Unilab Corporation
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 11 procedure codes: 81003 at 2.7× median, 83874 at 3.8× 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 $668.5M 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
$668.5M
$668,499,554
Total Claims
111.6M
Beneficiaries
108.2M
1.0 claims/patient
Avg Cost/Claim
$6
#75 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Unilab Corporation is a Clinical Medical Laboratory provider based in West Hills, CA. From the 2018–2024 period, this provider received $668.5M in Medicaid payments across 111.6M claims.
Why This Matters
This provider received $668.5M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 83,562 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 9% of total spending.
$57.2M
1.0M claims
$56.26
$63.08
Infectious disease detection (COVID-19)
$57.2M
1.0M claims · 8.6%
$36.8M
3.4M claims
$10.93
$24.95
Chlamydia detection, nucleic acid, amplified probe
$36.8M
3.4M claims · 5.5%
$35.9M
3.3M claims
$10.72
$23.39
Neisseria gonorrhoeae detection, nucleic acid, amplified probe
$35.9M
3.3M claims · 5.4%
Lipid panel
$34.5M
6.9M claims · 5.2%
$30.2M
5.4M claims
$5.58
$9.87
Thyroid stimulating hormone (TSH)
$30.2M
5.4M claims · 4.5%
Comprehensive metabolic panel
$29.0M
8.4M claims · 4.3%
Vitamin D, 25 hydroxy
$27.8M
3.0M claims · 4.2%
$19.8M
6.2M claims
$3.18
$5.50
Hemoglobin A1c (glycated hemoglobin)
$19.8M
6.2M claims · 3.0%
$16.3M
7.1M claims
$2.29
$4.71
Complete blood count (CBC) with differential, automated
$16.3M
7.1M claims · 2.4%
$14.2M
1.4M claims
$10.31
$19.06
Cytopathology, cervical or vaginal, ThinPrep
$14.2M
1.4M claims · 2.1%
$13.8M
631K claims
$21.94
$35.43
Drug test, presumptive, by chemistry analyzers
$13.8M
631K claims · 2.1%
$13.0M
1.0M claims
$12.38
$25.57
HPV detection, high-risk types, nucleic acid
$13.0M
1.0M claims · 1.9%
$12.9M
2.1M claims
$6.07
$18.03
HIV-1 antigen with HIV-1 and HIV-2 antibodies
$12.9M
2.1M claims · 1.9%
$12.4M
715K claims
$17.30
$38.35
Tuberculosis test, cell-mediated immunity
$12.4M
715K claims · 1.9%
$12.1M
261K claims
$46.41
$40.67
Allergen specific IgE blood test, each allergen
$12.1M
261K claims · 1.8%
$11.6M
321K claims · 1.7%
$10.4M
114K claims
$90.81
$183.31
CFTR gene analysis, common variants
$10.4M
114K claims · 1.6%
$8.5M
341K claims
$24.82
$35.80
Surgical pathology, gross and microscopic examination
$8.5M
341K claims · 1.3%
$7.0M
250K claims
$27.86
$37.56
Drug test, definitive, 1-7 drug classes
$7.0M
250K claims · 1.0%
$6.9M
550K claims
$12.62
$21.08
Trichomonas vaginalis detection, nucleic acid, amplified probe
$6.9M
550K claims · 1.0%
Free thyroxine level blood test
$6.6M
1.5M claims · 1.0%
Hepatitis C antibody
$6.4M
1.5M claims · 1.0%
$6.4M
169K claims · 1.0%
$6.3M
21K claims
$306.38
$358.21
Fetal chromosomal aneuploidy genomic sequence analysis
$6.3M
21K claims · 0.9%
$6.0M
377K claims · 0.9%
$5.9M
270K claims · 0.9%
$5.7M
1.9M claims
$2.91
$5.31
Urine culture, colony count, with identification
$5.7M
1.9M claims · 0.8%
$5.6M
274K claims
$20.42
$38.79
Infectious agent detection, amplified probe, multiple organisms
$5.6M
274K claims · 0.8%
$5.1M
2.8M claims · 0.8%
Cyanocobalamin (vitamin B-12)
$4.1M
1.0M claims · 0.6%
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