Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Infinity Diagnostics Laboratory INC

Clinical Medical Laboratory·Teterboro, NJ·NPI: 1851726731SharePrint Report
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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:

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Billing Swing

Billing Swing means this provider's total billing changed dramatically from one year to the next — increasing or decreasing by more than 200% with over $1M in absolute change. This could indicate a change in practice scope, a billing scheme ramping up, or legitimate growth.

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Explosive Growth

Explosive Growth means this provider's billing increased by more than 500% year-over-year. While rapid expansion can be legitimate, this pattern has been observed in fraud schemes that ramp up billing quickly before detection.

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

Billing Velocity3671.3 claims/working day
Change PointBilling shifted 30.5x in 2022-01

These signals use advanced statistical methods including digit distribution analysis, change-point detection, and market concentration metrics. Learn more.

Compared to Clinical Medical Laboratory Peers

Total spending distribution among 88 providers in this specialty

P25MedianP75P90

This provider's total spending of $138.0M is at the 50th percentile among 88 Clinical Medical Laboratory providers.

Active Billing Period:2018-01→2023-05(64 months)

Total Paid

$138.0M

$137,995,035

Total Claims

5.2M

Beneficiaries

1.4M

3.7 claims/patient

Avg Cost/Claim

$27

#807 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Infinity Diagnostics Laboratory INC is a Clinical Medical Laboratory provider based in Teterboro, NJ. From the 2018–2024 period, this provider received $138.0M in Medicaid payments across 5.2M claims.

Why This Matters

This provider received $138.0M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 17,249 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 132% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$197K
+99%
2019
$393K
+235%
2020
$1.3M
+627%
2021
$9.6M
+1217%
2022
$126.1M
-100%
2023
$458K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (U0003 (Infectious disease detection (COVID-19))) accounts for 71% of total spending.

U0003Normal range

Infectious disease detection (COVID-19)

$97.3M

2.3M claims · 70.5%

Your Cost: $42.52/claim|Median: $63.08
0.7× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$31.8M

2.3M claims · 23.0%

Your Cost: $14.00/claim|Median: $15.76
0.9× median
G2023Normal range

Specimen collection for COVID-19 testing

$8.1M

548K claims · 5.9%

Your Cost: $14.84/claim|Median: $17.15
0.9× median
G0483Top 10%

Drug test, definitive, 22+ drug classes

$389K

2K claims · 0.3%

Your Cost: $188.94/claim|Median: $90.89
2.1× median
86769Normal range

Antibody, SARS-CoV-2 (COVID-19)

$180K

6K claims · 0.1%

Your Cost: $28.65/claim|Median: $26.94
1.1× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$85K

2K claims · 0.1%

Your Cost: $53.98/claim|Median: $35.43
1.5× median
G0482Normal range

Drug test, definitive, 15-21 drug classes

$36K

309 claims · 0.0%

Your Cost: $115.06/claim|Median: $75.26
1.5× median
80061Normal range

Lipid panel

$17K

5K claims · 0.0%

Your Cost: $3.14/claim|Median: $8.41
0.4× median
82306Normal range

Vitamin D, 25 hydroxy

$16K

3K claims · 0.0%

Your Cost: $5.07/claim|Median: $18.18
0.3× median
80050Normal range

General health panel

$12K

1K claims · 0.0%

Your Cost: $10.60/claim|Median: $25.59
0.4× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$5K

4K claims · 0.0%

Your Cost: $1.13/claim|Median: $5.50
0.2× median
80053Normal range

Comprehensive metabolic panel

$5K

4K claims · 0.0%

Your Cost: $1.15/claim|Median: $7.24
0.2× median
84439Normal range

$5K

2K claims · 0.0%

Your Cost: $1.89/claim|Median: $6.31
0.3× median
82607Normal range

Cyanocobalamin (vitamin B-12)

$5K

962 claims · 0.0%

Your Cost: $4.81/claim|Median: $8.72
0.6× median
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$4K

304 claims · 0.0%

Your Cost: $14.46/claim|Median: $18.03
0.8× median
84443Normal range

Thyroid stimulating hormone (TSH)

$4K

2K claims · 0.0%

Your Cost: $1.83/claim|Median: $9.87
0.2× median
84480Normal range

$3K

971 claims · 0.0%

Your Cost: $3.48/claim|Median: $6.82
0.5× median
86003Normal range

$3K

101 claims · 0.0%

Your Cost: $32.61/claim|Median: $40.67
0.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$3K

4K claims · 0.0%

Your Cost: $0.73/claim|Median: $4.71
0.1× median
84153Normal range

$3K

624 claims · 0.0%

Your Cost: $4.07/claim|Median: $12.67
0.3× median
86803Normal range

Hepatitis C antibody

$2K

286 claims · 0.0%

Your Cost: $8.39/claim|Median: $10.17
0.8× median
82746Normal range

$2K

711 claims · 0.0%

Your Cost: $3.17/claim|Median: $6.83
0.5× median
82728Normal range

Ferritin

$2K

526 claims · 0.0%

Your Cost: $3.35/claim|Median: $6.00
0.6× median
86706Normal range

$1K

259 claims · 0.0%

Your Cost: $5.55/claim|Median: $5.39
1.0× median
84378Normal range

$1K

524 claims · 0.0%

Your Cost: $2.48/claim|Median: $5.65
0.4× median
84154Normal range

$1K

161 claims · 0.0%

Your Cost: $6.57/claim|Median: $9.28
0.7× median
83550Normal range

$1K

561 claims · 0.0%

Your Cost: $1.83/claim|Median: $3.49
0.5× median
83540Normal range

$925

1K claims · 0.0%

Your Cost: $0.78/claim|Median: $2.93
0.3× median
84550Normal range

$858

2K claims · 0.0%

Your Cost: $0.49/claim|Median: $2.51
0.2× median
80048Normal range

Basic metabolic panel

$763

287 claims · 0.0%

Your Cost: $2.66/claim|Median: $5.78
0.5× median

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