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

KAISER FOUNDATION HEALTH PLAN OF COLORADO

Clinical Medical Laboratory·DENVER, CO·NPI: 1518071067Share

Compared to Clinical Medical Laboratory Peers

Total spending distribution among 88 providers in this specialty

P25MedianP75P90

This provider's total spending of $19.8M is at the 25th percentile among 88 Clinical Medical Laboratory providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$19.8M

$19,767,864

Total Claims

1.4M

Beneficiaries

1.3M

1.1 claims/patient

Avg Cost/Claim

$14

Monthly Spending Trend

Yearly Spending

2018
$3.1M
-27%
2019
$2.3M
-13%
2020
$2.0M
+58%
2021
$3.1M
-1%
2022
$3.1M
+5%
2023
$3.2M
-9%
2024
$3.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (87635 (COVID-19 SARS-CoV-2 amplified probe detection)) accounts for 11% of total spending.

87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$2.2M

53K claims · 11.2%

Your Cost: $42.17/claim|Median: $39.70
1.1× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$1.4M

41K claims · 6.9%

Your Cost: $33.36/claim|Median: $24.95
1.3× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$1.4M

41K claims · 6.8%

Your Cost: $33.36/claim|Median: $23.39
1.4× median
88305Normal range

Surgical pathology, gross and microscopic examination

$1.1M

22K claims · 5.7%

Your Cost: $50.44/claim|Median: $35.80
1.4× median
80061Normal range

Lipid panel

$913K

78K claims · 4.6%

Your Cost: $11.71/claim|Median: $8.41
1.4× median
84443Normal range

Thyroid stimulating hormone (TSH)

$863K

59K claims · 4.4%

Your Cost: $14.62/claim|Median: $9.87
1.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$750K

120K claims · 3.8%

Your Cost: $6.25/claim|Median: $4.71
1.3× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$725K

89K claims · 3.7%

Your Cost: $8.19/claim|Median: $5.50
1.5× median
82306Normal range

Vitamin D, 25 hydroxy

$593K

25K claims · 3.0%

Your Cost: $24.16/claim|Median: $18.18
1.3× median
87624Normal range

HPV detection, high-risk types, nucleic acid

$480K

16K claims · 2.4%

Your Cost: $30.68/claim|Median: $25.57
1.2× median
87389Normal range

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

$457K

24K claims · 2.3%

Your Cost: $19.00/claim|Median: $18.03
1.1× median
87481Normal range

$409K

25K claims · 2.1%

Your Cost: $16.56/claim|Median: $22.38
0.7× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$408K

21K claims · 2.1%

Your Cost: $19.74/claim|Median: $21.08
0.9× median
80050Normal range

General health panel

$345K

10K claims · 1.7%

Your Cost: $32.95/claim|Median: $25.59
1.3× median
82728Top 25%

Ferritin

$339K

28K claims · 1.7%

Your Cost: $12.27/claim|Median: $6.00
2.0× median
88175Normal range

Cytopathology, cervical or vaginal, ThinPrep

$333K

19K claims · 1.7%

Your Cost: $17.36/claim|Median: $19.06
0.9× median
87801Normal range

Infectious agent detection, amplified probe, multiple organisms

$315K

14K claims · 1.6%

Your Cost: $21.98/claim|Median: $38.79
0.6× median
80048Normal range

Basic metabolic panel

$285K

44K claims · 1.4%

Your Cost: $6.46/claim|Median: $5.78
1.1× median
87651Top 25%

Streptococcus Group A detection, nucleic acid, amplified probe

$281K

7,893 claims · 1.4%

Your Cost: $35.56/claim|Median: $28.46
1.2× median
82607Normal range

Cyanocobalamin (vitamin B-12)

$261K

21K claims · 1.3%

Your Cost: $12.51/claim|Median: $8.72
1.4× median
86003Normal range

Allergen specific IgE blood test, each allergen

$243K

7,311 claims · 1.2%

Your Cost: $33.29/claim|Median: $40.67
0.8× median
80053Normal range

Comprehensive metabolic panel

$233K

30K claims · 1.2%

Your Cost: $7.64/claim|Median: $7.24
1.1× median
86803Normal range

Hepatitis C antibody

$215K

18K claims · 1.1%

Your Cost: $12.07/claim|Median: $10.17
1.2× median
87088Normal range

$211K

29K claims · 1.1%

Your Cost: $7.19/claim|Median: $5.45
1.3× median
87650Top 25%

$205K

7,774 claims · 1.0%

Your Cost: $26.42/claim|Median: $14.79
1.8× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$195K

12K claims · 1.0%

Your Cost: $16.28/claim|Median: $35.43
0.5× median
80076Normal range

Hepatic function panel

$171K

25K claims · 0.9%

Your Cost: $6.83/claim|Median: $4.59
1.5× median
87340Normal range

Hepatitis B surface antigen detection

$166K

19K claims · 0.8%

Your Cost: $8.77/claim|Median: $5.52
1.6× median
83516Top 25%

$142K

6,424 claims · 0.7%

Your Cost: $22.05/claim|Median: $9.72
2.3× median
83970Normal range

Parathormone (parathyroid hormone) blood test

$137K

4,994 claims · 0.7%

Your Cost: $27.50/claim|Median: $10.20
2.7× median
87804Top 10%

Influenza virus detection, rapid test

$132K

4,735 claims · 0.7%

Your Cost: $27.86/claim|Median: $12.59
2.2× median
87511Normal range

$129K

5,258 claims · 0.7%

Your Cost: $24.45/claim|Median: $16.46
1.5× median
86704Normal range

$126K

12K claims · 0.6%

Your Cost: $10.17/claim|Median: $7.48
1.4× median
83550Top 25%

$124K

17K claims · 0.6%

Your Cost: $7.50/claim|Median: $3.49
2.1× median
82565Normal range

Creatinine blood test

$120K

30K claims · 0.6%

Your Cost: $3.94/claim|Median: $1.94
2.0× median
84439Normal range

Free thyroxine level blood test

$120K

14K claims · 0.6%

Your Cost: $8.53/claim|Median: $6.31
1.4× median
83880Top 25%

$113K

4,609 claims · 0.6%

Your Cost: $24.42/claim|Median: $11.81
2.1× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$112K

3,321 claims · 0.6%

Your Cost: $33.64/claim|Median: $26.72
1.3× median
82274Normal range

$105K

11K claims · 0.5%

Your Cost: $9.89/claim|Median: $12.83
0.8× median
84460Top 25%

$94K

20K claims · 0.5%

Your Cost: $4.63/claim|Median: $2.58
1.8× median
82570Normal range

$94K

24K claims · 0.5%

Your Cost: $3.93/claim|Median: $3.18
1.2× median
83540Normal range

Iron blood level test

$93K

17K claims · 0.5%

Your Cost: $5.57/claim|Median: $2.93
1.9× median
84403Normal range

Testosterone, total blood test

$88K

3,928 claims · 0.4%

Your Cost: $22.31/claim|Median: $17.03
1.3× median
84153Normal range

Prostate specific antigen (PSA) blood test

$87K

5,944 claims · 0.4%

Your Cost: $14.59/claim|Median: $12.67
1.2× median
86140Top 25%

$86K

18K claims · 0.4%

Your Cost: $4.70/claim|Median: $3.02
1.6× median
82043Normal range

Urine albumin, microalbumin, quantitative test

$79K

18K claims · 0.4%

Your Cost: $4.38/claim|Median: $4.02
1.1× median
86592Normal range

$79K

22K claims · 0.4%

Your Cost: $3.65/claim|Median: $3.35
1.1× median
88342Normal range

$73K

1,927 claims · 0.4%

Your Cost: $38.05/claim|Median: $23.66
1.6× median
85610Normal range

Prothrombin time (PT) blood clotting test

$69K

24K claims · 0.4%

Your Cost: $2.87/claim|Median: $2.14
1.3× median
83001Normal range

$66K

3,858 claims · 0.3%

Your Cost: $17.23/claim|Median: $13.94
1.2× median