Esoterix Genetic Laboratories, LLC
Esoterix Genetic Laboratories, LLC was paid $2.97M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 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 — 44% of everything it billed.
WESTBOROUGH, MA 01581
Next to other Clinical Medical Laboratory providers in Massachusetts
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,556 | $254K | |
| 2019 | 6,294 | $238K | |
| 2020 | 12,423 | $771K | |
| 2021 | 24,389 | $1.15M | |
| 2022 | 5,041 | $209K | |
| 2023 | 3,978 | $150K | |
| 2024incomplete | 3,575 | $197K |
What it billed for
| Code | Service | Share | Claims | Bene. records | 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 | 44% | 16,211 | 14,255 | $1.30M |
| 81220 | CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants | 37% | 3,668 | 3,648 | $1.09M |
| 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 | 5.9% | 7,270 | 6,156 | $176K |
| 84702 | 3.8% | 9,363 | 9,136 | $113K | |
| 82677 | 2.4% | 4,179 | 4,173 | $73K | |
| 84163 | 2.1% | 5,062 | 5,052 | $62K | |
| 82105 | 1.7% | 7,631 | 7,597 | $52K | |
| 86336 | <1% | 4,180 | 4,174 | $28K | |
| 81401 | <1% | 432 | 416 | $23K | |
| 88235 | <1% | 172 | 170 | $20K | |
| 88185 | <1% | 45 | 44 | $14K | |
| 81329 | <1% | 1,210 | 1,204 | $14K |
20 more codes
| 81243 | <1% | 2,255 | $3K | |
| 88262 | <1% | 28 | $3K | |
| 88189 | <1% | 78 | $2K | |
| 88233 | <1% | 13 | $2K | |
| 88184 | <1% | 45 | $1K | |
| 88342 | <1% | 45 | $989.43 | |
| 88230 | <1% | 12 | $500.98 | |
| 81361 | <1% | 27 | $419.53 | |
| 82106 | <1% | 13 | $111.10 | |
| 81260 | <1% | 27 | $94.32 | |
| 81257 | <1% | 13 | $15.78 | |
| 99001 | 0% | 181 | $0.00 | |
| 81290 | 0% | 12 | $0.00 | |
| 81255 | 0% | 12 | $0.00 | |
| 81242 | 0% | 12 | $0.00 | |
| 81251 | 0% | 12 | $0.00 | |
| 81330 | 0% | 12 | $0.00 | |
| 96040 | 0% | 12 | $0.00 | |
| 81200 | 0% | 12 | $0.00 | |
| 81209 | 0% | 12 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.