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TRICORE REFERENCE LABORATORIES

Clinical Medical Laboratory·ALBUQUERQUE, NM·NPI: 1033285044Share

Compared to Clinical Medical Laboratory Peers

Total spending distribution among 88 providers in this specialty

P25MedianP75P90

This provider's total spending of $64.5M is at the 25th percentile among 88 Clinical Medical Laboratory providers.

Active Billing Period:2018-012022-12(58 months)
Billing appears to have stoppedLast active: 2022-12

Total Paid

$64.5M

$64,463,770

Total Claims

3.2M

Beneficiaries

3.1M

1.0 claims/patient

Avg Cost/Claim

$20

Monthly Spending Trend

Yearly Spending

2018
$13.0M
+4%
2019
$13.5M
+14%
2020
$15.3M
-2%
2021
$15.0M
-49%
2022
$7.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (U0003 (Infectious disease detection (COVID-19))) accounts for 12% of total spending.

U0003Top 25%

Infectious disease detection (COVID-19)

$7.8M

94K claims · 12.1%

Your Cost: $82.86/claim|Median: $63.08
1.3× median
80050Top 25%

General health panel

$4.2M

89K claims · 6.5%

Your Cost: $47.43/claim|Median: $25.59
1.9× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$2.7M

78K claims · 4.2%

Your Cost: $34.70/claim|Median: $24.95
1.4× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$2.7M

78K claims · 4.2%

Your Cost: $34.66/claim|Median: $23.39
1.5× median
82306Top 25%

Vitamin D, 25 hydroxy

$2.5M

90K claims · 3.9%

Your Cost: $27.75/claim|Median: $18.18
1.5× median
80061Top 25%

Lipid panel

$2.1M

169K claims · 3.3%

Your Cost: $12.52/claim|Median: $8.41
1.5× median
80053Normal range

Comprehensive metabolic panel

$1.9M

198K claims · 3.0%

Your Cost: $9.73/claim|Median: $7.24
1.3× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$1.7M

114K claims · 2.7%

Your Cost: $15.33/claim|Median: $9.87
1.6× median
87633Top 10%

Respiratory virus detection, 12-25 targets, nucleic acid

$1.5M

3,697 claims · 2.3%

Your Cost: $395.09/claim|Median: $169.17
2.3× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$1.3M

140K claims · 2.0%

Your Cost: $9.11/claim|Median: $5.50
1.7× median
87389Normal range

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

$1.2M

51K claims · 1.8%

Your Cost: $23.13/claim|Median: $18.03
1.3× median
G0480Top 5%

Drug test, definitive, 1-7 drug classes

$1.1M

11K claims · 1.8%

Your Cost: $101.88/claim|Median: $37.56
2.7× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$1.1M

14K claims · 1.7%

Your Cost: $77.27/claim|Median: $35.80
2.2× median
80307Top 10%

Drug test, presumptive, by chemistry analyzers

$1.1M

17K claims · 1.7%

Your Cost: $63.01/claim|Median: $35.43
1.8× median
U0005Top 25%

Infectious disease detection, COVID-19, antigen

$987K

42K claims · 1.5%

Your Cost: $23.50/claim|Median: $15.76
1.5× median
81420Top 10%

Fetal chromosomal aneuploidy genomic sequence analysis

$986K

1,414 claims · 1.5%

Your Cost: $697.52/claim|Median: $358.21
1.9× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$985K

138K claims · 1.5%

Your Cost: $7.11/claim|Median: $4.71
1.5× median
87902Top 10%

$964K

3,728 claims · 1.5%

Your Cost: $258.49/claim|Median: $156.75
1.6× median
80074Top 25%

$857K

19K claims · 1.3%

Your Cost: $45.49/claim|Median: $27.54
1.7× median
88175Top 25%

Cytopathology, cervical or vaginal, ThinPrep

$826K

32K claims · 1.3%

Your Cost: $25.78/claim|Median: $19.06
1.4× median
87635Top 25%

COVID-19 SARS-CoV-2 amplified probe detection

$804K

16K claims · 1.2%

Your Cost: $49.82/claim|Median: $39.70
1.3× median
84439Normal range

Free thyroxine level blood test

$796K

93K claims · 1.2%

Your Cost: $8.54/claim|Median: $6.31
1.4× median
81511Top 10%

$775K

4,732 claims · 1.2%

Your Cost: $163.77/claim|Median: $48.74
3.4× median
87624Top 25%

HPV detection, high-risk types, nucleic acid

$757K

22K claims · 1.2%

Your Cost: $34.19/claim|Median: $25.57
1.3× median
81514Top 25%

$731K

3,512 claims · 1.1%

Your Cost: $208.24/claim|Median: $143.67
1.4× median
87481Top 5%

$721K

7,202 claims · 1.1%

Your Cost: $100.18/claim|Median: $22.38
4.5× median
86780Top 25%

$645K

49K claims · 1.0%

Your Cost: $13.11/claim|Median: $9.83
1.3× median
87086Normal range

Urine culture, colony count, with identification

$612K

79K claims · 0.9%

Your Cost: $7.77/claim|Median: $5.31
1.5× median
36415Top 25%

Collection of venous blood by venipuncture

$605K

227K claims · 0.9%

Your Cost: $2.66/claim|Median: $1.57
1.7× median
87522Top 25%

$596K

14K claims · 0.9%

Your Cost: $42.00/claim|Median: $29.66
1.4× median
87801Top 25%

Infectious agent detection, amplified probe, multiple organisms

$523K

7,456 claims · 0.8%

Your Cost: $70.13/claim|Median: $38.79
1.8× median
85027Top 25%

Complete blood count (CBC), automated

$477K

80K claims · 0.7%

Your Cost: $5.98/claim|Median: $3.72
1.6× median
86803Normal range

Hepatitis C antibody

$459K

34K claims · 0.7%

Your Cost: $13.55/claim|Median: $10.17
1.3× median
82607Top 25%

Cyanocobalamin (vitamin B-12)

$454K

32K claims · 0.7%

Your Cost: $14.11/claim|Median: $8.72
1.6× median
82728Top 25%

Ferritin

$429K

34K claims · 0.7%

Your Cost: $12.74/claim|Median: $6.00
2.1× median
84403Top 25%

Testosterone, total blood test

$426K

17K claims · 0.7%

Your Cost: $25.46/claim|Median: $17.03
1.5× median
88307Top 5%

Surgical pathology, gross and microscopic, complex

$409K

1,896 claims · 0.6%

Your Cost: $215.46/claim|Median: $59.38
3.6× median
84481Top 25%

$407K

25K claims · 0.6%

Your Cost: $16.15/claim|Median: $9.37
1.7× median
86003Normal range

Allergen specific IgE blood test, each allergen

$361K

5,598 claims · 0.6%

Your Cost: $64.57/claim|Median: $40.67
1.6× median
87505Top 25%

$357K

3,040 claims · 0.6%

Your Cost: $117.31/claim|Median: $62.35
1.9× median
87631Top 25%

Respiratory virus detection, 3-5 targets, multiplex

$308K

2,357 claims · 0.5%

Your Cost: $130.49/claim|Median: $65.45
2.0× median
81508Top 5%

$292K

2,980 claims · 0.5%

Your Cost: $97.89/claim|Median: $26.27
3.7× median
82670Top 10%

Estradiol hormone blood level test

$289K

9,097 claims · 0.4%

Your Cost: $31.78/claim|Median: $19.27
1.6× median
87653Top 25%

$273K

8,247 claims · 0.4%

Your Cost: $33.13/claim|Median: $19.33
1.7× median
83970Top 25%

Parathormone (parathyroid hormone) blood test

$269K

7,972 claims · 0.4%

Your Cost: $33.74/claim|Median: $10.20
3.3× median
83550Top 25%

$265K

33K claims · 0.4%

Your Cost: $8.13/claim|Median: $3.49
2.3× median
88342Top 5%

$263K

3,172 claims · 0.4%

Your Cost: $83.01/claim|Median: $23.66
3.5× median
84153Top 25%

Prostate specific antigen (PSA) blood test

$263K

15K claims · 0.4%

Your Cost: $16.97/claim|Median: $12.67
1.3× median
87661Top 25%

Trichomonas vaginalis detection, nucleic acid, amplified probe

$260K

7,396 claims · 0.4%

Your Cost: $35.22/claim|Median: $21.08
1.7× median
82746Top 25%

$255K

19K claims · 0.4%

Your Cost: $13.75/claim|Median: $6.83
2.0× median