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QUEST DIAGNOSTICS NICHOLS INSTITUTE

Clinical Medical Laboratory·SAN JUAN CAPISTRANO, CA·NPI: 1780620526Share

Compared to Clinical Medical Laboratory Peers

Total spending distribution among 88 providers in this specialty

P25MedianP75P90

This provider's total spending of $39.9M is at the 25th percentile among 88 Clinical Medical Laboratory providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$39.9M

$39,933,883

Total Claims

1.2M

Beneficiaries

1.1M

1.1 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$2.0M
-4%
2019
$2.0M
+49%
2020
$2.9M
+27%
2021
$3.7M
+179%
2022
$10.3M
-13%
2023
$8.9M
+12%
2024
$10.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (81420 (Fetal chromosomal aneuploidy genomic sequence analysis)) accounts for 24% of total spending.

81420Normal range

Fetal chromosomal aneuploidy genomic sequence analysis

$9.4M

34K claims · 23.6%

Your Cost: $275.88/claim|Median: $358.21
0.8× median
81220Normal range

CFTR gene analysis, common variants

$6.5M

40K claims · 16.2%

Your Cost: $162.10/claim|Median: $183.31
0.9× median
81443Normal range

$2.2M

3,358 claims · 5.5%

Your Cost: $653.16/claim|Median: $309.20
2.1× median
81329Normal range

$1.8M

26K claims · 4.5%

Your Cost: $70.07/claim|Median: $48.02
1.5× median
87799Top 25%

$975K

17K claims · 2.4%

Your Cost: $57.16/claim|Median: $21.87
2.6× median
87801Normal range

Infectious agent detection, amplified probe, multiple organisms

$971K

19K claims · 2.4%

Your Cost: $52.48/claim|Median: $38.79
1.4× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$835K

24K claims · 2.1%

Your Cost: $34.76/claim|Median: $24.95
1.4× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$829K

24K claims · 2.1%

Your Cost: $34.68/claim|Median: $23.39
1.5× median
87902Normal range

$780K

4,251 claims · 2.0%

Your Cost: $183.47/claim|Median: $156.75
1.2× median
83520Normal range

$501K

48K claims · 1.3%

Your Cost: $10.41/claim|Median: $9.71
1.1× median
87901Normal range

$495K

3,305 claims · 1.2%

Your Cost: $149.82/claim|Median: $145.60
1.0× median
86235Normal range

Nuclear antigen antibody (ENA) blood test

$471K

9,395 claims · 1.2%

Your Cost: $50.16/claim|Median: $28.79
1.7× median
87536Normal range

HIV-1 detection by nucleic acid, quantitative

$462K

7,878 claims · 1.2%

Your Cost: $58.70/claim|Median: $51.73
1.1× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$382K

15K claims · 1.0%

Your Cost: $25.90/claim|Median: $21.08
1.2× median
87512Top 25%

$363K

11K claims · 0.9%

Your Cost: $34.04/claim|Median: $23.49
1.4× median
U0003Normal range

Infectious disease detection (COVID-19)

$327K

4,832 claims · 0.8%

Your Cost: $67.60/claim|Median: $63.08
1.1× median
83993Normal range

$313K

24K claims · 0.8%

Your Cost: $12.98/claim|Median: $13.00
1.0× median
88185Normal range

$289K

3,491 claims · 0.7%

Your Cost: $82.76/claim|Median: $119.02
0.7× median
86635Top 5%

$287K

9,749 claims · 0.7%

Your Cost: $29.43/claim|Median: $6.15
4.8× median
87900Normal range

$277K

3,319 claims · 0.7%

Your Cost: $83.51/claim|Median: $65.72
1.3× median
82670Normal range

Estradiol hormone blood level test

$271K

14K claims · 0.7%

Your Cost: $18.72/claim|Median: $19.27
1.0× median
81596Normal range

$270K

16K claims · 0.7%

Your Cost: $16.67/claim|Median: $30.72
0.5× median
82672Normal range

$269K

17K claims · 0.7%

Your Cost: $15.86/claim|Median: $12.83
1.2× median
87522Normal range

$248K

7,653 claims · 0.6%

Your Cost: $32.40/claim|Median: $29.66
1.1× median
84305Normal range

$229K

16K claims · 0.6%

Your Cost: $14.11/claim|Median: $14.56
1.0× median
86147Normal range

$228K

11K claims · 0.6%

Your Cost: $20.47/claim|Median: $22.44
0.9× median
82677Normal range

$213K

14K claims · 0.5%

Your Cost: $15.71/claim|Median: $18.15
0.9× median
86146Normal range

$206K

7,728 claims · 0.5%

Your Cost: $26.64/claim|Median: $23.89
1.1× median
82105Normal range

$200K

15K claims · 0.5%

Your Cost: $13.19/claim|Median: $11.11
1.2× median
86336Normal range

$196K

14K claims · 0.5%

Your Cost: $14.31/claim|Median: $12.12
1.2× median
84702Normal range

$185K

20K claims · 0.5%

Your Cost: $9.36/claim|Median: $8.25
1.1× median
84445Normal range

$180K

4,851 claims · 0.5%

Your Cost: $37.20/claim|Median: $28.31
1.3× median
87906Normal range

$166K

1,976 claims · 0.4%

Your Cost: $83.86/claim|Median: $75.72
1.1× median
82542Normal range

$163K

13K claims · 0.4%

Your Cost: $12.71/claim|Median: $10.90
1.2× median
83516Normal range

$160K

21K claims · 0.4%

Your Cost: $7.63/claim|Median: $9.72
0.8× median
84403Top 25%

Testosterone, total blood test

$157K

6,680 claims · 0.4%

Your Cost: $23.43/claim|Median: $17.03
1.4× median
81243Normal range

$155K

15K claims · 0.4%

Your Cost: $10.22/claim|Median: $21.92
0.5× median
82172Normal range

$155K

14K claims · 0.4%

Your Cost: $11.03/claim|Median: $10.86
1.0× median
86696Normal range

$154K

9,667 claims · 0.4%

Your Cost: $15.96/claim|Median: $13.89
1.1× median
83704Top 25%

$145K

7,237 claims · 0.4%

Your Cost: $20.07/claim|Median: $11.68
1.7× median
83498Normal range

$141K

7,756 claims · 0.4%

Your Cost: $18.14/claim|Median: $16.62
1.1× median
86003Normal range

Allergen specific IgE blood test, each allergen

$132K

8,747 claims · 0.3%

Your Cost: $15.12/claim|Median: $40.67
0.4× median
83698Top 25%

$129K

6,220 claims · 0.3%

Your Cost: $20.72/claim|Median: $9.86
2.1× median
86255Normal range

$124K

26K claims · 0.3%

Your Cost: $4.80/claim|Median: $8.82
0.5× median
81513Normal range

$124K

2,460 claims · 0.3%

Your Cost: $50.22/claim|Median: $71.32
0.7× median
84681Normal range

$123K

10K claims · 0.3%

Your Cost: $11.80/claim|Median: $11.41
1.0× median
81229Normal range

$123K

411 claims · 0.3%

Your Cost: $298.17/claim|Median: $372.17
0.8× median
86341Normal range

$120K

11K claims · 0.3%

Your Cost: $10.58/claim|Median: $13.88
0.8× median
87529Normal range

$119K

4,082 claims · 0.3%

Your Cost: $29.26/claim|Median: $24.98
1.2× median
82671Top 25%

$119K

4,447 claims · 0.3%

Your Cost: $26.70/claim|Median: $19.73
1.4× median

Other Top Providers in California

View all →

Los Angeles County Department of Mental Health

Clinic/Center, Mental Health (Including Community

$6.78B

County of Santa Clara

Community/Behavioral Health

$1.73B

County of Riverside

Community/Behavioral Health

$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

Similar Providers

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$1.44B

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Raritan, NJ

$717.5M

Unilab Corporation

West Hills, CA

$668.5M

Natera Inc.

San Carlos, CA

$641.5M

Quest Diagnostics Incorporated

Clifton, NJ

$637.7M

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