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    v1.0.28
    OpenPayerNPI Medicare & MedicaidElixir Diagnostics, LLC
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    Elixir Diagnostics, LLC — Billing Profile & Reimbursement Data

    NPI 1932843836 · Houston, TX · Clinical Medical Laboratory

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    Elixir Diagnostics, LLC is a clinical medical laboratory provider located in Houston, Texas. This profile covers 47 Medicare and 38 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
    OrganizationElixir Diagnostics, LLC
    Address17115 Red Oak Dr Ste 123
    CityHouston
    StateTX
    ZIP77090
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedApril 26, 2022

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

    Payer SourceTotal Paid
    Medicare$4.1M
    Medicaid$360

    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.

    47 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count98,050$10$1.2M
    81307The lab analyst performs the technical lab test on a specimen such as blood, to analyze the entire gene sequence for the partner and localizer of BRCA2 (PALB2) gene.520$660$343.4K
    81317The lab analyst performs the technical lab test to analyze the entire gene sequence for the postmeiotic segregation increased 2 [S. cerevisiae], or PMS2 gene.510$660$338.1K
    81298The lab analyst performs the technical lab test to analyze the entire gene sequence for the mutS homolog 6 [E. coli], or MSH6 gene.460$630$291.9K
    81419The lab analyst performs the technical lab test on a specimen such as blood to conduct a genomic sequence analysis panel. The test evaluates the genetic sequences of at least the 24 genes listed in…100$2,400$240K
    81249The lab analyst performs the technical lab test to analyze known the full gene sequence of the glucose–6–phosphate dehydrogenase (G6PD) gene.340$590$198.7K
    81238The lab analyst performs the technical lab test to analyze the full gene sequence of the coagulation factor IX (F9) gene.320$590$186.4K
    81223The lab analyst performs the technical lab test to analyze the entire gene sequence for cystic fibrosis transmembrane conductance regulator gene, also known as CFTR.330$490$160.9K
    81162The lab analyst performs the technical lab test to analyze the entire gene sequence for the BRCA1, DNA repair–associated gene, also called BRCA1; and BRCA2, DNA repair–associated gene, also called…90$1,790$159.1K
    81201The lab analyst performs the technical lab test to analyze the entire gene sequence for adenomatous polyposis coli, also known as APC.200$760$153.6K

    Showing 1–10 of 47

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 47 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    47 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    81185410110$820$906.1K
    8141941080$2,400$666.2K
    8132541090$750$582.2K
    8130231090$520$479.9K
    81317420220$660$382.7K
    81298420220$630$362.7K
    81307320150$660$361.4K
    8124962080$590$319.2K
    81238620110$590$281.7K
    81309410110$270$278.9K

    Showing 1–10 of 47

    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.

    38 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    81419The lab analyst performs the technical lab test on a specimen such as blood to conduct a genomic sequence analysis panel. The test evaluates the genetic sequences of at least the 24 genes listed in…10$10$100
    81185The lab analyst performs the technical lab test to analyze the entire gene sequence for the calcium voltage–gated channel subunit alpha1 A gene, also called CACNA1A.10$1$40
    81321The lab analyst performs the technical lab test to analyze the entire gene sequence for the phosphatase and tensin homolog, or PTEN, gene.30$1$30
    81175The lab analyst performs the technical lab test to analyze the entire gene sequence for the additional sex combs like 1 (ASXL1), transcriptional regulator gene.10$1$20
    81286The lab analyst performs the technical lab test to analyze the entire gene sequence for the frataxin gene (FXN).20$1$20
    81189The lab analyst performs the technical lab test to analyze the entire gene sequence for the cystatin B gene (CSTB).10$1$10
    81225The 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$1$10
    81226The 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$1$10
    81227The 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 9, also known as CYP2C9.10$1$10
    81230The lab analyst performs the technical lab test to analyze the common variants of the cytochrome P450 family 3 subfamily A member 4 gene (CYP3A4), such as *2, *22.10$1$10

    Showing 1–10 of 38

    Medicaid: Competitive Analysis & Benchmarks

    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

    38 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…2020180$200$923K
    81329The lab analyst performs the technical lab test to detect deletions in the survival of motor neuron 1 (SMN1), telomeric, gene and may also analyze the survival of motor neuron 2 (SMN2), centromeric,…152070$40$178.1K
    81243The 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…1420230$10$53.9K
    81185The lab analyst performs the technical lab test to analyze the entire gene sequence for the calcium voltage–gated channel subunit alpha1 A gene, also called CACNA1A.51040$380$45.7K
    81302The lab analyst performs the technical lab test to analyze the entire gene sequence for the methyl CpG binding protein 2, or MECP2 gene.51030$260$30.7K
    81200The lab analyst performs the technical lab test to detect the presence of common changes in the gene for aspartoacylase, also known as ASPA.1310170$10$21.9K
    81325The lab analyst performs the technical lab test to analyze the entire gene sequence for the peripheral myelin protein 22, or PMP22, gene.41060$290$21.9K
    81255The 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.1410160$10$19.6K
    81251The 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.1410130$10$17.2K
    81260The 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…1310340$10$15.5K

    Showing 1–10 of 38

    Nearby Providers

    Other providers in the same ZIP code as Elixir Diagnostics, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Epic Health Services, Inc.TXHome Health Agency$0$85.4M
    Houston Northwest Operating Company, LLCTXGeneral Acute Care Hospital$0$18.4M
    Spring Independent School DistrictTXLocal Education Agency (LEA)$0$12.2M
    Rachel Marie JelksTXCommunity/Behavioral Health Agency$0$11.2M
    Olympia JeffriesTXNurse Practitioner$1.4M$0
    Northwest Surgery Center, LtdTXAmbulatory Surgical Clinic/Center$899.8K$0
    Kirk KanadyTXRadiation Oncology Physician$603.6K$0
    Kozhaya SokhonTXCardiovascular Disease Physician$397.7K$0
    Eric KleinbaumTXHematology & Oncology Physician$391.1K$0
    Tri NguyenTXDermatology Physician$366.7K$0

    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. Texas Distribution
    Elixir Diagnostics, LLC — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas
    Medicaid Revenue by Year vs. Texas Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Texas Distribution
    Elixir Diagnostics, LLC — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas