Paid per claim line$2.93
33Providers billing it1,310
Box 32 · Location

Where 86431 is billed

  1. CACalifornia
    $1.8M
  2. NJNew Jersey
    $1.5M
  3. OHOhio
    $1.2M
  4. NCNorth Carolina
    $895K
  5. NYNew York
    $613K
  6. ILIllinois
    $509K
  7. TXTexas
    $471K
  8. MAMassachusetts
    $424K
  9. WAWashington
    $420K
  10. KYKentucky
    $307K
  11. AZArizona
    $303K
  12. PAPennsylvania
    $295K

The largest of 49 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 86431

#ProviderLocationClaimsPaid on 86431
1 Unilab Corporation West Hills, CA 356,466 $668K
2 Laboratory Corporation of America Holdings Dublin, OH 152,898 $663K
3 Laboratory Corporation of America Holdings Burlington, NC 190,562 $615K
4 Laboratory Corporation of America Holdings Raritan, NJ 275,473 $462K
5 Bioreference Health, LLC Elmwood Park, NJ 141,917 $433K
6 Quest Diagnostics Incorporated Clifton, NJ 135,417 $399K
7 Quest Diagnostics LLC Il Wood Dale, IL 66,056 $275K
8 Labone LLC Lenexa, KS 51,494 $243K
9 Laboratory Corporation of America Holdings Birmingham, AL 83,086 $235K
10 Sonora Quest Laboratories LLC Phoenix, AZ 72,655 $207K
11 Laboratory Corporation of America Seattle, WA 48,685 $201K
12 Quest Diagnostics Clinical Laboratories INC Tucker, GA 65,725 $193K
13 Clinical Pathology Laboratories, INC. Austin, TX 56,506 $156K
14 Quest Diagnostics Clinical Laboratories INC Irving, TX 52,337 $151K
15 Laboratory Corporation of America San Diego, CA 210,941 $144K
16 Quest Diagnostics LLC Marlborough, MA 59,588 $136K
17 Laboratory Corporation of America Englewood, CO 24,912 $134K
18 Exagen INC. Vista, CA 78,757 $130K
19 Laboratory Corporation of America Holdings Burlington, NC 32,496 $122K
20 Latara Enterprise INC. Pomona, CA 54,498 $109K
21 Biocorp Clinical Lab INC Whittier, CA 26,781 $108K
22 Accu Reference Medical Lab, LLC Linden, NJ 38,345 $103K
23 Quest Diagnostics Clinical Laboratories INC Miramar, FL 56,764 $98K
24 Physicians Group Laboratories, LLC Houma, LA 25,722 $97K
25 Laboratory Corporation of America Phoenix, AZ 71,077 $95K
26 Labone of Ohio INC Cincinnati, OH 24,311 $93K
27 Quest Diagnostics Clinical Laboratories INC Seattle, WA 24,999 $92K
28 Laboratory Corporation of America Tampa, FL 79,241 $92K
29 Lenco Diagnostic Laboratories,inc. Brooklyn, NY 27,461 $88K
30 Unilab Corporation Sacramento, CA 78,493 $86K
31 Oroville Hospital Oroville, CA 14,593 $86K
32 Quest Diagnostics Massachusetts LLC Marlborough, MA 29,598 $82K
33 Empire City Laboratories, INC Brooklyn, NY 28,579 $81K
34 Diagnostic Laboratory of Oklahoma LLC Oklahoma City, OK 15,504 $80K
35 A2cl Services, LLC West Allis, WI 14,922 $79K
36 Tricore Reference Laboratories Albuquerque, NM 14,735 $79K
37 Laboratory Corporation of America Dallas, TX 25,448 $79K
38 Quest Diagnostics of Pennsylvania, INC. Pittsburgh, PA 21,682 $73K
39 Pathgroup Labs, LLC Nashville, TN 28,156 $72K
40 Memphis Pathology Laboratory Memphis, TN 26,248 $71K
41 The Miriam Hospital Providence, RI 4,660 $71K
42 Pacific Point Laboratories, INC. San Luis Obispo, CA 21,172 $71K
43 Clinical Laboratories of Hawaii LLP Ewa Beach, HI 11,627 $68K
44 Interpath Laboratory, INC. Pendleton, OR 15,303 $67K
45 Englewood Hospital and Medical Center Englewood, NJ 7,735 $62K
46 Laboratory Corporation of America Burlington, NC 50,818 $60K
47 Quest Diagnostics Incorporated Las Vegas, NV 41,587 $58K
48 Laboratory Corporation of America Houston, TX 23,984 $58K
49 Diagnostic Laboratory Services, INC Aiea, HI 10,118 $56K
50 Alaska Native Tribal Health Consortium Anchorage, AK 1,741 $54K
51 Presbyterian Healthcare Services Albuquerque, NM 9,803 $52K
52 Sherman Abrams Laboratory INC Brooklyn, NY 18,248 $51K
53 Oakwood Healthcare, INC. Dearborn, MI 15,150 $49K
54 The Cleveland Clinic Foundation Cleveland, OH 5,057 $49K
55 Graves Gilbert Clinic PLLC Bowling Green, KY 8,162 $49K
56 Mid Atlantic Pemanente Medical Group Rockville, MD 8,427 $47K
57 Kaiser Foundation Health Plan of the Northwest Portland, OR 3,361 $47K
58 Tricore INC. Albuquerque, NM 8,077 $46K
59 Clinical Associates, LLC Louisville, KY 7,433 $44K
60 Permanente Medical Group, INC. Berkeley, CA 15,579 $42K
61 Joint Venture Hospital Laboratories Allen Park, MI 9,263 $42K
62 Quest Diagnostics Incorporated MD Baltimore, MD 13,011 $42K
63 Alverno Laboratories, LLC Hammond, IN 7,670 $39K
64 Health Network Laboratories, LLC Allentown, PA 5,506 $39K
65 American Diagnostic Laboratory INC Skokie, IL 6,245 $39K
66 University of Kentucky Lexington, KY 7,580 $38K
67 Quest Diagnostics Venture LLC Pittsburgh, PA 5,199 $38K
68 Montefiore Medical Center Bronx, NY 10,068 $37K
69 Southern California Permanente Medical Group Chino Hills, CA 16,906 $37K
70 Southern California Permanente Medical Group N Hollywood, CA 9,666 $36K
71 Ohiohealth Corporation Columbus, OH 8,486 $36K
72 Compunet Clinical Laboratories LLC Moraine, OH 9,944 $34K
73 University Hospitals Laboratory Services Foundation Cleveland, OH 8,832 $34K
74 Ohio State University Hospitals Columbus, OH 1,916 $31K
75 Appalachian Regional Healthcare, INC. Middlesboro, KY 1,112 $27K
76 Pathology Laboratories, INC. Toledo, OH 6,619 $27K
77 Quest Diagnostics Nichols Institute San Juan Capistrano, CA 7,374 $26K
78 William Beaumont Hospital Royal Oak, MI 7,853 $26K
79 Quest Diagnostics of Pennsylvania INC. Buffalo, NY 4,828 $26K
80 Pacific Diagnostic Laboratories Santa Barbara, CA 6,364 $25K
81 Associated Clinical Laboratories Erie, PA 4,027 $25K
82 Laboratorio Clinico Borinquen, INC Caguas, PR 4,632 $25K
83 Bone, Richard Chicago, IL 3,518 $24K
84 Multicare Health System Tacoma, WA 5,718 $24K
85 Kent County Memorial Hospital Warwick, RI 416 $24K
86 Baystate Medical Center INC Springfield, MA 6,414 $23K
87 Quest Diagnostics Clinical Laboratories INC Greensboro, NC 5,648 $23K
88 United Hospital Center, INC Bridgeport, WV 1,259 $23K
89 Laboratory Corporation of America Holdings Overland Park, KS 6,213 $22K
90 El Centro Regional Medical Center El Centro, CA 4,021 $21K
91 Rochester General Hospital-Lab Rochester, NY 4,182 $21K
92 Suny Health Science Center at Syracuse Syracuse, NY 4,411 $20K
93 Appalachian Regional Healthcare, INC. Hazard, KY 751 $20K
94 Regional Medical Laboratory, INC Tulsa, OK 4,477 $20K
95 West Virginia University Hospitals, INC Morgantown, WV 1,090 $20K
96 Ghosh, Mona Jupiter, FL 2,775 $20K
97 Arkansas Childrens Hospital Little Rock, AR 1,780 $20K
98 The Toledo Hospital Toledo, OH 1,474 $20K
99 Laboratory Corporation of America Lafayette, LA 6,794 $19K
100 Quality Healthcare Management INC Brooklyn, NY 9,255 $19K