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

⚖️ Compare🖨️ Print Report

SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP

Clinical Medical Laboratory·CHINO HILLS, CA·NPI: 1396287082Share

Compared to Clinical Medical Laboratory Peers

Total spending distribution among 88 providers in this specialty

P25MedianP75P90

This provider's total spending of $50.9M is at the 25th percentile among 88 Clinical Medical Laboratory providers.

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

Total Paid

$50.9M

$50,889,172

Total Claims

10.2M

Beneficiaries

9.9M

1.0 claims/patient

Avg Cost/Claim

$5

Monthly Spending Trend

Yearly Spending

2018
$65K
+329%
2019
$277K
+1211%
2020
$3.6M
+101%
2021
$7.3M
+11%
2022
$8.1M
+14%
2023
$9.3M
+139%
2024
$22.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (U0003 (Infectious disease detection (COVID-19))) accounts for 11% of total spending.

U0003Normal range

Infectious disease detection (COVID-19)

$5.5M

551K claims · 10.9%

Your Cost: $10.02/claim|Median: $63.08
0.2× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$4.0M

773K claims · 7.8%

Your Cost: $5.11/claim|Median: $5.50
0.9× median
84443Normal range

Thyroid stimulating hormone (TSH)

$3.4M

479K claims · 6.6%

Your Cost: $7.06/claim|Median: $9.87
0.7× median
80061Normal range

Lipid panel

$3.0M

485K claims · 5.9%

Your Cost: $6.23/claim|Median: $8.41
0.7× median
82565Normal range

Creatinine blood test

$2.1M

658K claims · 4.2%

Your Cost: $3.23/claim|Median: $1.94
1.7× median
80051Normal range

Electrolyte panel blood test

$1.7M

433K claims · 3.3%

Your Cost: $3.85/claim|Median: $1.56
2.5× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$1.6M

59K claims · 3.1%

Your Cost: $26.59/claim|Median: $35.43
0.8× median
85027Normal range

Complete blood count (CBC), automated

$1.5M

560K claims · 2.9%

Your Cost: $2.68/claim|Median: $3.72
0.7× median
81513Normal range

$1.4M

64K claims · 2.8%

Your Cost: $22.20/claim|Median: $71.32
0.3× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$1.4M

228K claims · 2.7%

Your Cost: $5.94/claim|Median: $24.95
0.2× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$1.4M

228K claims · 2.7%

Your Cost: $5.95/claim|Median: $23.39
0.3× median
84460Normal range

$1.3M

507K claims · 2.6%

Your Cost: $2.60/claim|Median: $2.58
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$1.1M

230K claims · 2.2%

Your Cost: $4.81/claim|Median: $4.71
1.0× median
83970Normal range

Parathormone (parathyroid hormone) blood test

$970K

33K claims · 1.9%

Your Cost: $28.98/claim|Median: $10.20
2.8× median
87088Normal range

$955K

285K claims · 1.9%

Your Cost: $3.35/claim|Median: $5.45
0.6× median
82274Normal range

$887K

96K claims · 1.7%

Your Cost: $9.29/claim|Median: $12.83
0.7× median
82043Normal range

Urine albumin, microalbumin, quantitative test

$867K

195K claims · 1.7%

Your Cost: $4.45/claim|Median: $4.02
1.1× median
88305Normal range

Surgical pathology, gross and microscopic examination

$845K

71K claims · 1.7%

Your Cost: $11.83/claim|Median: $35.80
0.3× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$796K

32K claims · 1.6%

Your Cost: $25.16/claim|Median: $97.61
0.3× median
82728Normal range

Ferritin

$763K

123K claims · 1.5%

Your Cost: $6.19/claim|Median: $6.00
1.0× median
82607Normal range

Cyanocobalamin (vitamin B-12)

$761K

89K claims · 1.5%

Your Cost: $8.56/claim|Median: $8.72
1.0× median
87481Normal range

$716K

64K claims · 1.4%

Your Cost: $11.20/claim|Median: $22.38
0.5× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$710K

64K claims · 1.4%

Your Cost: $11.14/claim|Median: $21.08
0.5× median
87389Normal range

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

$694K

137K claims · 1.4%

Your Cost: $5.07/claim|Median: $18.03
0.3× median
84153Normal range

Prostate specific antigen (PSA) blood test

$646K

46K claims · 1.3%

Your Cost: $14.10/claim|Median: $12.67
1.1× median
86803Normal range

Hepatitis C antibody

$559K

121K claims · 1.1%

Your Cost: $4.62/claim|Median: $10.17
0.5× median
84439Normal range

Free thyroxine level blood test

$516K

127K claims · 1.0%

Your Cost: $4.05/claim|Median: $6.31
0.6× median
83550Normal range

$465K

116K claims · 0.9%

Your Cost: $3.99/claim|Median: $3.49
1.1× median
86780Normal range

$434K

149K claims · 0.9%

Your Cost: $2.91/claim|Median: $9.83
0.3× median
82310Top 25%

$421K

104K claims · 0.8%

Your Cost: $4.03/claim|Median: $0.91
4.4× median
82746Normal range

$397K

43K claims · 0.8%

Your Cost: $9.30/claim|Median: $6.83
1.4× median
86141Normal range

C-reactive protein, high sensitivity blood test

$388K

54K claims · 0.8%

Your Cost: $7.21/claim|Median: $6.50
1.1× median
87505Normal range

$378K

8,362 claims · 0.7%

Your Cost: $45.24/claim|Median: $62.35
0.7× median
87186Normal range

Antimicrobial susceptibility testing, microdilution, per agent

$375K

79K claims · 0.7%

Your Cost: $4.77/claim|Median: $4.65
1.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$356K

15K claims · 0.7%

Your Cost: $23.46/claim|Median: $39.70
0.6× median
84075Normal range

$353K

140K claims · 0.7%

Your Cost: $2.53/claim|Median: $0.72
3.5× median
82247Normal range

$344K

142K claims · 0.7%

Your Cost: $2.42/claim|Median: $2.74
0.9× median
83540Normal range

Iron blood level test

$335K

119K claims · 0.7%

Your Cost: $2.82/claim|Median: $2.93
1.0× median
84403Normal range

Testosterone, total blood test

$299K

33K claims · 0.6%

Your Cost: $9.14/claim|Median: $17.03
0.5× median
84132Top 25%

$296K

91K claims · 0.6%

Your Cost: $3.25/claim|Median: $1.09
3.0× median
84520Normal range

$276K

128K claims · 0.5%

Your Cost: $2.17/claim|Median: $0.89
2.4× median
84450Normal range

$267K

113K claims · 0.5%

Your Cost: $2.37/claim|Median: $2.49
1.0× median
87340Normal range

Hepatitis B surface antigen detection

$251K

113K claims · 0.5%

Your Cost: $2.22/claim|Median: $5.52
0.4× median
83721Normal range

$248K

51K claims · 0.5%

Your Cost: $4.86/claim|Median: $4.31
1.1× median
82947Normal range

Blood glucose level test

$228K

158K claims · 0.4%

Your Cost: $1.44/claim|Median: $2.38
0.6× median
84295Top 25%

Sodium blood level test

$223K

66K claims · 0.4%

Your Cost: $3.37/claim|Median: $0.88
3.8× median
82040Normal range

$214K

70K claims · 0.4%

Your Cost: $3.05/claim|Median: $0.92
3.3× median
87536Normal range

HIV-1 detection by nucleic acid, quantitative

$205K

6,359 claims · 0.4%

Your Cost: $32.27/claim|Median: $51.73
0.6× median
88342Normal range

$157K

5,589 claims · 0.3%

Your Cost: $28.16/claim|Median: $23.66
1.2× median
87522Normal range

$146K

7,675 claims · 0.3%

Your Cost: $18.98/claim|Median: $29.66
0.6× median

Other Top Providers in California

View all →

Los Angeles County Department of Mental Health

Clinic/Center, Mental Health (Including Community

$6.78B

County of Santa Clara

Community/Behavioral Health

$1.73B

County of Riverside

Community/Behavioral Health

$1.40B

City & County of San Francisco

Community/Behavioral Health

$1.34B

Los Angeles County Department of Public Health

Public Health or Welfare

$1.13B

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 California →How we detect fraud →