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: 85705 at 1.6× median, 87210 at 2.0× 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 $617.0M is at the 90th percentile among 88 Clinical Medical Laboratory providers.
Above 90th percentile for this specialty — higher spending than 79 of 88 peers
Total Paid
$617.0M
$617,017,962
Total Claims
53.5M
Beneficiaries
48.0M
1.1 claims/patient
Avg Cost/Claim
$12
#86 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 Dublin, OH. From the 2018–2024 period, this provider received $617.0M in Medicaid payments across 53.5M claims.
Why This Matters
This provider received $617.0M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 77,127 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 (U0003 (Infectious disease detection (COVID-19))) accounts for 10% of total spending.
$62.8M
921K claims
$68.17
$63.08
Infectious disease detection (COVID-19)
$62.8M
921K claims · 10.2%
$44.8M
1.2M claims
$36.11
$18.03
HIV-1 antigen with HIV-1 and HIV-2 antibodies
$44.8M
1.2M claims · 7.3%
General health panel
$28.4M
957K claims · 4.6%
Comprehensive metabolic panel
$26.9M
3.8M claims · 4.4%
$26.9M
2.4M claims
$11.06
$9.87
Thyroid stimulating hormone (TSH)
$26.9M
2.4M claims · 4.4%
Vitamin D, 25 hydroxy
$25.7M
1.8M claims · 4.2%
Lipid panel
$24.6M
3.5M claims · 4.0%
$21.0M
63K claims
$333.80
$358.21
Fetal chromosomal aneuploidy genomic sequence analysis
$21.0M
63K claims · 3.4%
$17.1M
3.5M claims
$4.86
$4.71
Complete blood count (CBC) with differential, automated
$17.1M
3.5M claims · 2.8%
$16.4M
521K claims
$31.50
$24.95
Chlamydia detection, nucleic acid, amplified probe
$16.4M
521K claims · 2.7%
$16.3M
519K claims
$31.36
$23.39
Neisseria gonorrhoeae detection, nucleic acid, amplified probe
$16.3M
519K claims · 2.6%
$15.6M
2.8M claims
$5.59
$5.50
Hemoglobin A1c (glycated hemoglobin)
$15.6M
2.8M claims · 2.5%
$14.8M
345K claims
$43.06
$38.35
Tuberculosis test, cell-mediated immunity
$14.8M
345K claims · 2.4%
$10.8M
212K claims · 1.8%
$9.9M
369K claims · 1.6%
Hepatitis C antibody
$8.9M
822K claims · 1.4%
$8.4M
1.4M claims
$6.09
$5.31
Urine culture, colony count, with identification
$8.4M
1.4M claims · 1.4%
Cyanocobalamin (vitamin B-12)
$8.3M
929K claims · 1.3%
$7.9M
505K claims
$15.69
$15.76
Infectious disease detection, COVID-19, antigen
$7.9M
505K claims · 1.3%
$7.7M
334K claims
$23.00
$21.08
Trichomonas vaginalis detection, nucleic acid, amplified probe
$7.7M
334K claims · 1.2%
$7.5M
1.2M claims · 1.2%
$7.3M
37K claims
$197.75
$183.31
CFTR gene analysis, common variants
$7.3M
37K claims · 1.2%
$5.3M
619K claims · 0.9%
$4.9M
499K claims · 0.8%
$4.6M
141K claims
$32.98
$35.43
Drug test, presumptive, by chemistry analyzers
$4.6M
141K claims · 0.8%
$4.2M
26K claims · 0.7%
$4.1M
70K claims · 0.7%
$4.1M
241K claims · 0.7%
$4.1M
157K claims · 0.7%
Ferritin
$4.1M
515K claims · 0.7%
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