Foundation Medicine, INC.

Foundation Medicine, INC. was paid $1.14M by Medicaid between Jan 2018 and Sep 2024, across 23 billing codes. Its largest line is 0037U, — 37% of everything it billed.

33Billing provider infoFOUNDATION MEDICINE, INC.
MORRISVILLE, NC 27560

33aNPI1508215922assigned 06/07/2016

33bProvider typeClinical Medical Laboratory

28Total paid$1.14M

24GClaims14,676

24DCodes billed23

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Clinical Medical Laboratory providers in North Carolina

Rank by total paid#41 of 128

Median peer was paid$268K

This provider vs. median4.3×

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	4,906	$376K
2019	4,594	$171K
2020	3,794	$245K
2021	1,290	$329K
2024incomplete	92	$23K

Box 24 · Service lines

What it billed for

Code	Share	Claims	Bene. records	Paid
0037U	37%	1,041	932	$420K
81201	7.9%	596	564	$91K
81455	7.6%	207	204	$87K
81211	7.6%	293	280	$86K
88360	6.7%	3,357	3,252	$77K
81292	6.4%	622	591	$74K
81321	5.6%	578	547	$63K
81298	3.1%	616	586	$36K
81162	2.7%	292	273	$31K
81235	2.5%	593	561	$28K
81275	2.0%	598	568	$23K
81295	1.9%	622	591	$22K

11 more codes

81315	1.6%	601	$19K
81206	1.5%	623	$17K
81210	1.3%	615	$14K
81310	1.2%	571	$13K
81245	1.1%	580	$13K
81270	<1%	580	$10K
81342	<1%	289	$6K
81261	<1%	287	$5K
81264	<1%	289	$4K
81242	<1%	531	$2K
81209	<1%	295	$1K

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 officialJAFARI, BAHAREH (SENIOR MANAGER, REVENUE)

Parent organizationFOUNDATION MEDICINE, INC.