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Advanced Clinical Solution INC

Clinical Medical Laboratory·Branchburg, NJ·NPI: 1093339012SharePrint ReportML Risk: 85%

Compared to Clinical Medical Laboratory Peers

Total spending distribution among 88 providers in this specialty

P25MedianP75P90

This provider's total spending of $179K is at the below 25th percentile among 88 Clinical Medical Laboratory providers.

Total Paid

$179K

$178,522

Total Claims

4,862

Beneficiaries

2,364

2.1 claims/patient

Avg Cost/Claim

$37

🔍 Analysis

Provider Overview

Advanced Clinical Solution INC is a Clinical Medical Laboratory provider based in Branchburg, NJ. From 2021-10 through 2022-08, this provider received $179K in Medicaid payments across 5K claims serving 2K beneficiaries, billing 9 distinct procedure codes.

Key Findings

  • 📊Spending more than doubled from $38K in 2021 to $140K in 2022 (267% growth).
  • 📊Saw a 3.7× spike in 2022 ($38K → $140K), a sharp year-over-year increase.
  • 📊Billing stopped in 2022-08, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.

Important Context

  • ℹ️This provider's billing is dominated by COVID-19 testing codes. The spike in billing likely reflects pandemic testing demand rather than anomalous behavior.

Yearly Spending

2021
$38K
+267%
2022
$140K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (U0004 (COVID-19 test, nucleic acid detection, CDC lab only)) accounts for 74% of total spending.

U0004Normal range

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

$132K

2,289 claims · 73.8%

Your Cost: $57.54/claim|Median: $60.05
1.0× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$44K

2,283 claims · 24.9%

Your Cost: $19.47/claim|Median: $15.76
1.2× median
G2023Normal range

Specimen collection for COVID-19 testing

$2K

92 claims · 0.9%

Your Cost: $16.57/claim|Median: $17.15
1.0× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$494

34 claims · 0.3%

Your Cost: $14.53/claim|Median: $26.72
0.5× median
87481Normal range

$152

34 claims · 0.1%

Your Cost: $4.47/claim|Median: $22.38
0.2× median
87640Normal range

$48

32 claims · 0.0%

Your Cost: $1.49/claim|Median: $8.39
0.2× median
87641Normal range

$48

34 claims · 0.0%

Your Cost: $1.40/claim|Median: $12.38
0.1× median
87500Normal range

$48

30 claims · 0.0%

Your Cost: $1.59/claim|Median: $8.53
0.2× median
87653Normal range

$48

34 claims · 0.0%

Your Cost: $1.40/claim|Median: $19.33
0.1× median