Laboratory Corporation of America Holdings
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 4 procedure codes: 87389 at 2.3× median, 86769 at 1.8× 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.
Advanced Detection Signals
Additional statistical tests from advanced fraud detection methods
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
This provider's total spending of $220.0M is at the 75th percentile among 88 Clinical Medical Laboratory providers.
Total Paid
$220.0M
$220,037,248
Total Claims
8.8M
Beneficiaries
7.7M
1.1 claims/patient
Avg Cost/Claim
$25
#387 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 Charleston, WV. From the 2018–2024 period, this provider received $220.0M in Medicaid payments across 8.8M claims.
Why This Matters
This provider received $220.0M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 27,504 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 (87491 (Chlamydia detection, nucleic acid, amplified probe)) accounts for 23% of total spending.
$49.7M
1.7M claims
$28.84
$24.95
Chlamydia detection, nucleic acid, amplified probe
$49.7M
1.7M claims · 22.6%
$49.3M
1.7M claims
$28.53
$23.39
Neisseria gonorrhoeae detection, nucleic acid, amplified probe
$49.3M
1.7M claims · 22.4%
$28.7M
1.3M claims
$22.30
$21.08
Trichomonas vaginalis detection, nucleic acid, amplified probe
$28.7M
1.3M claims · 13.0%
$19.6M
537K claims
$36.62
$26.72
Infectious agent detection, nucleic acid, not otherwise specified
$19.6M
537K claims · 8.9%
$19.1M
436K claims
$43.88
$38.79
Infectious agent detection, amplified probe, multiple organisms
$19.1M
436K claims · 8.7%
$16.1M
947K claims
$16.99
$19.06
Cytopathology, cervical or vaginal, ThinPrep
$16.1M
947K claims · 7.3%
$14.5M
631K claims
$23.01
$25.57
HPV detection, high-risk types, nucleic acid
$14.5M
631K claims · 6.6%
$5.3M
128K claims
$41.80
$18.03
HIV-1 antigen with HIV-1 and HIV-2 antibodies
$5.3M
128K claims · 2.4%
$4.2M
64K claims
$66.32
$63.08
Infectious disease detection (COVID-19)
$4.2M
64K claims · 1.9%
$1.9M
160K claims · 0.9%
$1.1M
112K claims · 0.5%
$948K
148K claims
$6.39
$5.31
Urine culture, colony count, with identification
$948K
148K claims · 0.4%
$783K
39K claims · 0.4%
Hepatitis C antibody
$563K
49K claims · 0.3%
$524K
28K claims · 0.2%
$504K
22K claims · 0.2%
$438K
15K claims
$29.75
$35.43
Drug test, presumptive, by chemistry analyzers
$438K
15K claims · 0.2%
$362K
107K claims · 0.2%
$356K
40K claims · 0.2%
$343K
4K claims
$82.65
$90.89
Drug test, definitive, 22+ drug classes
$343K
4K claims · 0.2%
$323K
842 claims
$383.99
$358.21
Fetal chromosomal aneuploidy genomic sequence analysis
$323K
842 claims · 0.1%
$311K
29K claims · 0.1%
$271K
18K claims · 0.1%
$271K
10K claims · 0.1%
$241K
36K claims · 0.1%
$231K
13K claims · 0.1%
$217K
30K claims · 0.1%
$200K
4K claims
$45.32
$38.35
Tuberculosis test, cell-mediated immunity
$200K
4K claims · 0.1%
$188K
40K claims · 0.1%
$181K
4K claims · 0.1%
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