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BILLIONTOONE INC

Clinical Medical Laboratory·UNION CITY, CA·NPI: 1598314437Share

Compared to Clinical Medical Laboratory Peers

Total spending distribution among 88 providers in this specialty

P25MedianP75P90

This provider's total spending of $78.0M is at the 25th percentile among 88 Clinical Medical Laboratory providers.

Active Billing Period:2020-01→2024-12(60 months)

Total Paid

$78.0M

$78,025,107

Total Claims

715K

Beneficiaries

613K

1.2 claims/patient

Avg Cost/Claim

$109

Monthly Spending Trend

Yearly Spending

2020
$302K
+919%
2021
$3.1M
+230%
2022
$10.1M
+175%
2023
$27.8M
+32%
2024
$36.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (81420 (Fetal chromosomal aneuploidy genomic sequence analysis)) accounts for 48% of total spending.

81420Normal range

Fetal chromosomal aneuploidy genomic sequence analysis

$37.6M

172K claims · 48.2%

Your Cost: $218.87/claim|Median: $358.21
0.6× median
81220Normal range

CFTR gene analysis, common variants

$22.3M

166K claims · 28.6%

Your Cost: $134.78/claim|Median: $183.31
0.7× median
81329Normal range

$6.7M

164K claims · 8.6%

Your Cost: $41.09/claim|Median: $48.02
0.9× median
81361Normal range

$3.5M

76K claims · 4.4%

Your Cost: $45.55/claim|Median: $29.22
1.6× median
81257Normal range

$2.7M

77K claims · 3.4%

Your Cost: $34.61/claim|Median: $34.25
1.0× median
81479Top 25%

Unlisted molecular pathology procedure

$2.2M

12K claims · 2.8%

Your Cost: $185.54/claim|Median: $38.66
4.8× median
81599Top 10%

$1.3M

8,385 claims · 1.7%

Your Cost: $159.10/claim|Median: $39.21
4.1× median
81403Normal range

$869K

27K claims · 1.1%

Your Cost: $31.73/claim|Median: $42.54
0.7× median
81422Normal range

$635K

7,607 claims · 0.8%

Your Cost: $83.47/claim|Median: $60.25
1.4× median
81455Top 25%

$112K

94 claims · 0.1%

Your Cost: $1,192.69/claim|Median: $538.58
2.2× median
81243Normal range

$88K

6,213 claims · 0.1%

Your Cost: $14.23/claim|Median: $21.92
0.6× median
81301Normal range

$10K

82 claims · 0.0%

Your Cost: $122.07/claim|Median: $74.15
1.6× median
0449UNormal range

$3K

155 claims · 0.0%

Your Cost: $20.04/claim|Median: $20.04
1.0× median
0488UTop 1%

$1K

13 claims · 0.0%

Your Cost: $81.75/claim|Median: $81.75
1.0× median

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Los Angeles County Department of Mental Health

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$6.78B

County of Santa Clara

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$1.73B

County of Riverside

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$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

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