Laboratory Corporation of America Holdings
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 11 procedure codes: 81402 at 3.2× median, 0014M at 1.2× median.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Rate Outlier
Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Advanced Detection Signals
Additional statistical tests from advanced fraud detection methods
These signals use advanced statistical methods including digit distribution analysis, change-point detection, and market concentration metrics. Learn more.
Compared to Clinical Medical Laboratory Peers
Total spending distribution among 88 providers in this specialty
This provider's total spending of $717.5M is at the 90th percentile among 88 Clinical Medical Laboratory providers.
Above 90th percentile for this specialty — higher spending than 79 of 88 peers
Total Paid
$717.5M
$717,466,641
Total Claims
109.5M
Beneficiaries
101.7M
1.1 claims/patient
Avg Cost/Claim
$7
#65 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Laboratory Corporation of America Holdings is a Clinical Medical Laboratory provider based in Raritan, NJ. From the 2018–2024 period, this provider received $717.5M in Medicaid payments across 109.5M claims.
Why This Matters
This provider received $717.5M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 89,683 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 30 distinct procedure codes. The top code (U0003 (Infectious disease detection (COVID-19))) accounts for 14% of total spending.
$99.3M
1.4M claims
$70.45
$63.08
Infectious disease detection (COVID-19)
$99.3M
1.4M claims · 13.8%
$44.2M
2.3M claims
$19.48
$35.43
Drug test, presumptive, by chemistry analyzers
$44.2M
2.3M claims · 6.2%
$36.3M
2.7M claims
$13.28
$24.95
Chlamydia detection, nucleic acid, amplified probe
$36.3M
2.7M claims · 5.1%
$34.2M
2.7M claims
$12.59
$23.39
Neisseria gonorrhoeae detection, nucleic acid, amplified probe
$34.2M
2.7M claims · 4.8%
General health panel
$33.1M
1.5M claims · 4.6%
Vitamin D, 25 hydroxy
$23.7M
2.9M claims · 3.3%
Lipid panel
$20.9M
5.6M claims · 2.9%
$18.5M
699K claims
$26.47
$38.35
Tuberculosis test, cell-mediated immunity
$18.5M
699K claims · 2.6%
$16.9M
839K claims
$20.10
$26.72
Infectious agent detection, nucleic acid, not otherwise specified
$16.9M
839K claims · 2.4%
$15.3M
49K claims
$311.24
$358.21
Fetal chromosomal aneuploidy genomic sequence analysis
$15.3M
49K claims · 2.1%
Comprehensive metabolic panel
$15.0M
5.6M claims · 2.1%
$14.6M
86K claims
$169.10
$183.31
CFTR gene analysis, common variants
$14.6M
86K claims · 2.0%
$14.5M
1.7M claims
$8.46
$18.03
HIV-1 antigen with HIV-1 and HIV-2 antibodies
$14.5M
1.7M claims · 2.0%
$13.1M
1.4M claims
$9.13
$21.08
Trichomonas vaginalis detection, nucleic acid, amplified probe
$13.1M
1.4M claims · 1.8%
$12.4M
494K claims
$25.08
$37.56
Drug test, definitive, 1-7 drug classes
$12.4M
494K claims · 1.7%
$11.2M
4.5M claims
$2.48
$5.50
Hemoglobin A1c (glycated hemoglobin)
$11.2M
4.5M claims · 1.6%
$10.6M
611K claims
$17.32
$38.79
Infectious agent detection, amplified probe, multiple organisms
$10.6M
611K claims · 1.5%
$10.0M
681K claims
$14.75
$15.76
Infectious disease detection, COVID-19, antigen
$10.0M
681K claims · 1.4%
Thyroid stimulating hormone (TSH)
$9.7M
3.5M claims · 1.3%
$9.5M
104K claims
$91.28
$100.62
Respiratory virus detection, 3-5 targets, nucleic acid
$9.5M
104K claims · 1.3%
Antibody, SARS-CoV-2 (COVID-19)
$9.5M
246K claims · 1.3%
$9.5M
5.7M claims
$1.65
$4.71
Complete blood count (CBC) with differential, automated
$9.5M
5.7M claims · 1.3%
$8.3M
221K claims · 1.2%
$7.8M
649K claims
$11.99
$25.57
HPV detection, high-risk types, nucleic acid
$7.8M
649K claims · 1.1%
$7.5M
848K claims
$8.84
$19.06
Cytopathology, cervical or vaginal, ThinPrep
$7.5M
848K claims · 1.0%
Cyanocobalamin (vitamin B-12)
$6.5M
1.3M claims · 0.9%
Hepatitis C antibody
$6.1M
1.2M claims · 0.8%
$4.8M
1.9M claims · 0.7%
$4.4M
171K claims · 0.6%
$4.3M
941K claims · 0.6%
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