Lab
Phenomics Health INC
Phenomics Health INC was paid $13K by Medicaid between Sep 2023 and Dec 2023, across 10 billing codes. Its largest line is 81225, — 27% of everything it billed.
33Billing provider infoPHENOMICS HEALTH INC
PLYMOUTH, MI 48170
PLYMOUTH, MI 48170
33aNPI1124603071assigned 03/12/2021
33bProvider typeClinical Medical Laboratory
28Total paid$13K
24GClaims566
24DCodes billed10
24AFirst – last monthSep 2023 – Dec 2023
Compared with peers
Next to other Clinical Medical Laboratory providers in Michigan
Rank by total paid#89 of 108
Median peer was paid$588K
This provider vs. median0.0×
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 | 566 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 81225 | 27% | 74 | 70 | $3K | |
| 81226 | 25% | 118 | 111 | $3K | |
| 81381 | 11% | 68 | 65 | $1K | |
| 81403 | 10% | 52 | 52 | $1K | |
| 81355 | 9.1% | 46 | 46 | $1K | |
| 81227 | 7.9% | 64 | 64 | $1K | |
| 81350 | 5.8% | 51 | 51 | $735.21 | |
| 81291 | 4.2% | 51 | 50 | $535.68 | |
| 81328 | 0% | 14 | 14 | $0.00 | |
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed | 0% | 28 | 28 | $0.00 |
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 officialBURNS, JAMES (OWNER)