Is PACIFIC TOXICOLOGY LABORATORIES flagged for Medicaid fraud?

PACIFIC TOXICOLOGY LABORATORIES (NPI: 1003950585) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does PACIFIC TOXICOLOGY LABORATORIES bill Medicaid?

PACIFIC TOXICOLOGY LABORATORIES received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Clinical Medical Laboratory provider. Located in CHATSWORTH, CA.

What is NPI 1003950585?

NPI 1003950585 is the National Provider Identifier for PACIFIC TOXICOLOGY LABORATORIES. They are a Clinical Medical Laboratory provider based in CHATSWORTH, CA. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

PACIFIC TOXICOLOGY LABORATORIES

Clinical Medical Laboratory·CHATSWORTH, CA·NPI: 1003950585Share

Compared to Clinical Medical Laboratory Peers

Total spending distribution among 88 providers in this specialty

P25MedianP75P90

This provider's total spending of $29.7M is at the 25th percentile among 88 Clinical Medical Laboratory providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$29.7M

$29,720,172

Total Claims

691K

Beneficiaries

282K

2.5 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018

$2.2M

+116%

2019

$4.8M

+55%

2020

$7.4M

-19%

2021

$6.0M

-20%

2022

$4.8M

-31%

2023

$3.3M

-59%

2024

$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (G0482 (Drug test, definitive, 15-21 drug classes)) accounts for 37% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

G0482Drug test, definitive, 15-21 drug classesSee all providers →

$10.9M

156K claims

$70.33

$75.26

0.9×

Normal range

G0482Normal range

Drug test, definitive, 15-21 drug classes

$10.9M

156K claims · 36.8%

Your Cost: $70.33/claim|Median: $75.26

0.9× median

80307Drug test, presumptive, by chemistry analyzersSee all providers →

$7.5M

279K claims

$26.74

$35.43

0.8×

Normal range

80307Normal range

Drug test, presumptive, by chemistry analyzers

$7.5M

279K claims · 25.1%

Your Cost: $26.74/claim|Median: $35.43

0.8× median

G0481Drug test, definitive, 8-14 drug classesSee all providers →

$4.1M

76K claims

$53.42

$64.72

0.8×

Normal range

G0481Normal range

Drug test, definitive, 8-14 drug classes

$4.1M

76K claims · 13.7%

Your Cost: $53.42/claim|Median: $64.72

0.8× median

G0480Drug test, definitive, 1-7 drug classesSee all providers →

$3.2M

87K claims

$36.64

$37.56

1.0×

Normal range

G0480Normal range

Drug test, definitive, 1-7 drug classes

$3.2M

87K claims · 10.8%

Your Cost: $36.64/claim|Median: $37.56

1.0× median

G0483Drug test, definitive, 22+ drug classesSee all providers →

$1.8M

28K claims

$64.74

$90.89

0.7×

Normal range

G0483Normal range

Drug test, definitive, 22+ drug classes

$1.8M

28K claims · 6.2%

Your Cost: $64.74/claim|Median: $90.89

0.7× median

U0004COVID-19 test, nucleic acid detection, CDC lab onlySee all providers →

$1.7M

31K claims

$54.75

$60.05

0.9×

Normal range

U0004Normal range

COVID-19 test, nucleic acid detection, CDC lab only

$1.7M

31K claims · 5.7%

Your Cost: $54.75/claim|Median: $60.05

0.9× median

U0005Infectious disease detection, COVID-19, antigenSee all providers →

$251K

19K claims

$13.36

$15.76

0.8×

Normal range

U0005Normal range

Infectious disease detection, COVID-19, antigen

$251K

19K claims · 0.8%

Your Cost: $13.36/claim|Median: $15.76

0.8× median

G2024 See all providers →

$185K

12K claims

$15.71

$11.59

1.4×

Normal range

G2024Normal range

$185K

12K claims · 0.6%

Your Cost: $15.71/claim|Median: $11.59

1.4× median

87635COVID-19 SARS-CoV-2 amplified probe detectionSee all providers →

$37K

1,616 claims

$22.79

$39.70

0.6×

Normal range

87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$37K

1,616 claims · 0.1%

Your Cost: $22.79/claim|Median: $39.70

0.6× median

87389HIV-1 antigen with HIV-1 and HIV-2 antibodiesSee all providers →

$10K

178 claims

$58.60

$18.03

3.3×

Top 5%

87389Top 5%

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$10K

178 claims · 0.0%

Your Cost: $58.60/claim|Median: $18.03

3.3× median

86481 See all providers →

$7K

178 claims

$41.64

$52.45

0.8×

Normal range

86481Normal range

$7K

178 claims · 0.0%

Your Cost: $41.64/claim|Median: $52.45

0.8× median

86803Hepatitis C antibodySee all providers →

$2K

184 claims

$13.11

$10.17

1.3×

Normal range

86803Normal range

Hepatitis C antibody

$2K

184 claims · 0.0%

Your Cost: $13.11/claim|Median: $10.17

1.3× median

86705 See all providers →

$2K

178 claims

$12.07

$7.27

1.7×

Top 25%

86705Top 25%

$2K

178 claims · 0.0%

Your Cost: $12.07/claim|Median: $7.27

1.7× median

86706 See all providers →

$2K

178 claims

$11.30

$5.39

2.1×

Top 25%

86706Top 25%

$2K

178 claims · 0.0%

Your Cost: $11.30/claim|Median: $5.39

2.1× median

80053Comprehensive metabolic panelSee all providers →

$1K

178 claims

$8.33

$7.24

1.2×

Normal range

80053Normal range

Comprehensive metabolic panel

$1K

178 claims · 0.0%

Your Cost: $8.33/claim|Median: $7.24

1.2× median

S5102Day care services, adult; per 15 minSee all providers →

$917

12 claims

$76.42

$81.10

0.9×

Normal range

S5102Normal range

Day care services, adult; per 15 min

$917

12 claims · 0.0%

Your Cost: $76.42/claim|Median: $81.10

0.9× median

85025Complete blood count (CBC) with differential, automatedSee all providers →

$828

178 claims

$4.65

$4.71

1.0×

Normal range

85025Normal range

Complete blood count (CBC) with differential, automated

$828

178 claims · 0.0%

Your Cost: $4.65/claim|Median: $4.71

1.0× median

82306Vitamin D, 25 hydroxySee all providers →

$703

104 claims

$6.76

$18.18

0.4×

Normal range

82306Normal range

Vitamin D, 25 hydroxy

$703

104 claims · 0.0%

Your Cost: $6.76/claim|Median: $18.18

0.4× median

86592 See all providers →

$576

178 claims

$3.23

$3.35

1.0×

Normal range

86592Normal range

$576

178 claims · 0.0%

Your Cost: $3.23/claim|Median: $3.35

1.0× median

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