Precision Toxicology, LLC
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 2 procedure codes: 80374 at 2.4× median, 80343 at 2.0× 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.
Compared to Clinical Medical Laboratory Peers
Total spending distribution among 88 providers in this specialty
This provider's total spending of $213.8M is at the 75th percentile among 88 Clinical Medical Laboratory providers.
Total Paid
$213.8M
$213,774,817
Total Claims
5.6M
Beneficiaries
3.5M
1.6 claims/patient
Avg Cost/Claim
$38
#409 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Precision Toxicology, LLC is a Clinical Medical Laboratory provider based in San Diego, CA. From the 2018–2024 period, this provider received $213.8M in Medicaid payments across 5.6M claims.
Why This Matters
This provider received $213.8M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 26,721 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 (G0483 (Drug test, definitive, 22+ drug classes)) accounts for 27% of total spending.
$58.0M
509K claims
$114.10
$90.89
Drug test, definitive, 22+ drug classes
$58.0M
509K claims · 27.1%
$47.8M
584K claims
$81.96
$75.26
Drug test, definitive, 15-21 drug classes
$47.8M
584K claims · 22.4%
$33.2M
914K claims
$36.33
$35.43
Drug test, presumptive, by chemistry analyzers
$33.2M
914K claims · 15.5%
$31.9M
357K claims
$89.27
$64.72
Drug test, definitive, 8-14 drug classes
$31.9M
357K claims · 14.9%
$13.6M
254K claims
$53.58
$37.56
Drug test, definitive, 1-7 drug classes
$13.6M
254K claims · 6.4%
$1.9M
125K claims · 0.9%
$1.5M
158K claims · 0.7%
$1.5M
162K claims · 0.7%
$1.5M
147K claims · 0.7%
$1.5M
149K claims · 0.7%
$1.5M
155K claims · 0.7%
$1.4M
152K claims · 0.7%
$1.4M
159K claims · 0.7%
$1.4M
132K claims · 0.6%
$1.4M
140K claims · 0.6%
$1.3M
140K claims · 0.6%
$1.2M
119K claims · 0.5%
$1.1M
109K claims · 0.5%
$1.1M
112K claims · 0.5%
$1.0M
115K claims · 0.5%
$983K
87K claims · 0.5%
$917K
99K claims · 0.4%
$902K
104K claims · 0.4%
$768K
84K claims · 0.4%
$744K
63K claims · 0.3%
$651K
80K claims · 0.3%
$648K
68K claims · 0.3%
$498K
63K claims · 0.2%
$486K
51K claims · 0.2%
$404K
42K claims · 0.2%
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