ESOTERIX GENETIC LABORATORIES, LLC
NPI: 1467753814
· PHOENIX, AZ 85040
· 291U00000X
$820K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,295 |
$29K |
| 2019 |
14,195 |
$204K |
| 2020 |
10,950 |
$269K |
| 2021 |
4,997 |
$136K |
| 2022 |
4,214 |
$157K |
| 2023 |
693 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 81420 |
|
1,942 |
1,865 |
$407K |
| 82105 |
|
12,191 |
11,282 |
$123K |
| 84163 |
|
4,472 |
4,095 |
$65K |
| 88262 |
|
510 |
480 |
$43K |
| 82677 |
|
3,995 |
3,638 |
$29K |
| 84702 |
|
6,592 |
5,852 |
$27K |
| 82106 |
|
335 |
303 |
$27K |
| 36415 |
|
600 |
557 |
$25K |
| 88267 |
|
502 |
465 |
$24K |
| 88235 |
|
560 |
520 |
$15K |
| 86336 |
|
3,977 |
3,620 |
$15K |
| 88230 |
|
422 |
399 |
$9K |
| 88280 |
|
518 |
481 |
$6K |
| 81220 |
|
13 |
13 |
$3K |
| 88285 |
|
528 |
491 |
$688.93 |
| 96040 |
|
1,160 |
1,113 |
$161.49 |
| 81243 |
|
27 |
24 |
$147.84 |