Siparadigm LLC
Siparadigm LLC was paid $13.55M by Medicaid between Jan 2018 and Nov 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 — 67% of everything it billed.
PINE BROOK, NJ 07058
Next to other Clinical Medical Laboratory providers in New Jersey
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,030 | $150K | |
| 2019 | 2,849 | $164K | |
| 2020 | 25,789 | $1.40M | |
| 2021 | 209,159 | $6.37M | |
| 2022 | 159,794 | $4.49M | |
| 2023 | 17,812 | $715K | |
| 2024incomplete | 3,945 | $250K |
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 | 67% | 153,620 | 108,289 | $9.06M |
| 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 | 16% | 125,047 | 91,629 | $2.23M |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 6.4% | 109,425 | 83,804 | $865K |
| 88185 | 4.5% | 4,449 | 3,747 | $616K | |
| 88377 | 1.4% | 1,642 | 1,349 | $194K | |
| 81455 | 1.0% | 565 | 478 | $139K | |
| G2024 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source | <1% | 12,635 | 9,914 | $118K |
| 88184 | <1% | 4,434 | 3,779 | $91K | |
| 88189 | <1% | 3,118 | 2,713 | $74K | |
| 88341 | <1% | 701 | 584 | $48K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 749 | 636 | $25K |
| 88313 | <1% | 360 | 302 | $20K |
20 more codes
| 88342 | <1% | 816 | $17K | |
| 81206 | <1% | 229 | $10K | |
| G0452 | Molecular pathology procedure; physician interpretation and report | <1% | 2,915 | $6K |
| 88264 | <1% | 207 | $6K | |
| 88237 | <1% | 251 | $6K | |
| 88188 | <1% | 273 | $4K | |
| 85097 | <1% | 314 | $4K | |
| 88368 | <1% | 264 | $3K | |
| 81270 | <1% | 267 | $3K | |
| 81403 | <1% | 77 | $2K | |
| 88311 | <1% | 318 | $1K | |
| 88291 | <1% | 274 | $1K | |
| 81279 | <1% | 44 | $1K | |
| 88381 | <1% | 84 | $969.27 | |
| 88360 | <1% | 52 | $937.54 | |
| 81338 | <1% | 27 | $643.98 | |
| 88369 | <1% | 116 | $562.79 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 45 | $101.94 |
| 81450 | <1% | 13 | $29.18 | |
| 81406 | <1% | 47 | $5.66 |
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.