Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

ACM MEDICAL LABORATORY INC

Clinical Medical Laboratory·ROCHESTER, NY·NPI: 1174517353Share

Compared to Clinical Medical Laboratory Peers

Total spending distribution among 88 providers in this specialty

P25MedianP75P90

This provider's total spending of $40.8M is at the 25th percentile among 88 Clinical Medical Laboratory providers.

Active Billing Period:2018-01→2021-12(48 months)
Billing appears to have stoppedLast active: 2021-12

Total Paid

$40.8M

$40,835,795

Total Claims

2.0M

Beneficiaries

1.6M

1.2 claims/patient

Avg Cost/Claim

$20

Monthly Spending Trend

Yearly Spending

2018
$14.2M
-2%
2019
$14.0M
-11%
2020
$12.4M
-98%
2021
$276K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (80307 (Drug test, presumptive, by chemistry analyzers)) accounts for 31% of total spending.

80307Normal range

Drug test, presumptive, by chemistry analyzers

$12.6M

364K claims · 31.0%

Your Cost: $34.69/claim|Median: $35.43
1.0× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$7.5M

139K claims · 18.3%

Your Cost: $53.98/claim|Median: $37.56
1.4× median
U0003Top 25%

Infectious disease detection (COVID-19)

$2.6M

28K claims · 6.4%

Your Cost: $91.79/claim|Median: $63.08
1.5× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$2.1M

75K claims · 5.2%

Your Cost: $28.58/claim|Median: $24.95
1.1× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$2.1M

74K claims · 5.2%

Your Cost: $28.63/claim|Median: $23.39
1.2× median
87480Normal range

$803K

46K claims · 2.0%

Your Cost: $17.35/claim|Median: $14.31
1.2× median
87660Normal range

$798K

46K claims · 2.0%

Your Cost: $17.31/claim|Median: $13.84
1.3× median
87510Normal range

$795K

46K claims · 1.9%

Your Cost: $17.35/claim|Median: $13.48
1.3× median
87631Top 25%

Respiratory virus detection, 3-5 targets, multiplex

$732K

6,679 claims · 1.8%

Your Cost: $109.66/claim|Median: $65.45
1.7× median
82306Normal range

Vitamin D, 25 hydroxy

$679K

26K claims · 1.7%

Your Cost: $26.17/claim|Median: $18.18
1.4× median
80061Normal range

Lipid panel

$577K

53K claims · 1.4%

Your Cost: $10.80/claim|Median: $8.41
1.3× median
84443Normal range

Thyroid stimulating hormone (TSH)

$565K

44K claims · 1.4%

Your Cost: $12.79/claim|Median: $9.87
1.3× median
80053Normal range

Comprehensive metabolic panel

$525K

59K claims · 1.3%

Your Cost: $8.96/claim|Median: $7.24
1.2× median
87389Normal range

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

$476K

25K claims · 1.2%

Your Cost: $19.06/claim|Median: $18.03
1.1× median
80050Normal range

General health panel

$402K

13K claims · 1.0%

Your Cost: $29.88/claim|Median: $25.59
1.2× median
87086Normal range

Urine culture, colony count, with identification

$361K

51K claims · 0.9%

Your Cost: $7.12/claim|Median: $5.31
1.3× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$359K

42K claims · 0.9%

Your Cost: $8.52/claim|Median: $5.50
1.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$248K

45K claims · 0.6%

Your Cost: $5.49/claim|Median: $4.71
1.2× median
86780Normal range

$243K

21K claims · 0.6%

Your Cost: $11.50/claim|Median: $9.83
1.2× median
81220Top 10%

CFTR gene analysis, common variants

$242K

529 claims · 0.6%

Your Cost: $457.82/claim|Median: $183.31
2.5× median
G0481Normal range

Drug test, definitive, 8-14 drug classes

$195K

2,529 claims · 0.5%

Your Cost: $77.19/claim|Median: $64.72
1.2× median
82607Normal range

Cyanocobalamin (vitamin B-12)

$184K

15K claims · 0.5%

Your Cost: $12.11/claim|Median: $8.72
1.4× median
80048Normal range

Basic metabolic panel

$184K

28K claims · 0.5%

Your Cost: $6.47/claim|Median: $5.78
1.1× median
85027Normal range

Complete blood count (CBC), automated

$180K

36K claims · 0.4%

Your Cost: $4.97/claim|Median: $3.72
1.3× median
80348Normal range

$159K

47K claims · 0.4%

Your Cost: $3.42/claim|Median: $6.63
0.5× median
87081Normal range

Culture screening for pathogenic organisms

$156K

27K claims · 0.4%

Your Cost: $5.87/claim|Median: $5.09
1.2× median
84439Normal range

Free thyroxine level blood test

$155K

20K claims · 0.4%

Your Cost: $7.79/claim|Median: $6.31
1.2× median
87077Top 25%

Bacterial culture, aerobic, additional methods required

$153K

18K claims · 0.4%

Your Cost: $8.46/claim|Median: $4.52
1.9× median
84702Top 25%

$135K

10K claims · 0.3%

Your Cost: $13.08/claim|Median: $8.25
1.6× median
86481Normal range

$133K

2,403 claims · 0.3%

Your Cost: $55.27/claim|Median: $52.45
1.1× median
82728Normal range

Ferritin

$120K

10K claims · 0.3%

Your Cost: $11.47/claim|Median: $6.00
1.9× median
87653Top 25%

$113K

3,616 claims · 0.3%

Your Cost: $31.20/claim|Median: $19.33
1.6× median
83655Normal range

$109K

9,499 claims · 0.3%

Your Cost: $11.44/claim|Median: $10.49
1.1× median
86803Normal range

Hepatitis C antibody

$107K

9,051 claims · 0.3%

Your Cost: $11.79/claim|Median: $10.17
1.2× median
87070Normal range

Bacterial culture, any source except blood or urine

$100K

13K claims · 0.2%

Your Cost: $7.56/claim|Median: $5.89
1.3× median
83970Top 25%

Parathormone (parathyroid hormone) blood test

$99K

2,834 claims · 0.2%

Your Cost: $34.86/claim|Median: $10.20
3.4× median
80349Normal range

$96K

29K claims · 0.2%

Your Cost: $3.28/claim|Median: $5.96
0.5× median
87186Normal range

Antimicrobial susceptibility testing, microdilution, per agent

$95K

13K claims · 0.2%

Your Cost: $7.26/claim|Median: $4.65
1.6× median
87505Normal range

$90K

1,057 claims · 0.2%

Your Cost: $84.71/claim|Median: $62.35
1.4× median
80074Normal range

$84K

2,312 claims · 0.2%

Your Cost: $36.42/claim|Median: $27.54
1.3× median
80346Normal range

$83K

24K claims · 0.2%

Your Cost: $3.42/claim|Median: $8.14
0.4× median
87340Normal range

Hepatitis B surface antigen detection

$82K

9,082 claims · 0.2%

Your Cost: $9.08/claim|Median: $5.52
1.6× median
80323Normal range

$82K

26K claims · 0.2%

Your Cost: $3.18/claim|Median: $7.53
0.4× median
84403Top 25%

Testosterone, total blood test

$81K

3,483 claims · 0.2%

Your Cost: $23.23/claim|Median: $17.03
1.4× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$75K

2,866 claims · 0.2%

Your Cost: $26.20/claim|Median: $21.08
1.2× median
81507Normal range

$74K

134 claims · 0.2%

Your Cost: $553.48/claim|Median: $330.03
1.7× median
86762Normal range

$73K

7,085 claims · 0.2%

Your Cost: $10.28/claim|Median: $9.97
1.0× median
84153Normal range

Prostate specific antigen (PSA) blood test

$71K

4,451 claims · 0.2%

Your Cost: $15.92/claim|Median: $12.67
1.3× median
87522Top 25%

$65K

1,642 claims · 0.2%

Your Cost: $39.68/claim|Median: $29.66
1.3× median
83550Normal range

$63K

9,489 claims · 0.2%

Your Cost: $6.66/claim|Median: $3.49
1.9× median

Other Top Providers in New York

View all →

Public Partnerships LLC

Supports Brokerage

$7.18B

Freedom Care LLC

Home Health

$3.03B

American Business Institute Corp

Home Health

$1.68B

Premier Home Health Care Services INC

Home Health

$1.48B

Assistcarehome Healthcare Services

Home Health

$1.44B

Similar Providers

Other top providers in Clinical Medical Laboratory

Laboratory Corporation of America Holdings

Burlington, NC

$1.44B

Laboratory Corporation of America Holdings

Raritan, NJ

$717.5M

Unilab Corporation

West Hills, CA

$668.5M

Natera Inc.

San Carlos, CA

$641.5M

Quest Diagnostics Incorporated

Clifton, NJ

$637.7M

← All providersAll providers in New York →How we detect fraud →