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NPI 1568860062 · Houston, TX · Clinical Medical Laboratory
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Baylor Miraca Genetics Laboratories, LLC is a clinical medical laboratory provider located in Houston, Texas. This profile covers 1 Medicare and 20 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Baylor Miraca Genetics Laboratories, LLC |
| Address | 2450 Holcombe Blvd |
| City | Houston |
| State | TX |
| ZIP | 77021 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | December 15, 2014 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $157.7K |
| Medicare | $59.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 81425 | The lab analyst performs a gene sequence analysis of the entire patient genome to look for genetic changes that could account for an unexplained disorder or syndrome. | 10 | $4,930 | $59.2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
1 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 81425 | 1 | 10 | 10 | $4,930 | $59.2K |
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
20 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 3,240 | $40 | $133K |
| 81426 | The lab analyst performs a gene sequence analysis of the entire genome in a relative of the patient to create a reference genome gene sequence, which the lab analyst can compare to the patient’s… | 30 | $410 | $10.3K |
| 81425 | The lab analyst performs a gene sequence analysis of the entire patient genome to look for genetic changes that could account for an unexplained disorder or syndrome. | 30 | $320 | $9.5K |
| 81229 | The lab analyst performs the technical lab test using comparative genomic hybridization (CGH) microarray, also referred to as chromosomal microarray (CMA) or molecular karyotype performed by… | 20 | $200 | $3.9K |
| 81420 | The lab analyst performs a genomic sequence analysis panel to evaluate circulating cell free fetal DNA in maternal blood for genetic sequences of at least the genes on chromosomes 13, 18, and 21,… | 40 | $40 | $1.7K |
| 81220 | The lab analyst performs the technical lab test to detect the presence of changes in the gene for cystic fibrosis transmembrane conductance regulator, also known as CFTR. The test evaluates the CFTR… | 40 | $10 | $390 |
| 81205 | The lab analyst performs the technical lab test to detect the presence of common changes in the gene for branched–chain keto acid dehydrogenase E1, beta polypeptide, also known as BCKDHB. | 40 | $1 | $80 |
| 81252 | The lab analyst performs the technical lab test to analyze the entire gene sequence for gap junction protein, beta 2, 26kDa, connexin 26, also known as GJB2. | 40 | $1 | $80 |
| 81200 | The lab analyst performs the technical lab test to detect the presence of common changes in the gene for aspartoacylase, also known as ASPA. | 40 | $1 | $40 |
| 81242 | The lab analyst performs the technical lab test to detect the presence of a common changes in the gene for Fanconi anemia, complementation group C, also known as FANCC. | 40 | $1 | $40 |
Showing 1–10 of 20
How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Texas median
20 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 81420 | The lab analyst performs a genomic sequence analysis panel to evaluate circulating cell free fetal DNA in maternal blood for genetic sequences of at least the genes on chromosomes 13, 18, and 21,… | 14 | 20 | 950 | $300 | $3.2M |
| 81220 | The lab analyst performs the technical lab test to detect the presence of changes in the gene for cystic fibrosis transmembrane conductance regulator, also known as CFTR. The test evaluates the CFTR… | 16 | 20 | 180 | $200 | $923K |
| 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… | 66 | 340 | 400 | $50 | $553.5K |
| 81229 | The lab analyst performs the technical lab test using comparative genomic hybridization (CGH) microarray, also referred to as chromosomal microarray (CMA) or molecular karyotype performed by… | 2 | 10 | 1,150 | $380 | $434.7K |
| 81243 | The lab analyst performs the technical lab test to detect the presence of changes in the gene for fragile X messenger ribonucleoprotein 1, also known as FMR1, typically to detect common abnormal… | 10 | 20 | 230 | $10 | $53.9K |
| 81200 | The lab analyst performs the technical lab test to detect the presence of common changes in the gene for aspartoacylase, also known as ASPA. | 10 | 10 | 170 | $10 | $21.9K |
| 81255 | The lab analyst performs the technical lab test to detect the presence of common changes in the gene for hexosaminidase A [alpha polypeptide], also known as HEXA. | 10 | 10 | 160 | $10 | $19.6K |
| 81251 | The lab analyst performs the technical lab test to detect the presence of specific changes in the gene for glucosidase, beta, acid, also known as GBA. | 9 | 10 | 130 | $10 | $17.2K |
| 81260 | The lab analyst performs the technical lab test to detect the presence of common changes in the gene for inhibitor of kappa light polypeptide gene enhancer in B–cells, kinase complex–associated… | 10 | 10 | 340 | $10 | $15.5K |
| 81426 | The lab analyst performs a gene sequence analysis of the entire genome in a relative of the patient to create a reference genome gene sequence, which the lab analyst can compare to the patient’s… | 1 | 10 | 30 | $410 | $10.2K |
Showing 1–10 of 20
Other providers in the same ZIP code as Baylor Miraca Genetics Laboratories, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Denise Davis-moore | TX | Clinical Social Worker | $67.7K | $0 |
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.