Aegis Sciences Corporation
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 4 procedure codes: 80344 at 3.7× median, 80340 at 6.1× median.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Rate Outlier
Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Advanced Detection Signals
Additional statistical tests from advanced fraud detection methods
These signals use advanced statistical methods including digit distribution analysis, change-point detection, and market concentration metrics. Learn more.
Risk Assessment
Bills $11.44 per claim for 80344 — 3.7× the national median of $3.10.
This is a statistical summary, not an accusation. See our methodology.
Compared to Clinical Medical Laboratory Peers
Total spending distribution among 88 providers in this specialty
This provider's total spending of $193.8M is at the 50th percentile among 88 Clinical Medical Laboratory providers.
Total Paid
$193.8M
$193,810,663
Total Claims
7.4M
Beneficiaries
5.1M
1.4 claims/patient
Avg Cost/Claim
$26
#479 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Aegis Sciences Corporation is a Clinical Medical Laboratory provider based in Nashville, TN. From the 2018–2024 period, this provider received $193.8M in Medicaid payments across 7.4M claims.
Why This Matters
This provider received $193.8M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 24,226 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 30 distinct procedure codes. The top code (G0482 (Drug test, definitive, 15-21 drug classes)) accounts for 28% of total spending.
$55.0M
1.1M claims
$50.47
$75.26
Drug test, definitive, 15-21 drug classes
$55.0M
1.1M claims · 28.4%
$34.9M
509K claims
$68.47
$64.72
Drug test, definitive, 8-14 drug classes
$34.9M
509K claims · 18.0%
$33.9M
1.3M claims
$26.66
$35.43
Drug test, presumptive, by chemistry analyzers
$33.9M
1.3M claims · 17.5%
$27.2M
423K claims
$64.39
$90.89
Drug test, definitive, 22+ drug classes
$27.2M
423K claims · 14.0%
$12.5M
381K claims
$32.78
$37.56
Drug test, definitive, 1-7 drug classes
$12.5M
381K claims · 6.4%
$8.2M
117K claims
$69.97
$63.08
Infectious disease detection (COVID-19)
$8.2M
117K claims · 4.2%
$2.0M
341K claims · 1.0%
$1.6M
331K claims · 0.8%
$978K
135K claims · 0.5%
$864K
141K claims · 0.4%
$820K
133K claims · 0.4%
$777K
144K claims · 0.4%
$760K
142K claims
$5.36
$5.78
Benzodiazepine drug assay by definitive method
$760K
142K claims · 0.4%
$752K
81K claims · 0.4%
$676K
140K claims · 0.3%
$672K
144K claims · 0.3%
$667K
115K claims · 0.3%
$644K
89K claims · 0.3%
$641K
121K claims · 0.3%
$641K
141K claims · 0.3%
$636K
109K claims · 0.3%
$611K
140K claims · 0.3%
$611K
46K claims · 0.3%
$609K
108K claims · 0.3%
$594K
140K claims
$4.25
$5.26
Benzodiazepine drug level, definitive method, each
$594K
140K claims · 0.3%
$548K
48K claims · 0.3%
$540K
34K claims
$15.89
$15.76
Infectious disease detection, COVID-19, antigen
$540K
34K claims · 0.3%
$521K
43K claims · 0.3%
$470K
54K claims · 0.2%
$449K
41K claims · 0.2%
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