Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Consultative Genomics, PLLC

Consultative Genomics, PLLC was paid $184K by Medicaid between Sep 2018 and Apr 2024, across 46 billing codes. Its largest line is 81479, Unlisted molecular pathology procedure — 36% of everything it billed.

33Billing provider infoCONSULTATIVE GENOMICS, PLLC
BELLAIRE, TX 77401
33aNPI1417391533assigned 04/19/2013
28Total paid$184K
24GClaims8,399
24DCodes billed46
24AFirst – last monthSep 2018 – Apr 2024
Compared with peers

Next to other Anatomic Pathology Physician providers in Texas

Rank by total paid#3 of 10
Median peer was paid$13K
This provider vs. median14×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
2018226$66K
20191,873$72K
2020332$10K
2021587$757.50
20224,833$31K
2024incomplete548$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
81479 Unlisted molecular pathology procedure 36% 500 80 $66K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 23% 122 110 $43K
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 9.9% 1,499 575 $18K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 5.7% 595 392 $11K
87486 4.0% 484 363 $7K
87640 3.7% 501 379 $7K
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 3.5% 1,688 705 $6K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 3.1% 477 261 $6K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2.9% 286 221 $5K
81292 1.2% 12 12 $2K
81298 1.1% 12 12 $2K
G0452 Molecular pathology procedure; physician interpretation and report 1.1% 207 170 $2K
34 more codes
80505 <1% 149 $2K
81295 <1% 12 $1K
81404 <1% 21 $1K
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% 43 $757.50
80506 <1% 149 $733.17
99451 <1% 120 $700.68
81226 <1% 30 $360.73
87150 <1% 48 $350.88
81225 <1% 31 $233.09
81350 <1% 30 $187.20
81328 <1% 30 $139.85
81335 <1% 30 $139.85
81247 <1% 17 $139.85
81232 <1% 31 $139.85
81230 <1% 31 $139.85
81227 <1% 30 $139.85
81231 <1% 31 $139.85
81401 <1% 19 $109.60
87581 <1% 220 $87.73
87541 <1% 233 $87.73
81355 <1% 30 $70.56
81241 <1% 30 $58.70
81240 <1% 30 $52.55
81291 <1% 30 $52.27
87481 0% 19 $0.00
87653 0% 19 $0.00
87631 0% 234 $0.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 0% 201 $0.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 0% 21 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 0% 24 $0.00
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 0% 14 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 0% 21 $0.00
80048 Basic metabolic panel (calcium, ionized) 0% 17 $0.00
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 0% 21 $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 officialROSENBLATT, KEVIN (OWNER)