Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Texas (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Health By Genetics (NPI 1316619653)

Field	Value
Entity Type	Organization
Organization	Health By Genetics
Address	701 E Fm 1626 Ste 200-201
City	Austin
State	TX
ZIP	78748
Taxonomy	Clinical Medical Laboratory
NPI Enumerated	October 5, 2021

Payer Source	Total Paid
Medicare	$19.7K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
81248	The lab analyst performs the technical lab test to analyze known familial variants of the glucose–6–phosphate dehydrogenase (G6PD) gene.	20	$370	$6.3K
81226	The lab analyst performs the technical lab test to detect the presence of common changes in the gene for cytochrome P450, family 2, subfamily D, polypeptide 6, also known as CYP2D6.	10	$440	$5.3K
81225	The lab analyst performs the technical lab test to detect the presence of common changes in the gene for cytochrome P450, family 2, subfamily C, polypeptide 19, also known as CYP2C19.	10	$290	$3.1K
81373	The lab analyst performs the technical lab test for low or intermediate resolution assessment of human leukocyte antigen genes, called HLA, for one Class I locus using molecular techniques.	20	$130	$2.5K
81291	The lab analyst performs the technical lab test to detect the presence of common changes in the gene for 5,10–methylenetetrahydrofolate reductase, also known as MTHFR.	20	$60	$1.3K
81400	The lab analyst performs the technical lab test to complete one of the specific genetic analyses listed in this Tier 2, Level 1 molecular pathology code.	20	$60	$1.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Health By Genetics — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
81226	25	30	40	$430	$31.3K
81291	32	30	60	$60	$16.6K
81225	22	20	40	$280	$15.8K
81400	14	20	40	$60	$7K
81248	1	10	20	$370	$6.3K
81373	2	10	20	$120	$2.9K

Nearby Providers

Other providers in the same ZIP code as Health By Genetics, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rajesh Mehta	TX	Gastroenterology Physician	$108.6K	$0
Lindsay Gonzalez	TX	Family Nurse Practitioner	$85.1K	$0
Woo Sung Jung	TX	Dentist	$5.6K	$0

Health By Genetics — Billing Profile & Reimbursement Data

Sign up for Health By Genetics — Billing Profile & Reimbursement Data policy alerts

Health By Genetics — Billing Profile & Reimbursement Data

Sign up for Health By Genetics — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References