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

ESOTERIX GENETIC LABORATORIES, LLC

Clinical Medical Laboratory·WESTBOROUGH, MA·NPI: 1689975021Share

Compared to Clinical Medical Laboratory Peers

Total spending distribution among 88 providers in this specialty

P25MedianP75P90

This provider's total spending of $56.9M is at the 25th percentile among 88 Clinical Medical Laboratory providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$56.9M

$56,933,266

Total Claims

765K

Beneficiaries

663K

1.2 claims/patient

Avg Cost/Claim

$74

Monthly Spending Trend

Yearly Spending

2018
$4.2M
-10%
2019
$3.8M
+142%
2020
$9.2M
+16%
2021
$10.7M
-22%
2022
$8.4M
+15%
2023
$9.6M
+15%
2024
$11.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (81220 (CFTR gene analysis, common variants)) accounts for 56% of total spending.

81220Normal range

CFTR gene analysis, common variants

$32.0M

131K claims · 56.3%

Your Cost: $245.41/claim|Median: $183.31
1.3× median
U0003Normal range

Infectious disease detection (COVID-19)

$7.8M

118K claims · 13.7%

Your Cost: $66.35/claim|Median: $63.08
1.1× median
81329Normal range

$6.6M

139K claims · 11.6%

Your Cost: $47.76/claim|Median: $48.02
1.0× median
81420Normal range

Fetal chromosomal aneuploidy genomic sequence analysis

$2.1M

10K claims · 3.7%

Your Cost: $207.81/claim|Median: $358.21
0.6× median
81243Normal range

$1.8M

78K claims · 3.1%

Your Cost: $22.46/claim|Median: $21.92
1.0× median
81361Normal range

$730K

23K claims · 1.3%

Your Cost: $32.38/claim|Median: $29.22
1.1× median
81257Normal range

$723K

21K claims · 1.3%

Your Cost: $33.89/claim|Median: $34.25
1.0× median
81401Top 25%

$709K

8,921 claims · 1.2%

Your Cost: $79.42/claim|Median: $30.88
2.6× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$498K

32K claims · 0.9%

Your Cost: $15.51/claim|Median: $15.76
1.0× median
81251Normal range

$407K

23K claims · 0.7%

Your Cost: $17.93/claim|Median: $17.93
1.0× median
81200Normal range

$403K

23K claims · 0.7%

Your Cost: $17.59/claim|Median: $17.15
1.0× median
81255Normal range

$376K

22K claims · 0.7%

Your Cost: $17.07/claim|Median: $18.13
0.9× median
81330Normal range

$351K

22K claims · 0.6%

Your Cost: $15.66/claim|Median: $13.18
1.2× median
81443Normal range

$313K

2,053 claims · 0.6%

Your Cost: $152.58/claim|Median: $309.20
0.5× median
81479Normal range

Unlisted molecular pathology procedure

$259K

2,922 claims · 0.5%

Your Cost: $88.54/claim|Median: $38.66
2.3× median
81209Normal range

$251K

23K claims · 0.4%

Your Cost: $10.98/claim|Median: $11.09
1.0× median
81260Normal range

$240K

22K claims · 0.4%

Your Cost: $10.67/claim|Median: $10.67
1.0× median
81290Normal range

$231K

22K claims · 0.4%

Your Cost: $10.40/claim|Median: $9.82
1.1× median
81242Normal range

$229K

23K claims · 0.4%

Your Cost: $10.14/claim|Median: $7.24
1.4× median
81412Top 25%

$136K

157 claims · 0.2%

Your Cost: $867.34/claim|Median: $361.76
2.4× median
88267Top 1%

$131K

1,129 claims · 0.2%

Your Cost: $115.77/claim|Median: $83.65
1.4× median
88235Normal range

$109K

1,201 claims · 0.2%

Your Cost: $90.93/claim|Median: $90.93
1.0× median
88271Top 25%

$86K

1,424 claims · 0.2%

Your Cost: $60.18/claim|Median: $34.96
1.7× median
81223Top 25%

$79K

145 claims · 0.1%

Your Cost: $546.37/claim|Median: $183.14
3.0× median
81406Top 25%

$62K

452 claims · 0.1%

Your Cost: $136.35/claim|Median: $50.07
2.7× median
88274Top 25%

$47K

1,398 claims · 0.1%

Your Cost: $33.97/claim|Median: $20.55
1.7× median
81404Normal range

$32K

363 claims · 0.1%

Your Cost: $88.06/claim|Median: $48.77
1.8× median
81244Normal range

$27K

1,297 claims · 0.0%

Your Cost: $21.03/claim|Median: $18.85
1.1× median
88280Normal range

$19K

1,128 claims · 0.0%

Your Cost: $17.22/claim|Median: $14.68
1.2× median
81402Top 25%

$17K

278 claims · 0.0%

Your Cost: $62.09/claim|Median: $26.09
2.4× median
88262Normal range

$15K

160 claims · 0.0%

Your Cost: $95.32/claim|Median: $75.67
1.3× median
82105Normal range

$15K

1,323 claims · 0.0%

Your Cost: $11.24/claim|Median: $11.11
1.0× median
88285Normal range

$14K

1,092 claims · 0.0%

Your Cost: $12.88/claim|Median: $12.07
1.1× median
84702Normal range

$12K

1,115 claims · 0.0%

Your Cost: $10.67/claim|Median: $8.25
1.3× median
81205Top 10%

$12K

248 claims · 0.0%

Your Cost: $47.60/claim|Median: $14.59
3.3× median
81400Normal range

$11K

495 claims · 0.0%

Your Cost: $21.97/claim|Median: $14.64
1.5× median
81250Top 25%

$9K

224 claims · 0.0%

Your Cost: $39.46/claim|Median: $11.58
3.4× median
88230Normal range

$9K

147 claims · 0.0%

Your Cost: $59.82/claim|Median: $59.82
1.0× median
82106Normal range

$8K

654 claims · 0.0%

Your Cost: $12.81/claim|Median: $10.29
1.2× median
81232Normal range

$8K

233 claims · 0.0%

Your Cost: $35.01/claim|Median: $13.69
2.6× median
82677Normal range

$8K

569 claims · 0.0%

Your Cost: $13.50/claim|Median: $18.15
0.7× median
86336Normal range

$6K

569 claims · 0.0%

Your Cost: $11.20/claim|Median: $12.12
0.9× median
81405Normal range

$6K

196 claims · 0.0%

Your Cost: $28.53/claim|Median: $55.02
0.5× median
84163Normal range

$5K

517 claims · 0.0%

Your Cost: $10.52/claim|Median: $10.88
1.0× median
81364Normal range

$5K

54 claims · 0.0%

Your Cost: $84.06/claim|Median: $68.32
1.2× median
G2023Normal range

Specimen collection for COVID-19 testing

$4K

245 claims · 0.0%

Your Cost: $17.33/claim|Median: $17.15
1.0× median
81407Normal range

$1K

42 claims · 0.0%

Your Cost: $26.82/claim|Median: $98.12
0.3× median
81265Normal range

$1K

26 claims · 0.0%

Your Cost: $38.54/claim|Median: $54.31
0.7× median
36415Top 10%

Collection of venous blood by venipuncture

$820

114 claims · 0.0%

Your Cost: $7.19/claim|Median: $1.57
4.6× median
81408Normal range

Molecular pathology procedure, level nine

$468

55 claims · 0.0%

Your Cost: $8.50/claim|Median: $158.72
0.1× median