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CLINICAL ASSOCIATES, LLC

Pathology, Anatomic Pathology & Clinical Pathology·LOUISVILLE, KY·NPI: 1881697464Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$60.7M

$60,745,383

Total Claims

2.7M

Beneficiaries

2.5M

1.1 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$6.2M
+28%
2019
$8.0M
+28%
2020
$10.2M
-9%
2021
$9.2M
+10%
2022
$10.2M
-9%
2023
$9.2M
-16%
2024
$7.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (87591 (Neisseria gonorrhoeae detection, nucleic acid, amplified probe)) accounts for 8% of total spending.

87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$4.9M

139K claims · 8.0%

Your Cost: $35.10/claim|Median: $23.39
1.5× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$4.9M

139K claims · 8.0%

Your Cost: $35.11/claim|Median: $24.95
1.4× median
87661Top 25%

Trichomonas vaginalis detection, nucleic acid, amplified probe

$4.1M

120K claims · 6.8%

Your Cost: $34.14/claim|Median: $21.08
1.6× median
81513Top 25%

$3.2M

31K claims · 5.3%

Your Cost: $104.64/claim|Median: $71.32
1.5× median
87798Top 25%

Infectious agent detection, nucleic acid, not otherwise specified

$3.1M

40K claims · 5.0%

Your Cost: $76.43/claim|Median: $26.72
2.9× median
87481Top 25%

$2.5M

65K claims · 4.2%

Your Cost: $38.98/claim|Median: $22.38
1.7× median
88305Normal range

Surgical pathology, gross and microscopic examination

$2.0M

37K claims · 3.4%

Your Cost: $54.66/claim|Median: $35.80
1.5× median
U0003Normal range

Infectious disease detection (COVID-19)

$1.9M

27K claims · 3.1%

Your Cost: $69.62/claim|Median: $63.08
1.1× median
G0480Top 10%

Drug test, definitive, 1-7 drug classes

$1.9M

23K claims · 3.1%

Your Cost: $82.84/claim|Median: $37.56
2.2× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$1.7M

13K claims · 2.8%

Your Cost: $127.34/claim|Median: $100.62
1.3× median
87389Top 25%

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

$1.7M

71K claims · 2.8%

Your Cost: $24.00/claim|Median: $18.03
1.3× median
88175Normal range

Cytopathology, cervical or vaginal, ThinPrep

$1.6M

64K claims · 2.6%

Your Cost: $24.90/claim|Median: $19.06
1.3× median
U0004Normal range

COVID-19 test, nucleic acid detection, CDC lab only

$1.5M

22K claims · 2.5%

Your Cost: $69.13/claim|Median: $60.05
1.2× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$1.3M

188K claims · 2.2%

Your Cost: $7.07/claim|Median: $4.71
1.5× median
87624Top 25%

HPV detection, high-risk types, nucleic acid

$1.1M

34K claims · 1.9%

Your Cost: $32.86/claim|Median: $25.57
1.3× median
87086Normal range

Urine culture, colony count, with identification

$1.1M

137K claims · 1.8%

Your Cost: $7.77/claim|Median: $5.31
1.5× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$922K

58K claims · 1.5%

Your Cost: $15.85/claim|Median: $9.87
1.6× median
80053Top 25%

Comprehensive metabolic panel

$872K

78K claims · 1.4%

Your Cost: $11.14/claim|Median: $7.24
1.5× median
86803Top 25%

Hepatitis C antibody

$800K

54K claims · 1.3%

Your Cost: $14.73/claim|Median: $10.17
1.4× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$745K

2,605 claims · 1.2%

Your Cost: $285.89/claim|Median: $169.17
1.7× median
86780Normal range

$677K

62K claims · 1.1%

Your Cost: $10.86/claim|Median: $9.83
1.1× median
82306Normal range

Vitamin D, 25 hydroxy

$625K

25K claims · 1.0%

Your Cost: $24.55/claim|Median: $18.18
1.4× median
86481Top 25%

$562K

6,533 claims · 0.9%

Your Cost: $85.98/claim|Median: $52.45
1.6× median
G0483Top 25%

Drug test, definitive, 22+ drug classes

$560K

3,591 claims · 0.9%

Your Cost: $155.98/claim|Median: $90.89
1.7× median
87340Top 25%

Hepatitis B surface antigen detection

$489K

47K claims · 0.8%

Your Cost: $10.39/claim|Median: $5.52
1.9× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$441K

8,109 claims · 0.7%

Your Cost: $54.36/claim|Median: $35.43
1.5× median
83516Top 5%

$424K

12K claims · 0.7%

Your Cost: $34.79/claim|Median: $9.72
3.6× median
87653Top 25%

$416K

13K claims · 0.7%

Your Cost: $31.97/claim|Median: $19.33
1.7× median
80074Normal range

$355K

11K claims · 0.6%

Your Cost: $32.62/claim|Median: $27.54
1.2× median
80061Normal range

Lipid panel

$348K

31K claims · 0.6%

Your Cost: $11.22/claim|Median: $8.41
1.3× median
G0481Top 10%

Drug test, definitive, 8-14 drug classes

$336K

2,764 claims · 0.6%

Your Cost: $121.48/claim|Median: $64.72
1.9× median
86762Top 25%

$322K

22K claims · 0.5%

Your Cost: $14.42/claim|Median: $9.97
1.4× median
86003Top 25%

Allergen specific IgE blood test, each allergen

$314K

4,053 claims · 0.5%

Your Cost: $77.42/claim|Median: $40.67
1.9× median
88342Normal range

$313K

9,268 claims · 0.5%

Your Cost: $33.72/claim|Median: $23.66
1.4× median
83021Top 25%

$304K

17K claims · 0.5%

Your Cost: $17.62/claim|Median: $12.07
1.5× median
84702Top 25%

$298K

20K claims · 0.5%

Your Cost: $15.21/claim|Median: $8.25
1.8× median
87186Top 25%

Antimicrobial susceptibility testing, microdilution, per agent

$291K

35K claims · 0.5%

Your Cost: $8.33/claim|Median: $4.65
1.8× median
87070Top 25%

Bacterial culture, any source except blood or urine

$286K

29K claims · 0.5%

Your Cost: $9.86/claim|Median: $5.89
1.7× median
86787Normal range

$280K

22K claims · 0.5%

Your Cost: $12.96/claim|Median: $8.98
1.4× median
86850Normal range

$267K

26K claims · 0.4%

Your Cost: $10.22/claim|Median: $5.44
1.9× median
87077Top 25%

Bacterial culture, aerobic, additional methods required

$267K

33K claims · 0.4%

Your Cost: $8.09/claim|Median: $4.52
1.8× median
87522Top 25%

$267K

6,237 claims · 0.4%

Your Cost: $42.73/claim|Median: $29.66
1.4× median
84403Top 25%

Testosterone, total blood test

$266K

11K claims · 0.4%

Your Cost: $24.08/claim|Median: $17.03
1.4× median
36415Top 25%

Collection of venous blood by venipuncture

$260K

72K claims · 0.4%

Your Cost: $3.59/claim|Median: $1.57
2.3× median
82728Top 25%

Ferritin

$255K

20K claims · 0.4%

Your Cost: $12.86/claim|Median: $6.00
2.1× median
88141Normal range

$254K

16K claims · 0.4%

Your Cost: $15.98/claim|Median: $14.87
1.1× median
84439Normal range

Free thyroxine level blood test

$248K

29K claims · 0.4%

Your Cost: $8.42/claim|Median: $6.31
1.3× median
81376Top 25%

$234K

1,618 claims · 0.4%

Your Cost: $144.53/claim|Median: $48.41
3.0× median
87536Normal range

HIV-1 detection by nucleic acid, quantitative

$233K

3,273 claims · 0.4%

Your Cost: $71.07/claim|Median: $51.73
1.4× median
81383Top 1%

$219K

1,612 claims · 0.4%

Your Cost: $135.70/claim|Median: $31.71
4.3× median