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Clinical Pathology Laboratories, Inc.

Clinical Medical Laboratory·Austin, TX·NPI: 1194769497Share

Compared to Clinical Medical Laboratory Peers

Total spending distribution among 88 providers in this specialty

P25MedianP75P90

This provider's total spending of $159.4M is at the 50th percentile among 88 Clinical Medical Laboratory providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$159.4M

$159,397,303

Total Claims

17.8M

Beneficiaries

16.1M

1.1 claims/patient

Avg Cost/Claim

$9

#656 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Clinical Pathology Laboratories, Inc. is a Clinical Medical Laboratory provider based in Austin, TX. From the 2018–2024 period, this provider received $159.4M in Medicaid payments across 17.8M claims.

Why This Matters

This provider received $159.4M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 19,924 Medicaid beneficiaries for a full year at average per-enrollee costs.

82% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$11.5M
-7%
2019
$10.6M
+77%
2020
$18.8M
+79%
2021
$33.7M
+5%
2022
$35.4M
-19%
2023
$28.6M
-27%
2024
$20.8M

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 11% of total spending.

U0003Normal range

Infectious disease detection (COVID-19)

$18.0M

374K claims · 11.3%

Your Cost: $48.21/claim|Median: $63.08
0.8× median
80050Normal range

General health panel

$10.2M

439K claims · 6.4%

Your Cost: $23.12/claim|Median: $25.59
0.9× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$9.1M

453K claims · 5.7%

Your Cost: $20.15/claim|Median: $24.95
0.8× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$9.0M

446K claims · 5.6%

Your Cost: $20.18/claim|Median: $23.39
0.9× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$7.2M

236K claims · 4.5%

Your Cost: $30.61/claim|Median: $35.43
0.9× median
80061Normal range

Lipid panel

$5.8M

1.1M claims · 3.6%

Your Cost: $5.27/claim|Median: $8.41
0.6× median
82306Normal range

Vitamin D, 25 hydroxy

$5.0M

435K claims · 3.2%

Your Cost: $11.62/claim|Median: $18.18
0.6× median
80081Normal range

$4.4M

102K claims · 2.7%

Your Cost: $42.67/claim|Median: $59.44
0.7× median
87389Normal range

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

$4.3M

336K claims · 2.7%

Your Cost: $12.89/claim|Median: $18.03
0.7× median
80053Normal range

Comprehensive metabolic panel

$3.9M

1.1M claims · 2.4%

Your Cost: $3.53/claim|Median: $7.24
0.5× median
84443Normal range

Thyroid stimulating hormone (TSH)

$3.5M

704K claims · 2.2%

Your Cost: $5.01/claim|Median: $9.87
0.5× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$3.5M

914K claims · 2.2%

Your Cost: $3.79/claim|Median: $5.50
0.7× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$3.4M

249K claims · 2.1%

Your Cost: $13.72/claim|Median: $15.76
0.9× median
88175Normal range

Cytopathology, cervical or vaginal, ThinPrep

$3.3M

214K claims · 2.1%

Your Cost: $15.47/claim|Median: $19.06
0.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$3.1M

1.1M claims · 2.0%

Your Cost: $2.72/claim|Median: $4.71
0.6× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$3.1M

82K claims · 1.9%

Your Cost: $37.83/claim|Median: $37.56
1.0× median
81514Normal range

$2.8M

36K claims · 1.8%

Your Cost: $78.04/claim|Median: $143.67
0.5× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$2.8M

150K claims · 1.8%

Your Cost: $18.66/claim|Median: $21.08
0.9× median
87624Normal range

HPV detection, high-risk types, nucleic acid

$2.0M

98K claims · 1.2%

Your Cost: $20.04/claim|Median: $25.57
0.8× median
87086Normal range

Urine culture, colony count, with identification

$1.8M

478K claims · 1.2%

Your Cost: $3.85/claim|Median: $5.31
0.7× median
86003Normal range

Allergen specific IgE blood test, each allergen

$1.7M

75K claims · 1.1%

Your Cost: $22.86/claim|Median: $40.67
0.6× median
80074Normal range

$1.4M

83K claims · 0.9%

Your Cost: $17.38/claim|Median: $27.54
0.6× median
84439Normal range

Free thyroxine level blood test

$1.4M

350K claims · 0.9%

Your Cost: $3.94/claim|Median: $6.31
0.6× median
86803Normal range

Hepatitis C antibody

$1.3M

184K claims · 0.8%

Your Cost: $7.03/claim|Median: $10.17
0.7× median
88305Normal range

Surgical pathology, gross and microscopic examination

$1.1M

23K claims · 0.7%

Your Cost: $48.81/claim|Median: $35.80
1.4× median
82607Normal range

Cyanocobalamin (vitamin B-12)

$1.1M

167K claims · 0.7%

Your Cost: $6.76/claim|Median: $8.72
0.8× median
87800Normal range

$991K

38K claims · 0.6%

Your Cost: $26.23/claim|Median: $29.47
0.9× median
86235Normal range

Nuclear antigen antibody (ENA) blood test

$957K

23K claims · 0.6%

Your Cost: $41.64/claim|Median: $28.79
1.4× median
84403Normal range

Testosterone, total blood test

$934K

70K claims · 0.6%

Your Cost: $13.35/claim|Median: $17.03
0.8× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$881K

15K claims · 0.6%

Your Cost: $60.51/claim|Median: $169.17
0.4× median