Foundation Medicine, INC.

Foundation Medicine, INC. was paid $3.09M by Medicaid between Jan 2018 and Dec 2022, across 25 billing codes. Its largest line is 0037U, — 71% of everything it billed.

33Billing provider infoFOUNDATION MEDICINE, INC.
CAMBRIDGE, MA 02141

33aNPI1265714091assigned 09/19/2011

33bProvider typeClinical Medical Laboratory

28Total paid$3.09M

24GClaims13,738

24DCodes billed25

24AFirst – last monthJan 2018 – Dec 2022

Compared with peers

Next to other Clinical Medical Laboratory providers in Massachusetts

Rank by total paid#15 of 63

Median peer was paid$473K

This provider vs. median6.5×

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	3,851	$472K
2019	4,080	$770K
2020	4,690	$1.05M
2021	1,073	$754K
2022	44	$47K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
0037U		71%	4,701	4,320	$2.20M
0239U		6.6%	285	258	$203K
81321		2.8%	690	670	$86K
81211		2.8%	296	290	$86K
81162		2.5%	384	368	$78K
81479	Unlisted molecular pathology procedure	2.0%	192	178	$61K
81404		1.9%	384	371	$59K
81210		1.3%	719	696	$41K
81235		1.2%	709	684	$36K
81275		1.0%	710	687	$32K
81310		1.0%	634	613	$31K
81403		<1%	399	383	$28K

13 more codes

81292	<1%	146	$22K
81201	<1%	144	$22K
81245	<1%	666	$21K
81406	<1%	383	$21K
81408	<1%	396	$16K
81270	<1%	710	$14K
81298	<1%	146	$10K
81315	<1%	143	$6K
81295	<1%	146	$5K
81405	<1%	386	$5K
81206	<1%	145	$4K
88360	<1%	119	$3K
81242	<1%	105	$342.24

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 officialGURLEY, BAHAREH (DIRECTOR, REVENUE AND REIMBURSEMENT)

Same official

Other billing entities under GURLEY, BAHAREH

Full network →

Provider	Location	Paid
Foundation Medicine, INC.	Boston, MA	$11.53M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.