Lab
Progenity INC.
Progenity INC. was paid $39.56M by Medicaid between Jan 2018 and Jun 2021, across 51 billing codes. Its largest line is 81420, Fetal chromosomal aneuploidy genomic sequence analysis panel — 33% of everything it billed.
33Billing provider infoPROGENITY INC.
ANN ARBOR, MI 48108
ANN ARBOR, MI 48108
33aNPI1114222817assigned 01/11/2011
33bProvider typeClinical Medical Laboratory
28Total paid$39.56M
24GClaims615,399
24DCodes billed51
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers
Next to other Clinical Medical Laboratory providers in Michigan
Rank by total paid#3 of 108
Median peer was paid$588K
This provider vs. median67×
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 | |
|---|---|---|---|
| 2018 | 156,435 | $11.56M | |
| 2019 | 250,714 | $13.50M | |
| 2020 | 144,684 | $10.08M | |
| 2021 | 63,566 | $4.42M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 81420 | Fetal chromosomal aneuploidy genomic sequence analysis panel | 33% | 67,912 | 64,592 | $13.08M |
| 81220 | CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants | 25% | 53,157 | 50,260 | $9.71M |
| 81443 | 10% | 6,102 | 5,714 | $4.07M | |
| 81329 | 3.9% | 34,428 | 32,409 | $1.56M | |
| 81243 | 2.6% | 47,737 | 44,994 | $1.05M | |
| 81255 | 2.5% | 25,998 | 24,425 | $997K | |
| 81251 | 2.4% | 26,165 | 24,572 | $949K | |
| 81200 | 2.3% | 22,585 | 21,156 | $910K | |
| 81401 | 2.2% | 16,104 | 15,476 | $881K | |
| 81257 | 1.8% | 27,252 | 25,618 | $722K | |
| 81412 | 1.8% | 1,473 | 1,232 | $716K | |
| 81260 | 1.6% | 22,952 | 21,510 | $616K |
39 more codes
| 81330 | 1.5% | 22,490 | $584K | |
| 81242 | 1.5% | 22,720 | $582K | |
| 81290 | 1.4% | 22,708 | $561K | |
| 81209 | 1.3% | 22,826 | $533K | |
| 81205 | 1.1% | 24,282 | $429K | |
| 81400 | 1.0% | 22,493 | $412K | |
| 81250 | <1% | 26,182 | $365K | |
| 83020 | <1% | 26,356 | $200K | |
| 81479 | Unlisted molecular pathology procedure | <1% | 19,907 | $149K |
| 81361 | <1% | 4,838 | $122K | |
| 85041 | <1% | 32,844 | $57K | |
| 81162 | <1% | 84 | $42K | |
| 81422 | <1% | 1,128 | $36K | |
| 81408 | <1% | 406 | $31K | |
| 81402 | <1% | 1,105 | $22K | |
| 81407 | <1% | 153 | $17K | |
| 82105 | <1% | 1,723 | $15K | |
| 81298 | <1% | 172 | $15K | |
| 83080 | <1% | 2,498 | $15K | |
| 81201 | <1% | 153 | $11K | |
| 81317 | <1% | 168 | $11K | |
| 82677 | <1% | 753 | $11K | |
| 86336 | <1% | 1,290 | $10K | |
| 81292 | <1% | 173 | $10K | |
| 81163 | <1% | 151 | $10K | |
| 81406 | <1% | 1,469 | $9K | |
| 84702 | <1% | 1,292 | $9K | |
| 81295 | <1% | 174 | $9K | |
| 81321 | <1% | 152 | $8K | |
| 81404 | <1% | 294 | $5K | |
| 81405 | <1% | 640 | $5K | |
| 81256 | <1% | 452 | $4K | |
| 81332 | <1% | 433 | $3K | |
| 81433 | <1% | 55 | $2K | |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | <1% | 39 | $2K |
| 84163 | <1% | 319 | $2K | |
| 81432 | <1% | 56 | $1K | |
| 83021 | <1% | 506 | $695.14 | |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 50 | $448.75 |
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 officialSLUTSKY, HOWARD (SENIOR VICE PRESIDENT)