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 Massachusetts for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Massachusetts 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. Massachusetts (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.

Variantyx Inc (NPI 1629512140)

Variantyx Inc is a clinical medical laboratory provider located in Framingham, Massachusetts. This profile covers 0 Medicare and 16 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Variantyx Inc
Address	1671 Worcester Rd Ste 300
City	Framingham
State	MA
ZIP	01701
Taxonomy	Clinical Medical Laboratory
NPI Enumerated	December 19, 2016

Payer Source	Total Paid
Medicaid	$8.6M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
81416	The lab analyst performs an exome gene sequence analysis in a relative of the patient to create a reference exome gene sequence, which the lab analyst can compare to the patient’s exome to evaluate…	910	$2,890	$2.6M
81415	The lab analyst performs an exome gene sequence analysis to look for genetic changes that could account for an unexplained disorder or syndrome in the patient.	1,450	$1,320	$1.9M
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.	1,480	$960	$1.4M
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…	950	$1,010	$954.5K
0212U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0212U for…	310	$810	$250.1K
81460	The lab analyst performs a genomic sequence panel to evaluate the patient specimen for genetic sequences of the entire mitochondrial genome, which relate to nerve or muscle pathologies such as those…	700	$360	$249.6K
0213U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0213U for…	560	$440	$243.1K
0214U	N/A	490	$440	$213.3K
81349	The lab analyst performs the technical lab test using low–pass whole genome sequencing, which uses high–throughput next generation sequencing (NGS) technology rather than older technologies such as…	1,010	$210	$210.3K
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…	500	$370	$186.5K

Showing 1–10 of 16

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.

Claims Volume vs. Massachusetts Distribution

Variantyx Inc — 1 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. Massachusetts median

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
81416	The lab analyst performs an exome gene sequence analysis in a relative of the patient to create a reference exome gene sequence, which the lab analyst can compare to the patient’s exome to evaluate…	1	10	910	$2,890	$2.6M
81415	The lab analyst performs an exome gene sequence analysis to look for genetic changes that could account for an unexplained disorder or syndrome in the patient.	1	10	1,450	$1,320	$1.9M
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.	1	10	1,480	$960	$1.4M
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	950	$1,010	$954.3K
0212U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0212U for…	1	10	310	$810	$250K
81460	The lab analyst performs a genomic sequence panel to evaluate the patient specimen for genetic sequences of the entire mitochondrial genome, which relate to nerve or muscle pathologies such as those…	1	10	700	$360	$249.8K
0213U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0213U for…	1	10	560	$440	$243.3K
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…	5	10	380	$20	$227.4K
0214U	N/A	1	10	490	$440	$213.5K
81349	The lab analyst performs the technical lab test using low–pass whole genome sequencing, which uses high–throughput next generation sequencing (NGS) technology rather than older technologies such as…	1	10	1,010	$210	$210.8K

Showing 1–10 of 16

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wec Health, LLC	MA	Foster Care Agency	$0	$126.4M
Advocates, Inc.	MA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$83.5M
Wayside Youth And Family Support Network	MA	Mental Health Counselor	$0	$38.5M
Advocates, Inc.	MA	Adult Care Home Facility	$0	$22.5M
Elderly Home Care	MA	Home Health Agency	$0	$16.9M
Shields Mri Of Framingham, LLC	MA	Magnetic Resonance Imaging (MRI) Clinic/Center	$570.3K	$814.1K
Pet-ct Services By Tufts Medical Center And Shields LLC	MA	Mobile Radiology Clinic/Center	$775.6K	$12.2K
Petronela Iorga	MA	Anatomic Pathology & Clinical Pathology Physician	$633K	$0
Stanley Kraus	MA	Urology Physician	$449.4K	$0
Jill Becker	MA	General Practice Physician	$147.7K	$272.7K

Variantyx Inc — Billing Profile & Reimbursement Data

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Variantyx Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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