Lab
Carenexa, LLC
Carenexa, LLC was paid $15K by Medicaid between May 2023 and Nov 2024, across 8 billing codes. Its largest line is 87798, Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism — 80% of everything it billed.
33Billing provider infoCARENEXA, LLC
IRVING, TX 75063
IRVING, TX 75063
33aNPI1003517533assigned 03/13/2023
33bProvider typeClinical Medical Laboratory
28Total paid$15K
24GClaims540
24DCodes billed8
24AFirst – last monthMay 2023 – Nov 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Texas
Rank by total paid#224 of 436
Median peer was paid$17K
This provider vs. median0.9×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 90 | $7K | |
| 2024incomplete | 450 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 80% | 131 | 105 | $12K |
| 87481 | 9.8% | 105 | 102 | $1K | |
| 87653 | 4.9% | 105 | 102 | $736.55 | |
| 87640 | 4.9% | 104 | 101 | $736.55 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 27 | 26 | $35.09 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 27 | 26 | $35.09 |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 27 | 26 | $34.33 |
| 87563 | <1% | 14 | 14 | $26.32 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHURST-WALL, RENE (SENIOR MANAGER PAYOR RELATIONS)
| Provider | Location | Paid |
|---|---|---|
| Carenexa, LLC | Vancouver, WA | $26.31M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.