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    OpenPayerNPI Medicare & MedicaidEsoterix Genetic Laboratories, LLC
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    Esoterix Genetic Laboratories, LLC — Billing Profile & Reimbursement Data

    NPI 1801197256 · Santa Fe, NM · Clinical Medical Laboratory

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    Esoterix Genetic Laboratories, LLC is a clinical medical laboratory provider located in Santa Fe, New Mexico. This profile covers 4 Medicare and 33 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)

    FieldValue
    Entity TypeOrganization
    OrganizationEsoterix Genetic Laboratories, LLC
    Address2000 Vivigen Way
    CitySanta Fe
    StateNM
    ZIP87505
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedNovember 16, 2010

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$6.7M
    Medicare$1.5K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    82164The lab analyst performs a measurement of this enzyme in serum or plasma. The analyte acts to convert angiotensin I to angiotensin II.50$10$700
    82963The lab analyst measures the beta glucosidase level, which can be in a variety of specimen types, but analysts primarily use specimens of tissue cells called fibroblasts or white blood cells. Beta…20$20$380
    84060The lab analyst measures the total acid phosphatase, most commonly in a serum specimen. The liver, bone, spleen, kidneys, and also the prostate in males are the primary production sites for the…50$10$360
    84155The lab analyst performs the technical lab test to quantitate total protein in a serum, plasma, or whole blood specimen using one of several assay methods, excluding refractometry. Total protein is a…20$1$70

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    4 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8216421060$10$810
    8415521020$1$750
    8406011050$10$380
    8296311020$20$380

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

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

    33 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    81420The 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,…7,770$140$1.1M
    81220The 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…2,750$230$644.4K
    84702The lab analyst performs the technical lab test to measure the amount of hCG, also known as beta hCG, in blood to confirm or monitor pregnancy, or to diagnose certain tumors of the testes or ovaries.79,170$10$633.4K
    88267The analyst performs chromosome analysis of cells from amniotic fluid cells or chorionic villus, counts 15 cells, and prepares one karyotype, with banding. Amniotic fluid surrounds a developing fetus…6,850$90$596.1K
    82105The lab analyst measures the quantitative level of the alpha–fetoprotein. This glycoprotein is produced early in fetal life, and a variety of tumors can also produce it later in life.60,960$10$548.6K
    82677The lab analyst measures the level of estriol, a weak estrogen hormone, which is usually in high concentrations only during pregnancy.35,570$10$498K
    88235The lab analyst prepares a tissue culture for nonneoplastic disorders using amniotic fluid or chorionic villus cells. In this process, fetal cells in amniotic fluid, which is fluid surrounding the…7,730$60$479.4K
    84163The lab analyst performs a test to quantitate pregnancy associated plasma protein A, PAPPA, which is a test labs typically perform in the first trimester of pregnancy. Clinicians commonly use the…51,170$10$409.3K
    88262The analyst performs a chromosome analysis, a test that examines a person’s genetic material for abnormalities, counts 15 to 20 cells, and makes two karyotypes with banding, which are pictures of the…5,070$70$334.5K
    86336The lab analyst performs a test to identify the levels of inhibin A, typically in a pregnant patient’s serum, to determine the risk for Down syndrome in the fetus. The specimen is blood which the lab…35,210$10$316.9K

    Showing 1–10 of 33

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New Mexico median

    33 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88267The analyst performs chromosome analysis of cells from amniotic fluid cells or chorionic villus, counts 15 cells, and prepares one karyotype, with banding. Amniotic fluid surrounds a developing fetus…1106,850$90$597.5K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.63803,340$60$595K
    81420The 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,…110820$230$553.6K
    U0003Infectious 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…2840880$80$527.4K
    88235The lab analyst prepares a tissue culture for nonneoplastic disorders using amniotic fluid or chorionic villus cells. In this process, fetal cells in amniotic fluid, which is fluid surrounding the…1107,730$60$482.9K
    88262The analyst performs a chromosome analysis, a test that examines a person’s genetic material for abnormalities, counts 15 to 20 cells, and makes two karyotypes with banding, which are pictures of the…1105,070$70$333.3K
    G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…4850530$90$323.8K
    81220The 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…110340$240$260K
    88230The lab analyst performs a procedure to grow a tissue culture for lymphocytes in a nonneoplastic disorder, typically using blood. Lymphocytes, a type of white blood cell, function as part of the…1104,150$60$229.6K
    88271The analyst performs a molecular cytogenetic test using a DNA probe method, such as FISH, fluorescence in situ hybridization, to test cells for genetic abnormalities.1105,240$40$217.2K

    Showing 1–10 of 33

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Esoterix Genetic Laboratories, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Laboratory Corporation Of America HoldingsNCClinical Medical Laboratory$214.6M$1.4B
    Laboratory Corporation Of America HoldingsNJClinical Medical Laboratory$143.3M$717.5M
    Natera, Inc.CAClinical Medical Laboratory$133.1M$641.5M
    Unilab CorporationCAClinical Medical Laboratory$94M$668.5M
    Quest Diagnostics IncorporatedNJClinical Medical Laboratory$111.2M$637.7M
    Bioreference Health, LLCNJClinical Medical Laboratory$66.8M$620.1M
    Laboratory Corporation Of America HoldingsOHClinical Medical Laboratory$56.9M$617M
    Exact Sciences Laboratories, LLCWIClinical Medical Laboratory$299.3M$276.5M
    Laboratory Corporation Of America HoldingsALClinical Medical Laboratory$60.5M$289.1M
    Laboratory Corporation Of AmericaAZClinical Medical Laboratory$38.5M$265.9M

    Nearby Providers

    Other providers in the same ZIP code as Esoterix Genetic Laboratories, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Vincent HospitalNMGeneral Acute Care Hospital$0$46.5M
    New Mexico Treatment Services LLCNMCommunity/Behavioral Health Agency$291.6K$35.3M
    Professional Home Health Care De Santa Fe Y Los AlamosNMHome Health Agency$0$32.5M
    State Of New MexicoNMPublic Health or Welfare Agency$0$15.9M
    Whole Child Dental, LLCNMPediatric Dentistry$0$13.6M
    Presbyterian Medical ServicesNMFederally Qualified Health Center (FQHC)$0$13.3M
    Santa Fe Indian HospitalNMFederal Public Health Clinic/Center$0$12.5M
    Noesis Integrative Health IncNMMental Health Clinic/Center (Including Community Mental Health Center)$0$12.3M
    Healthfront PCNMEmergency Medicine Physician$0$8.9M
    Hero Dental Of Santa Fe PCNMGeneral Practice Dentistry$0$8.3M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New Mexico Distribution
    Esoterix Genetic Laboratories, LLC — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico
    Medicaid Revenue by Year vs. New Mexico Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Mexico Distribution
    Esoterix Genetic Laboratories, LLC — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico