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

⚖️ Compare🖨️ Print Report

PACIFIC POINT LABORATORIES, INC.

Clinical Medical Laboratory·SAN LUIS OBISPO, CA·NPI: 1457341851Share

Compared to Clinical Medical Laboratory Peers

Total spending distribution among 88 providers in this specialty

P25MedianP75P90

This provider's total spending of $38.8M is at the 25th percentile among 88 Clinical Medical Laboratory providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$38.8M

$38,820,320

Total Claims

3.7M

Beneficiaries

3.6M

1.0 claims/patient

Avg Cost/Claim

$10

Monthly Spending Trend

Yearly Spending

2018
$4.2M
-20%
2019
$3.3M
+157%
2020
$8.5M
-3%
2021
$8.3M
-20%
2022
$6.6M
-6%
2023
$6.3M
-73%
2024
$1.7M

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 21% of total spending.

U0003Normal range

Infectious disease detection (COVID-19)

$8.1M

119K claims · 20.9%

Your Cost: $67.98/claim|Median: $63.08
1.1× median
82306Normal range

Vitamin D, 25 hydroxy

$2.1M

129K claims · 5.5%

Your Cost: $16.44/claim|Median: $18.18
0.9× median
86003Top 25%

Allergen specific IgE blood test, each allergen

$1.9M

19K claims · 4.8%

Your Cost: $99.08/claim|Median: $40.67
2.4× median
80053Normal range

Comprehensive metabolic panel

$1.8M

276K claims · 4.7%

Your Cost: $6.69/claim|Median: $7.24
0.9× median
84443Normal range

Thyroid stimulating hormone (TSH)

$1.7M

179K claims · 4.3%

Your Cost: $9.33/claim|Median: $9.87
0.9× median
80061Normal range

Lipid panel

$1.5M

223K claims · 3.9%

Your Cost: $6.72/claim|Median: $8.41
0.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$1.3M

309K claims · 3.4%

Your Cost: $4.31/claim|Median: $4.71
0.9× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$1.3M

63K claims · 3.2%

Your Cost: $19.93/claim|Median: $24.95
0.8× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$1.1M

62K claims · 2.7%

Your Cost: $17.08/claim|Median: $23.39
0.7× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$1.0M

208K claims · 2.6%

Your Cost: $4.93/claim|Median: $5.50
0.9× median
80050Normal range

General health panel

$830K

34K claims · 2.1%

Your Cost: $24.76/claim|Median: $25.59
1.0× median
86480Normal range

Tuberculosis test, cell-mediated immunity

$634K

20K claims · 1.6%

Your Cost: $30.99/claim|Median: $38.35
0.8× median
86235Top 25%

Nuclear antigen antibody (ENA) blood test

$624K

11K claims · 1.6%

Your Cost: $57.63/claim|Median: $28.79
2.0× median
88175Normal range

Cytopathology, cervical or vaginal, ThinPrep

$564K

34K claims · 1.5%

Your Cost: $16.64/claim|Median: $19.06
0.9× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$532K

16K claims · 1.4%

Your Cost: $33.02/claim|Median: $35.43
0.9× median
84439Normal range

Free thyroxine level blood test

$518K

95K claims · 1.3%

Your Cost: $5.46/claim|Median: $6.31
0.9× median
80074Normal range

$491K

21K claims · 1.3%

Your Cost: $23.32/claim|Median: $27.54
0.8× median
87389Normal range

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

$462K

44K claims · 1.2%

Your Cost: $10.51/claim|Median: $18.03
0.6× median
87624Normal range

HPV detection, high-risk types, nucleic acid

$371K

18K claims · 1.0%

Your Cost: $20.78/claim|Median: $25.57
0.8× median
36415Top 25%

Collection of venous blood by venipuncture

$364K

100K claims · 0.9%

Your Cost: $3.62/claim|Median: $1.57
2.3× median
82607Normal range

Cyanocobalamin (vitamin B-12)

$363K

50K claims · 0.9%

Your Cost: $7.32/claim|Median: $8.72
0.8× median
87086Normal range

Urine culture, colony count, with identification

$336K

72K claims · 0.9%

Your Cost: $4.68/claim|Median: $5.31
0.9× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$328K

24K claims · 0.8%

Your Cost: $13.55/claim|Median: $15.76
0.9× median
81220Normal range

CFTR gene analysis, common variants

$251K

2,006 claims · 0.6%

Your Cost: $125.28/claim|Median: $183.31
0.7× median
88305Normal range

Surgical pathology, gross and microscopic examination

$229K

11K claims · 0.6%

Your Cost: $20.36/claim|Median: $35.80
0.6× median
80081Normal range

$228K

4,680 claims · 0.6%

Your Cost: $48.67/claim|Median: $59.44
0.8× median
82746Normal range

$215K

26K claims · 0.6%

Your Cost: $8.45/claim|Median: $6.83
1.2× median
86038Normal range

$215K

31K claims · 0.6%

Your Cost: $7.01/claim|Median: $7.96
0.9× median
84403Normal range

Testosterone, total blood test

$210K

14K claims · 0.5%

Your Cost: $14.75/claim|Median: $17.03
0.9× median
87522Normal range

$189K

8,075 claims · 0.5%

Your Cost: $23.46/claim|Median: $29.66
0.8× median
84481Normal range

$186K

17K claims · 0.5%

Your Cost: $10.89/claim|Median: $9.37
1.2× median
84153Normal range

Prostate specific antigen (PSA) blood test

$186K

20K claims · 0.5%

Your Cost: $9.31/claim|Median: $12.67
0.7× median
83970Normal range

Parathormone (parathyroid hormone) blood test

$183K

8,756 claims · 0.5%

Your Cost: $20.95/claim|Median: $10.20
2.1× median
86803Normal range

Hepatitis C antibody

$180K

26K claims · 0.5%

Your Cost: $6.85/claim|Median: $10.17
0.7× median
86331Normal range

$174K

21K claims · 0.4%

Your Cost: $8.22/claim|Median: $7.35
1.1× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$171K

11K claims · 0.4%

Your Cost: $15.50/claim|Median: $21.08
0.7× median
82043Normal range

Urine albumin, microalbumin, quantitative test

$167K

57K claims · 0.4%

Your Cost: $2.93/claim|Median: $4.02
0.7× median
84480Normal range

$163K

17K claims · 0.4%

Your Cost: $9.82/claim|Median: $6.82
1.4× median
83516Normal range

$141K

10K claims · 0.4%

Your Cost: $14.05/claim|Median: $9.72
1.4× median
81001Normal range

Urinalysis, automated, with microscopy

$140K

81K claims · 0.4%

Your Cost: $1.74/claim|Median: $2.03
0.9× median
82728Normal range

Ferritin

$140K

21K claims · 0.4%

Your Cost: $6.79/claim|Median: $6.00
1.1× median
87536Normal range

HIV-1 detection by nucleic acid, quantitative

$137K

3,572 claims · 0.4%

Your Cost: $38.45/claim|Median: $51.73
0.7× median
80048Normal range

Basic metabolic panel

$137K

28K claims · 0.4%

Your Cost: $4.83/claim|Median: $5.78
0.8× median
86147Normal range

$134K

3,746 claims · 0.3%

Your Cost: $35.85/claim|Median: $22.44
1.6× median
83735Normal range

Magnesium blood level test

$132K

30K claims · 0.3%

Your Cost: $4.40/claim|Median: $2.77
1.6× median
86140Normal range

$131K

42K claims · 0.3%

Your Cost: $3.11/claim|Median: $3.02
1.0× median
87481Normal range

$129K

5,953 claims · 0.3%

Your Cost: $21.72/claim|Median: $22.38
1.0× median
86160Normal range

$127K

9,611 claims · 0.3%

Your Cost: $13.26/claim|Median: $11.42
1.2× median
83540Normal range

Iron blood level test

$123K

33K claims · 0.3%

Your Cost: $3.77/claim|Median: $2.93
1.3× median
82670Normal range

Estradiol hormone blood level test

$120K

6,947 claims · 0.3%

Your Cost: $17.29/claim|Median: $19.27
0.9× 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 →