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KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

Clinical Medical Laboratory·PORTLAND, OR·NPI: 1245382753Share

Compared to Clinical Medical Laboratory Peers

Total spending distribution among 88 providers in this specialty

P25MedianP75P90

This provider's total spending of $61.7M is at the 25th percentile among 88 Clinical Medical Laboratory providers.

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

Total Paid

$61.7M

$61,707,286

Total Claims

1.3M

Beneficiaries

1.3M

1.1 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$27K
+3508%
2019
$970K
+726%
2020
$8.0M
+55%
2021
$12.5M
+2%
2022
$12.7M
+2%
2023
$13.0M
+12%
2024
$14.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (U0004 (COVID-19 test, nucleic acid detection, CDC lab only)) accounts for 7% of total spending.

U0004Normal range

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

$4.3M

58K claims · 7.0%

Your Cost: $73.39/claim|Median: $60.05
1.2× median
87591Top 5%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$4.2M

41K claims · 6.8%

Your Cost: $104.18/claim|Median: $23.39
4.5× median
87491Top 5%

Chlamydia detection, nucleic acid, amplified probe

$4.2M

41K claims · 6.8%

Your Cost: $104.01/claim|Median: $24.95
4.2× median
84443Top 5%

Thyroid stimulating hormone (TSH)

$3.0M

77K claims · 4.9%

Your Cost: $38.90/claim|Median: $9.87
3.9× median
80307Top 5%

Drug test, presumptive, by chemistry analyzers

$2.7M

21K claims · 4.4%

Your Cost: $126.12/claim|Median: $35.43
3.6× median
88305Top 5%

Surgical pathology, gross and microscopic examination

$2.5M

16K claims · 4.0%

Your Cost: $157.65/claim|Median: $35.80
4.4× median
80061Top 5%

Lipid panel

$2.1M

63K claims · 3.4%

Your Cost: $33.20/claim|Median: $8.41
3.9× median
83036Top 5%

Hemoglobin A1c (glycated hemoglobin)

$2.0M

88K claims · 3.3%

Your Cost: $23.17/claim|Median: $5.50
4.2× median
87389Top 5%

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

$1.9M

31K claims · 3.0%

Your Cost: $60.65/claim|Median: $18.03
3.4× median
G0480Top 1%

Drug test, definitive, 1-7 drug classes

$1.7M

9,310 claims · 2.8%

Your Cost: $186.42/claim|Median: $37.56
5.0× median
81420Top 1%

Fetal chromosomal aneuploidy genomic sequence analysis

$1.7M

888 claims · 2.7%

Your Cost: $1,877.18/claim|Median: $358.21
5.2× median
80053Top 10%

Comprehensive metabolic panel

$1.6M

63K claims · 2.5%

Your Cost: $24.56/claim|Median: $7.24
3.4× median
82306Top 5%

Vitamin D, 25 hydroxy

$1.4M

21K claims · 2.2%

Your Cost: $67.51/claim|Median: $18.18
3.7× median
86003Top 5%

Allergen specific IgE blood test, each allergen

$1.2M

4,783 claims · 2.0%

Your Cost: $259.17/claim|Median: $40.67
6.4× median
82728Top 10%

Ferritin

$1.2M

36K claims · 1.9%

Your Cost: $33.09/claim|Median: $6.00
5.5× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$1.1M

60K claims · 1.8%

Your Cost: $18.37/claim|Median: $4.71
3.9× median
86780Top 5%

$1.0M

31K claims · 1.7%

Your Cost: $33.52/claim|Median: $9.83
3.4× median
U0003Normal range

Infectious disease detection (COVID-19)

$955K

13K claims · 1.5%

Your Cost: $71.28/claim|Median: $63.08
1.1× median
88142Top 5%

$847K

16K claims · 1.4%

Your Cost: $52.87/claim|Median: $14.75
3.6× median
G0328Top 5%

$831K

15K claims · 1.3%

Your Cost: $57.17/claim|Median: $6.66
8.6× median
87636Top 25%

Respiratory virus detection, 6-11 targets, nucleic acid

$828K

6,244 claims · 1.3%

Your Cost: $132.61/claim|Median: $97.61
1.4× median
85027Top 10%

Complete blood count (CBC), automated

$796K

53K claims · 1.3%

Your Cost: $15.08/claim|Median: $3.72
4.1× median
82607Top 5%

Cyanocobalamin (vitamin B-12)

$784K

22K claims · 1.3%

Your Cost: $35.73/claim|Median: $8.72
4.1× median
87506Top 5%

$749K

1,273 claims · 1.2%

Your Cost: $588.76/claim|Median: $102.96
5.7× median
81329Top 1%

$738K

2,242 claims · 1.2%

Your Cost: $329.06/claim|Median: $48.02
6.9× median
80048Top 10%

Basic metabolic panel

$715K

37K claims · 1.2%

Your Cost: $19.49/claim|Median: $5.78
3.4× median
87624Top 5%

HPV detection, high-risk types, nucleic acid

$649K

7,141 claims · 1.1%

Your Cost: $90.95/claim|Median: $25.57
3.6× median
88307Top 1%

Surgical pathology, gross and microscopic, complex

$642K

1,067 claims · 1.0%

Your Cost: $601.87/claim|Median: $59.38
10.1× median
86803Top 10%

Hepatitis C antibody

$537K

15K claims · 0.9%

Your Cost: $35.20/claim|Median: $10.17
3.5× median
87507Top 1%

$529K

588 claims · 0.9%

Your Cost: $899.45/claim|Median: $157.44
5.7× median
87505Top 5%

$483K

1,626 claims · 0.8%

Your Cost: $297.04/claim|Median: $62.35
4.8× median
83550Top 10%

$451K

22K claims · 0.7%

Your Cost: $20.90/claim|Median: $3.49
6.0× median
81513Top 1%

$440K

1,274 claims · 0.7%

Your Cost: $345.38/claim|Median: $71.32
4.8× median
88342Top 1%

$429K

2,120 claims · 0.7%

Your Cost: $202.31/claim|Median: $23.66
8.6× median
84702Top 5%

$419K

12K claims · 0.7%

Your Cost: $35.29/claim|Median: $8.25
4.3× median
87635Top 5%

COVID-19 SARS-CoV-2 amplified probe detection

$412K

5,271 claims · 0.7%

Your Cost: $78.15/claim|Median: $39.70
2.0× median
88341Top 1%

$404K

699 claims · 0.7%

Your Cost: $577.57/claim|Median: $45.31
12.7× median
87340Top 10%

Hepatitis B surface antigen detection

$373K

15K claims · 0.6%

Your Cost: $25.40/claim|Median: $5.52
4.6× median
87536Top 1%

HIV-1 detection by nucleic acid, quantitative

$371K

1,681 claims · 0.6%

Your Cost: $220.90/claim|Median: $51.73
4.3× median
87086Top 10%

Urine culture, colony count, with identification

$370K

20K claims · 0.6%

Your Cost: $18.74/claim|Median: $5.31
3.5× median
87653Top 5%

$355K

4,957 claims · 0.6%

Your Cost: $71.57/claim|Median: $19.33
3.7× median
84403Top 1%

Testosterone, total blood test

$350K

5,671 claims · 0.6%

Your Cost: $61.65/claim|Median: $17.03
3.6× median
83540Top 10%

Iron blood level test

$331K

21K claims · 0.5%

Your Cost: $15.94/claim|Median: $2.93
5.4× median
87529Top 1%

$327K

2,196 claims · 0.5%

Your Cost: $148.79/claim|Median: $24.98
6.0× median
U0005Top 5%

Infectious disease detection, COVID-19, antigen

$298K

8,510 claims · 0.5%

Your Cost: $35.08/claim|Median: $15.76
2.2× median
87798Top 25%

Infectious agent detection, nucleic acid, not otherwise specified

$282K

2,876 claims · 0.5%

Your Cost: $98.08/claim|Median: $26.72
3.7× median
82042Top 1%

$246K

14K claims · 0.4%

Your Cost: $17.49/claim|Median: $3.42
5.1× median
83516Top 10%

$243K

8,659 claims · 0.4%

Your Cost: $28.02/claim|Median: $9.72
2.9× median
82670Top 1%

Estradiol hormone blood level test

$215K

3,338 claims · 0.3%

Your Cost: $64.43/claim|Median: $19.27
3.3× median
84460Top 10%

$208K

17K claims · 0.3%

Your Cost: $12.54/claim|Median: $2.58
4.9× median

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