BAYLOR MIRACA GENETICS LABORATORIES LLC
NPI: 1568860062
· HOUSTON, TX 77021
· Clinical Medical Laboratory
· NPI assigned 12/15/2014
$158K
Total Medicaid Paid
Provider Details
| Authorized Official | BENNETT, DELORA (PAYOR RELATIONS SUPERVISOR) |
| NPI Enumeration Date | 12/15/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
2,621 |
$100K |
| 2021 |
575 |
$28K |
| 2022 |
690 |
$9K |
| 2024 |
55 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
3,243 |
2,444 |
$131K |
| 81426 |
|
25 |
25 |
$10K |
| 81425 |
|
30 |
30 |
$10K |
| 81229 |
|
20 |
14 |
$4K |
| 81420 |
Fetal chromosomal aneuploidy genomic sequence analysis panel |
39 |
34 |
$2K |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
39 |
36 |
$387.00 |
| 81252 |
|
39 |
36 |
$70.29 |
| 81205 |
|
39 |
36 |
$66.06 |
| 81250 |
|
39 |
36 |
$40.65 |
| 81243 |
|
39 |
36 |
$39.66 |
| 81251 |
|
39 |
36 |
$32.88 |
| 81200 |
|
39 |
36 |
$32.85 |
| 81330 |
|
39 |
36 |
$32.67 |
| 81332 |
|
39 |
36 |
$30.36 |
| 81260 |
|
39 |
36 |
$27.33 |
| 81290 |
|
39 |
36 |
$27.33 |
| 81242 |
|
39 |
36 |
$25.47 |
| 81254 |
|
39 |
36 |
$24.33 |
| 81255 |
|
38 |
35 |
$23.86 |
| 81209 |
|
39 |
36 |
$18.22 |