Laboratory Corporation of America Holdings
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 10 procedure codes: 86008 at 5.3× median, 81459 at 1.2× 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
▼
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 $281.4M is at the 75th percentile among 88 Clinical Medical Laboratory providers.
Total Paid
$281.4M
$281,437,556
Total Claims
4.8M
Beneficiaries
4.3M
1.1 claims/patient
Avg Cost/Claim
$59
#273 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Laboratory Corporation of America Holdings is a Clinical Medical Laboratory provider based in Research Triangle Park, NC. From the 2018–2024 period, this provider received $281.4M in Medicaid payments across 4.8M claims.
Why This Matters
This provider received $281.4M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 35,179 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 (81420 (Fetal chromosomal aneuploidy genomic sequence analysis)) accounts for 47% of total spending.
$132.7M
356K claims
$372.56
$358.21
Fetal chromosomal aneuploidy genomic sequence analysis
$132.7M
356K claims · 47.2%
$67.4M
973K claims
$69.26
$63.08
Infectious disease detection (COVID-19)
$67.4M
973K claims · 23.9%
$31.6M
127K claims
$247.67
$183.31
CFTR gene analysis, common variants
$31.6M
127K claims · 11.2%
$8.3M
742K claims · 2.9%
$4.5M
291K claims · 1.6%
$4.0M
324K claims · 1.4%
$3.2M
301K claims
$10.65
$15.76
Infectious disease detection, COVID-19, antigen
$3.2M
301K claims · 1.1%
$3.2M
6K claims · 1.1%
$2.9M
342K claims · 1.0%
$2.3M
4K claims · 0.8%
$1.4M
36K claims · 0.5%
$1.3M
27K claims
$46.31
$35.80
Surgical pathology, gross and microscopic examination
$1.3M
27K claims · 0.5%
$1.2M
11K claims
$112.07
$100.62
Respiratory virus detection, 3-5 targets, nucleic acid
$1.2M
11K claims · 0.4%
$1.0M
33K claims · 0.4%
$897K
7K claims · 0.3%
$586K
62K claims · 0.2%
$572K
22K claims
$26.34
$24.95
Chlamydia detection, nucleic acid, amplified probe
$572K
22K claims · 0.2%
$567K
22K claims
$26.02
$23.39
Neisseria gonorrhoeae detection, nucleic acid, amplified probe
$567K
22K claims · 0.2%
Vitamin D, 25 hydroxy
$497K
25K claims · 0.2%
$473K
10K claims
$49.68
$38.35
Tuberculosis test, cell-mediated immunity
$473K
10K claims · 0.2%
$467K
11K claims
$41.58
$26.72
Infectious agent detection, nucleic acid, not otherwise specified
$467K
11K claims · 0.2%
$419K
22K claims
$18.89
$18.03
HIV-1 antigen with HIV-1 and HIV-2 antibodies
$419K
22K claims · 0.1%
$378K
10K claims
$38.74
$38.66
Unlisted molecular pathology procedure
$378K
10K claims · 0.1%
$377K
18K claims
$20.67
$35.43
Drug test, presumptive, by chemistry analyzers
$377K
18K claims · 0.1%
$374K
4K claims
$94.93
$97.61
Respiratory virus detection, 6-11 targets, nucleic acid
$374K
4K claims · 0.1%
Comprehensive metabolic panel
$349K
48K claims · 0.1%
Thyroid stimulating hormone (TSH)
$322K
35K claims · 0.1%
$312K
46K claims
$6.74
$5.50
Hemoglobin A1c (glycated hemoglobin)
$312K
46K claims · 0.1%
$303K
6K claims
$54.93
$38.79
Infectious agent detection, amplified probe, multiple organisms
$303K
6K claims · 0.1%
$298K
914 claims
$326.54
$158.72
Molecular pathology procedure, level nine
$298K
914 claims · 0.1%
Other Top Providers in North Carolina
View all →Laboratory Corporation of America Holdings
Clinical Medical Laboratory
$1.44B
Aeroflow INC
Durable Medical Equipment & Medical Supplies
$571.7M
Abound Health, LLC
In Home Supportive Care
$324.3M
Laboratory Corporation of America Holdings
Clinical Medical Laboratory
$264.3M
Abound Health LLC
Community/Behavioral Health
$201.2M
Similar Providers
Other top providers in Clinical Medical Laboratory