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

Optimal Lab Inc

Clinical Medical Laboratory·Paterson, NJ·NPI: 1285378356SharePrint ReportML Risk: 83%

Compared to Clinical Medical Laboratory Peers

Total spending distribution among 88 providers in this specialty

P25MedianP75P90

This provider's total spending of $242K is at the below 25th percentile among 88 Clinical Medical Laboratory providers.

Total Paid

$242K

$241,677

Total Claims

7,238

Beneficiaries

4,404

1.6 claims/patient

Avg Cost/Claim

$33

🔍 Analysis

Provider Overview

Optimal Lab Inc is a Clinical Medical Laboratory provider based in Paterson, NJ. From the 2018–2024 period, this provider received $242K in Medicaid payments across 7K claims serving 4K beneficiaries.

34% growthsince first billing year

Yearly Spending

2022
$145K
-34%
2023
$96K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 4 distinct procedure codes. The top code (U0003 (Infectious disease detection (COVID-19))) accounts for 69% of total spending.

U0003Normal range

Infectious disease detection (COVID-19)

$166K

2,914 claims · 68.5%

Your Cost: $56.85/claim|Median: $63.08
0.9× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$55K

2,857 claims · 22.7%

Your Cost: $19.18/claim|Median: $15.76
1.2× median
G2023Normal range

Specimen collection for COVID-19 testing

$18K

1,398 claims · 7.6%

Your Cost: $13.15/claim|Median: $17.15
0.8× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$3K

69 claims · 1.2%

Your Cost: $41.26/claim|Median: $39.70
1.0× median