Sonora Quest Laboratories LLC
Clinical Medical Laboratory
Phoenix, Arizona
NPI: 1538105366
Risk Tier
Elevated
Total Paid
$298.1M
$298,054,861
Total Claims
28.5M
Beneficiaries
26.0M
Avg Cost/Claim
$10.46
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 6 procedure codes: 88307 at 2.2× median, P9604 at 14.5× median.
Advanced Detection Signals
Billing Velocity
15419.4 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