Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

NXGEN MDX, LLC

Clinical Medical Laboratory·GRAND RAPIDS, MI·NPI: 1326484569Share

Compared to Clinical Medical Laboratory Peers

Total spending distribution among 88 providers in this specialty

P25MedianP75P90

This provider's total spending of $21.5M is at the 25th percentile among 88 Clinical Medical Laboratory providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$21.5M

$21,469,595

Total Claims

471K

Beneficiaries

389K

1.2 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$4.8M
-28%
2019
$3.4M
+6%
2020
$3.6M
-16%
2021
$3.0M
-21%
2022
$2.4M
+11%
2023
$2.6M
-39%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (U0003 (Infectious disease detection (COVID-19))) accounts for 15% of total spending.

U0003Normal range

Infectious disease detection (COVID-19)

$3.2M

48K claims · 15.0%

Your Cost: $68.00/claim|Median: $63.08
1.1× median
81220Normal range

CFTR gene analysis, common variants

$2.8M

15K claims · 13.2%

Your Cost: $192.33/claim|Median: $183.31
1.0× median
81420Normal range

Fetal chromosomal aneuploidy genomic sequence analysis

$2.7M

18K claims · 12.6%

Your Cost: $149.82/claim|Median: $358.21
0.4× median
81223Top 1%

$1.6M

593 claims · 7.3%

Your Cost: $2,650.74/claim|Median: $183.14
14.5× median
87798Top 10%

Infectious agent detection, nucleic acid, not otherwise specified

$1.3M

10K claims · 5.9%

Your Cost: $123.04/claim|Median: $26.72
4.6× median
87481Top 25%

$732K

17K claims · 3.4%

Your Cost: $43.63/claim|Median: $22.38
1.9× median
81222Normal range

$659K

6,784 claims · 3.1%

Your Cost: $97.14/claim|Median: $39.95
2.4× median
81259Normal range

$501K

3,903 claims · 2.3%

Your Cost: $128.30/claim|Median: $128.30
1.0× median
81405Normal range

$500K

7,148 claims · 2.3%

Your Cost: $69.89/claim|Median: $55.02
1.3× median
81249Normal range

$363K

2,866 claims · 1.7%

Your Cost: $126.80/claim|Median: $111.06
1.1× median
81406Normal range

$360K

9,465 claims · 1.7%

Your Cost: $38.03/claim|Median: $50.07
0.8× median
87801Normal range

Infectious agent detection, amplified probe, multiple organisms

$356K

6,840 claims · 1.7%

Your Cost: $52.09/claim|Median: $38.79
1.3× median
81243Normal range

$317K

13K claims · 1.5%

Your Cost: $24.28/claim|Median: $21.92
1.1× median
81408Normal range

Molecular pathology procedure, level nine

$311K

3,656 claims · 1.4%

Your Cost: $85.07/claim|Median: $158.72
0.5× median
81514Normal range

$274K

4,848 claims · 1.3%

Your Cost: $56.53/claim|Median: $143.67
0.4× median
81336Normal range

$271K

6,060 claims · 1.3%

Your Cost: $44.73/claim|Median: $80.00
0.6× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$265K

15K claims · 1.2%

Your Cost: $18.05/claim|Median: $15.76
1.1× median
87653Normal range

$257K

22K claims · 1.2%

Your Cost: $11.64/claim|Median: $19.33
0.6× median
87529Normal range

$257K

20K claims · 1.2%

Your Cost: $13.11/claim|Median: $24.98
0.5× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$256K

19K claims · 1.2%

Your Cost: $13.23/claim|Median: $23.39
0.6× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$253K

19K claims · 1.2%

Your Cost: $13.28/claim|Median: $24.95
0.5× median
87500Normal range

$252K

22K claims · 1.2%

Your Cost: $11.37/claim|Median: $8.53
1.3× median
81407Normal range

$222K

1,376 claims · 1.0%

Your Cost: $161.43/claim|Median: $98.12
1.6× median
81255Top 5%

$213K

1,786 claims · 1.0%

Your Cost: $119.15/claim|Median: $18.13
6.6× median
87640Normal range

$212K

17K claims · 1.0%

Your Cost: $12.28/claim|Median: $8.39
1.5× median
81329Normal range

$205K

8,776 claims · 1.0%

Your Cost: $23.36/claim|Median: $48.02
0.5× median
87563Normal range

$200K

18K claims · 0.9%

Your Cost: $11.21/claim|Median: $16.98
0.7× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$183K

16K claims · 0.9%

Your Cost: $11.77/claim|Median: $21.08
0.6× median
81404Normal range

$178K

3,041 claims · 0.8%

Your Cost: $58.60/claim|Median: $48.77
1.2× median
81224Normal range

$168K

6,800 claims · 0.8%

Your Cost: $24.73/claim|Median: $79.86
0.3× median
87511Normal range

$165K

15K claims · 0.8%

Your Cost: $11.29/claim|Median: $16.46
0.7× median
81200Top 25%

$145K

3,543 claims · 0.7%

Your Cost: $41.04/claim|Median: $17.15
2.4× median
81330Top 25%

$131K

3,591 claims · 0.6%

Your Cost: $36.59/claim|Median: $13.18
2.8× median
81209Top 25%

$125K

3,610 claims · 0.6%

Your Cost: $34.58/claim|Median: $11.09
3.1× median
81244Normal range

$124K

5,197 claims · 0.6%

Your Cost: $23.95/claim|Median: $18.85
1.3× median
81251Normal range

$123K

3,685 claims · 0.6%

Your Cost: $33.45/claim|Median: $17.93
1.9× median
81260Top 10%

$120K

3,165 claims · 0.6%

Your Cost: $37.86/claim|Median: $10.67
3.5× median
81290Top 25%

$119K

3,679 claims · 0.6%

Your Cost: $32.41/claim|Median: $9.82
3.3× median
81401Normal range

$110K

4,805 claims · 0.5%

Your Cost: $22.96/claim|Median: $30.88
0.7× median
81364Normal range

$97K

3,868 claims · 0.5%

Your Cost: $25.19/claim|Median: $68.32
0.4× median
81479Normal range

Unlisted molecular pathology procedure

$85K

15K claims · 0.4%

Your Cost: $5.58/claim|Median: $38.66
0.1× median
81400Normal range

$81K

5,732 claims · 0.4%

Your Cost: $14.06/claim|Median: $14.64
1.0× median
81250Normal range

$56K

3,770 claims · 0.3%

Your Cost: $14.95/claim|Median: $11.58
1.3× median
81242Normal range

$56K

3,718 claims · 0.3%

Your Cost: $14.98/claim|Median: $7.24
2.1× median
87506Normal range

$52K

852 claims · 0.2%

Your Cost: $61.36/claim|Median: $102.96
0.6× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$50K

673 claims · 0.2%

Your Cost: $74.78/claim|Median: $65.64
1.1× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$50K

1,118 claims · 0.2%

Your Cost: $44.88/claim|Median: $169.17
0.3× median
81252Normal range

$47K

1,620 claims · 0.2%

Your Cost: $29.07/claim|Median: $34.92
0.8× median
81443Normal range

$41K

624 claims · 0.2%

Your Cost: $66.16/claim|Median: $309.20
0.2× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$37K

346 claims · 0.2%

Your Cost: $106.23/claim|Median: $97.61
1.1× median

Other Top Providers in Michigan

View all →

Guardiantrac. LLC

Community/Behavioral Health

$2.68B

Centria Healthcare LLC

Home Health

$590.6M

Integra Partners LLC

Orthotic Fitter

$422.3M

Community Mental Health Authority of Clinton Eaton Ingham Counties

Clinic/Center Mental Health (Including Community

$368.4M

Macomb Oakland Regional Center Inc.

Community/Behavioral Health

$342.6M

Similar Providers

Other top providers in Clinical Medical Laboratory

Laboratory Corporation of America Holdings

Burlington, NC

$1.44B

Laboratory Corporation of America Holdings

Raritan, NJ

$717.5M

Unilab Corporation

West Hills, CA

$668.5M

Natera Inc.

San Carlos, CA

$641.5M

Quest Diagnostics Incorporated

Clifton, NJ

$637.7M

← All providersAll providers in Michigan →How we detect fraud →