Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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.

33Billing provider infoSIPARADIGM LLC
PINE BROOK, NJ 07058
33aNPI1891909941assigned 05/09/2007
28Total paid$13.55M
24GClaims423,378
24DCodes billed32
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in New Jersey

Rank by total paid#24 of 122
Median peer was paid$1.29M
This provider vs. median11×

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

$0$1.0M$2.0M2018201920202021202220232024
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
YearClaimsPaid
20184,030$150K
20192,849$164K
202025,789$1.40M
2021209,159$6.37M
2022159,794$4.49M
202317,812$715K
2024incomplete3,945$250K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.

From NPPES

Who's on the registration

Authorized officialAMICOSANTE, RUTH (BILLING MANAGER)