Lab
Foundation Medicine, INC.
Foundation Medicine, INC. was paid $11.53M by Medicaid between Apr 2021 and Dec 2024, across 6 billing codes. Its largest line is 0037U, — 75% of everything it billed.
33Billing provider infoFOUNDATION MEDICINE, INC.
BOSTON, MA 02210
BOSTON, MA 02210
33aNPI1720688054assigned 10/27/2020
33bProvider typeClinical Medical Laboratory
28Total paid$11.53M
24GClaims21,717
24DCodes billed6
24AFirst – last monthApr 2021 – Dec 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Massachusetts
Rank by total paid#6 of 63
Median peer was paid$473K
This provider vs. median24×
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 | |
|---|---|---|---|
| 2021 | 2,961 | $1.41M | |
| 2022 | 6,048 | $2.86M | |
| 2023 | 6,931 | $4.24M | |
| 2024incomplete | 5,777 | $3.03M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0037U | 75% | 10,500 | 9,604 | $8.64M | |
| 0239U | 20% | 3,441 | 3,168 | $2.27M | |
| 81455 | 3.4% | 958 | 918 | $396K | |
| 88360 | 1.5% | 6,154 | 5,986 | $175K | |
| 88381 | <1% | 605 | 582 | $37K | |
| 81456 | <1% | 59 | 59 | $15K |
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 officialGURLEY, BAHAREH (DIRECTOR, REVENUE AND REIMBURSEMENT)
| Provider | Location | Paid |
|---|---|---|
| Foundation Medicine, INC. | Cambridge, MA | $3.09M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.