Medicaid Provider Spending

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

EXACT SCIENCES LABORATORIES, LLC

NPI: 1629407069 · MADISON, WI 53713 · Clinical Medical Laboratory · NPI assigned 11/06/2013

$276.55M
Total Medicaid Paid
983,414
Total Claims
926,309
Beneficiaries
40
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTACEY, KYLE (TREASURER)
NPI Enumeration Date11/06/2013

Related Entities

Other providers sharing the same authorized official: STACEY, KYLE

ProviderCityStateTotal Paid
GENOMIC HEALTH, INC. REDWOOD CITY CA $96.56M
EXACT SCIENCES LABORATORIES, LLC MADISON WI $652K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18,606 $2.55M
2019 49,130 $10.04M
2020 63,618 $15.44M
2021 116,502 $29.12M
2022 177,402 $47.58M
2023 267,701 $79.47M
2024 290,455 $92.35M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
81528 Oncology (colorectal) screening, quantitative real-time target and signal amplification 977,299 920,314 $276.21M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,001 1,952 $113K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,171 1,157 $93K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 221 221 $32K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 261 261 $22K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 88 88 $11K
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 108 99 $11K
90460 Immunization administration through 18 years of age via any route, first or only component 196 196 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 57 57 $5K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 47 47 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument 361 361 $4K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 383 383 $3K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 73 51 $3K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 41 36 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 206 205 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 28 28 $2K
93000 91 91 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 12 12 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $1K
99215 Prolong outpt/office vis 13 13 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 60 59 $1K
71046 Radiologic examination, chest; 2 views 55 54 $969.65
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12 12 $914.48
20610 17 17 $903.17
87428 14 14 $890.26
S3005 Performance measurement, evaluation of patient self assessment, depression 75 75 $753.31
73610 35 33 $738.85
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 13 13 $732.94
97803 15 14 $713.16
73564 21 17 $552.93
73630 26 26 $511.16
81025 76 75 $483.36
81002 164 163 $421.48
73140 13 12 $300.82
73130 12 12 $253.32
90686 16 16 $249.76
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 38 32 $246.62
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 16 16 $111.52
36415 Collection of venous blood by venipuncture 43 41 $87.87
85018 24 24 $50.56