Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BIOREFERENCE HEALTH, LLC

NPI: 1316322035 · HOUSTON, TX 77054 · Clinical Medical Laboratory · NPI assigned 07/23/2015

$8.87M
Total Medicaid Paid
1,011,391
Total Claims
963,916
Beneficiaries
171
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSCHMID, MICHAEL (SVP, CHIEF FINANCIAL OFFICER)
Parent OrganizationBIOREFERENCE HEALTH, LLC
NPI Enumeration Date07/23/2015

Related Entities

Other providers sharing the same authorized official: SCHMID, MICHAEL

ProviderCityStateTotal Paid
BIOREFERENCE HEALTH, LLC ELMWOOD PARK NJ $620.07M
FLORIDA CLINICAL LABORATORY, INC MELBOURNE FL $549K
BIOREFERENCE HEALTH, LLC MINEOLA NY $175K
BIOREFERENCE HEALTH, LLC HOUSTON TX $117K
BIOREFERENCE HEALTH, LLC BURBANK CA $25K
BIOREFERENCE HEALTH, LLC GAITHERSBURG MD $8K
BIOREFERENCE HEALTH, LLC HACKENSACK NJ $22.86

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26,231 $340K
2019 23,841 $272K
2020 79,019 $464K
2021 208,031 $1.51M
2022 250,542 $2.33M
2023 261,076 $2.39M
2024 162,651 $1.56M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 40,256 39,072 $673K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 40,108 39,074 $672K
81507 2,653 2,499 $567K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 30,189 29,368 $515K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 3,042 2,906 $514K
80081 12,666 12,458 $503K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 38,032 37,516 $468K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 41,744 40,801 $388K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 14,133 13,549 $379K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 15,518 15,241 $263K
87512 14,432 14,133 $261K
87799 12,291 11,831 $257K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 14,368 13,075 $255K
87481 14,148 13,028 $218K
87086 Culture, bacterial; quantitative colony count, urine 43,337 41,307 $160K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 52,585 49,903 $143K
84443 Thyroid stimulating hormone (TSH) 24,763 24,158 $141K
86803 23,278 22,794 $124K
U0003 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, making use of high throughput technologies as described by cms-2020-01-r 2,385 2,214 $120K
87563 8,206 8,040 $118K
87653 6,645 6,538 $104K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,080 2,035 $102K
81329 1,846 1,790 $75K
87529 4,617 4,248 $74K
87340 17,930 17,617 $70K
80053 Comprehensive metabolic panel 26,902 24,995 $70K
87077 20,611 18,786 $69K
86592 36,823 36,117 $65K
80050 General health panel 2,830 2,781 $63K
88141 6,000 5,852 $61K
87186 16,641 15,389 $61K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 6,606 6,424 $59K
84702 7,644 5,939 $57K
82105 8,222 7,725 $56K
83036 Hemoglobin; glycosylated (A1C) 16,494 16,045 $56K
87088 15,778 14,415 $56K
87070 13,990 13,720 $54K
83021 5,528 5,330 $53K
80055 3,750 3,514 $49K
86762 7,569 7,345 $49K
80061 Lipid panel 13,863 13,583 $41K
86696 5,128 5,047 $40K
82950 18,539 18,252 $38K
86850 9,501 9,214 $37K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 2,639 2,542 $33K
82951 5,650 5,521 $32K
82728 7,158 6,846 $31K
86787 5,728 5,530 $29K
88344 281 279 $26K
84144 2,743 2,449 $23K
87522 Neg quan hep c or qual rna 1,053 1,028 $21K
82607 4,555 4,396 $21K
88142 2,817 2,780 $21K
82670 2,123 1,961 $21K
86695 4,069 4,002 $21K
86780 2,791 2,721 $19K
84439 6,877 6,678 $19K
84403 2,141 2,044 $18K
84481 2,991 2,893 $16K
82746 3,403 3,262 $15K
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 1,105 1,052 $15K
86235 494 475 $13K
83550 5,089 4,827 $13K
83001 2,354 2,271 $12K
84146 1,926 1,850 $12K
83540 5,920 5,620 $12K
80074 1,464 1,452 $12K
86900 8,445 8,207 $11K
86901 8,394 8,160 $11K
85027 3,837 3,700 $11K
81001 9,075 8,650 $10K
86376 2,195 2,047 $9K
81243 1,022 985 $9K
82952 4,834 4,773 $9K
84550 4,968 4,565 $8K
86706 1,984 1,947 $8K
83002 1,442 1,391 $7K
84270 1,012 973 $7K
86704 1,655 1,639 $6K
36415 Collection of venous blood by venipuncture 110,170 98,595 $6K
86800 1,309 1,180 $5K
82947 2,501 2,388 $5K
84156 3,284 3,054 $5K
82570 2,735 2,541 $4K
85660 2,264 2,169 $4K
83615 1,565 1,390 $4K
87184 1,186 1,061 $3K
82627 424 406 $3K
86038 793 767 $3K
86141 838 721 $3K
85651 2,963 2,856 $3K
82679 494 402 $2K
82677 450 366 $2K
84480 1,053 1,028 $2K
86140 1,861 1,830 $2K
86870 358 337 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 70 70 $2K
82575 538 516 $2K
86015 52 51 $2K
83498 199 197 $2K
86225 301 297 $2K
86160 160 155 $1K
82040 1,278 1,189 $1K
84436 1,421 1,394 $1K
85730 630 584 $1K
85610 912 833 $1K
83695 736 601 $1K
86200 215 213 $1K
85018 1,634 1,615 $1K
85014 1,621 1,602 $1K
86147 59 53 $1K
99199 Unlisted special service, procedure or report 632 553 $1K
86593 814 787 $1K
86003 48 42 $1K
84450 946 848 $1K
83970 154 153 $1K
83525 395 325 $1K
82565 700 661 $1K
82239 179 169 $982.42
86431 544 538 $971.21
81050 793 769 $971.00
84460 846 760 $952.74
84520 773 730 $937.59
84479 964 948 $906.65
82550 383 365 $892.32
87075 215 204 $809.94
80076 199 189 $746.98
82465 548 518 $741.78
80051 287 266 $726.98
80048 Basic metabolic panel (calcium, ionized) 784 703 $710.22
86304 129 128 $696.77
86039 145 142 $680.75
82043 571 539 $664.15
86886 358 339 $642.95
82977 334 321 $619.35
84075 705 638 $580.79
82247 704 638 $549.86
84432 87 84 $525.58
82671 81 81 $505.77
86480 24 24 $472.96
86777 97 96 $466.10
82785 102 97 $447.13
87205 216 205 $414.12
84155 704 638 $399.24
84153 427 418 $374.13
83735 138 132 $356.12
82310 235 227 $347.79
86709 160 157 $336.08
84100 174 162 $319.96
87480 48 42 $295.81
87660 46 40 $264.85
86747 14 12 $262.73
86778 44 44 $242.70
83690 98 92 $216.22
86146 15 13 $211.47
81511 2,713 2,637 $204.00
82542 18 18 $201.74
80069 67 56 $163.73
86705 97 96 $159.85
87510 42 42 $84.20
82533 17 16 $80.19
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 56 55 $53.92
84478 13 13 $50.18
84425 12 12 $49.60
82248 26 26 $39.39
82150 13 12 $32.87
85007 17 13 $14.04
81508 318 307 $0.00
83701 12 12 $0.00
81422 65 63 $0.00
81443 66 56 $0.00