Laboratory Corporation of America
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $1.2M (2018) to $15.7M (2019) — a 1253% swing with $14.6M absolute change.
Explosive Growth
Billing increased over 500% year-over-year — far beyond normal growth patterns.
Billing grew 1253% from 2018 to 2019.
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:
Billing Swing
Billing Swing means this provider's total billing changed dramatically from one year to the next — increasing or decreasing by more than 200% with over $1M in absolute change. This could indicate a change in practice scope, a billing scheme ramping up, or legitimate growth.
Explosive Growth
Explosive Growth means this provider's billing increased by more than 500% year-over-year. While rapid expansion can be legitimate, this pattern has been observed in fraud schemes that ramp up billing quickly before detection.
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.
Risk Assessment
Bills $95.12 per claim for 80055 — 3.4× the national median of $28.10.
This is a statistical summary, not an accusation. See our methodology.
Compared to Clinical Medical Laboratory Peers
Total spending distribution among 88 providers in this specialty
This provider's total spending of $171.1M is at the 50th percentile among 88 Clinical Medical Laboratory providers.
Total Paid
$171.1M
$171,132,435
Total Claims
37.6M
Beneficiaries
33.6M
1.1 claims/patient
Avg Cost/Claim
$5
#573 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Laboratory Corporation of America is a Clinical Medical Laboratory provider based in Tampa, FL. From the 2018–2024 period, this provider received $171.1M in Medicaid payments across 37.6M claims.
Why This Matters
This provider received $171.1M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 21,391 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 (87491 (Chlamydia detection, nucleic acid, amplified probe)) accounts for 6% of total spending.
$10.7M
1.0M claims
$10.40
$24.95
Chlamydia detection, nucleic acid, amplified probe
$10.7M
1.0M claims · 6.3%
General health panel
$9.0M
497K claims · 5.3%
Vitamin D, 25 hydroxy
$8.3M
959K claims · 4.9%
$7.7M
33K claims
$231.30
$358.21
Fetal chromosomal aneuploidy genomic sequence analysis
$7.7M
33K claims · 4.5%
$7.1M
39K claims
$180.76
$183.31
CFTR gene analysis, common variants
$7.1M
39K claims · 4.1%
$6.6M
1.0M claims
$6.51
$23.39
Neisseria gonorrhoeae detection, nucleic acid, amplified probe
$6.6M
1.0M claims · 3.9%
Lipid panel
$6.0M
2.3M claims · 3.5%
$5.5M
2.3M claims
$2.37
$4.71
Complete blood count (CBC) with differential, automated
$5.5M
2.3M claims · 3.2%
$5.3M
253K claims
$21.03
$26.72
Infectious agent detection, nucleic acid, not otherwise specified
$5.3M
253K claims · 3.1%
$5.0M
78K claims
$63.32
$63.08
Infectious disease detection (COVID-19)
$5.0M
78K claims · 2.9%
Comprehensive metabolic panel
$4.8M
2.4M claims · 2.8%
$4.5M
636K claims
$7.05
$18.03
HIV-1 antigen with HIV-1 and HIV-2 antibodies
$4.5M
636K claims · 2.6%
$4.0M
250K claims
$16.02
$25.57
HPV detection, high-risk types, nucleic acid
$4.0M
250K claims · 2.3%
$3.9M
195K claims
$20.17
$38.79
Infectious agent detection, amplified probe, multiple organisms
$3.9M
195K claims · 2.3%
$3.8M
101K claims
$37.58
$35.80
Surgical pathology, gross and microscopic examination
$3.8M
101K claims · 2.2%
$3.1M
354K claims
$8.62
$19.06
Cytopathology, cervical or vaginal, ThinPrep
$3.1M
354K claims · 1.8%
Thyroid stimulating hormone (TSH)
$3.0M
1.5M claims · 1.8%
$3.0M
97K claims · 1.7%
$2.5M
1.6M claims
$1.56
$5.50
Hemoglobin A1c (glycated hemoglobin)
$2.5M
1.6M claims · 1.5%
$2.5M
119K claims
$20.69
$35.43
Drug test, presumptive, by chemistry analyzers
$2.5M
119K claims · 1.4%
$2.4M
732K claims · 1.4%
$2.1M
295K claims
$7.29
$21.08
Trichomonas vaginalis detection, nucleic acid, amplified probe
$2.1M
295K claims · 1.3%
$2.1M
136K claims · 1.2%
$1.9M
73K claims · 1.1%
$1.8M
821K claims
$2.21
$5.31
Urine culture, colony count, with identification
$1.8M
821K claims · 1.1%
$1.8M
94K claims · 1.0%
$1.7M
18K claims · 1.0%
Cyanocobalamin (vitamin B-12)
$1.7M
565K claims · 1.0%
$1.5M
83K claims
$18.67
$38.35
Tuberculosis test, cell-mediated immunity
$1.5M
83K claims · 0.9%
$1.5M
397K claims
$3.89
$3.72
Complete blood count (CBC), automated
$1.5M
397K claims · 0.9%
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