Dominion Diagnostics, LLC
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 6 procedure codes: 80371 at 3.3× median, 80352 at 2.9× 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.
Risk Assessment
Bills $14.22 per claim for 80371 — 3.3× the national median of $4.34.
Billing above the 90th percentile for 3 procedure codes simultaneously.
This is a statistical summary, not an accusation. See our methodology.
Compared to Clinical Medical Laboratory Peers
Total spending distribution among 88 providers in this specialty
This provider's total spending of $249.2M is at the 75th percentile among 88 Clinical Medical Laboratory providers.
Total Paid
$249.2M
$249,150,215
Total Claims
5.5M
Beneficiaries
2.6M
2.1 claims/patient
Avg Cost/Claim
$45
#331 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Dominion Diagnostics, LLC is a Clinical Medical Laboratory provider based in North Kingstown, RI. From the 2018–2024 period, this provider received $249.2M in Medicaid payments across 5.5M claims.
Why This Matters
This provider received $249.2M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 31,143 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 (80307 (Drug test, presumptive, by chemistry analyzers)) accounts for 48% of total spending.
$120.4M
2.8M claims
$43.35
$35.43
Drug test, presumptive, by chemistry analyzers
$120.4M
2.8M claims · 48.3%
$88.9M
1.6M claims
$54.02
$37.56
Drug test, definitive, 1-7 drug classes
$88.9M
1.6M claims · 35.7%
$25.1M
255K claims
$98.40
$64.72
Drug test, definitive, 8-14 drug classes
$25.1M
255K claims · 10.1%
$5.6M
91K claims
$60.95
$63.08
Infectious disease detection (COVID-19)
$5.6M
91K claims · 2.2%
$924K
63K claims
$14.60
$15.76
Infectious disease detection, COVID-19, antigen
$924K
63K claims · 0.4%
$683K
10K claims
$66.57
$75.26
Drug test, definitive, 15-21 drug classes
$683K
10K claims · 0.3%
$425K
29K claims · 0.2%
$415K
27K claims · 0.2%
Urine pregnancy test
$396K
95K claims · 0.2%
$396K
23K claims · 0.2%
$376K
27K claims · 0.2%
$368K
21K claims
$17.80
$18.03
HIV-1 antigen with HIV-1 and HIV-2 antibodies
$368K
21K claims · 0.1%
$296K
24K claims · 0.1%
$286K
22K claims · 0.1%
$279K
20K claims · 0.1%
$277K
19K claims · 0.1%
$269K
19K claims · 0.1%
$240K
18K claims · 0.1%
$219K
10K claims
$23.03
$24.95
Chlamydia detection, nucleic acid, amplified probe
$219K
10K claims · 0.1%
$216K
10K claims
$22.69
$23.39
Neisseria gonorrhoeae detection, nucleic acid, amplified probe
$216K
10K claims · 0.1%
$213K
16K claims · 0.1%
Comprehensive metabolic panel
$212K
31K claims · 0.1%
Vitamin D, 25 hydroxy
$156K
8K claims · 0.1%
$134K
11K claims · 0.1%
Hepatitis C antibody
$133K
18K claims · 0.1%
$128K
7K claims · 0.1%
$120K
8K claims · 0.0%
$114K
23K claims
$4.89
$4.71
Complete blood count (CBC) with differential, automated
$114K
23K claims · 0.0%
$113K
4K claims · 0.0%
$109K
3K claims · 0.0%
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