Quest Diagnostics LLC
Clinical Medical Laboratory
Marlborough, Massachusetts
NPI: 1952347791
Risk Tier
Elevated
Total Paid
$209.7M
$209,742,564
Total Claims
45.9M
Beneficiaries
41.3M
Avg Cost/Claim
$4.57
Active billing period: 84 months (2018-01 to 2024-12)
Statistical Fraud Flags (1)
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 2 procedure codes: 81401 at 4.3× median, 87800 at 2.5× median.
Advanced Detection Signals
Billing Velocity
24858.5 claims per working day — may exceed physically possible volume for a single provider.
Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.
Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024