Laboratory Corporation of America Holdings
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 22 procedure codes: 88307 at 2.5× median, 81257 at 2.3× 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 $1.44B is at the 99th percentile among 88 Clinical Medical Laboratory providers.
Above 99th percentile for this specialty — higher spending than 87 of 88 peers
Total Paid
$1.44B
$1,436,181,705
Total Claims
103.9M
Beneficiaries
92.1M
1.1 claims/patient
Avg Cost/Claim
$14
#15 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 Burlington, NC. From the 2018–2024 period, this provider received $1.4B in Medicaid payments across 103.9M claims.
Why This Matters
This provider received $1.4B in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 179,522 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 11% of total spending.
$155.6M
2.0M claims
$78.44
$63.08
Infectious disease detection (COVID-19)
$155.6M
2.0M claims · 10.8%
$85.1M
4.0M claims
$21.37
$24.95
Chlamydia detection, nucleic acid, amplified probe
$85.1M
4.0M claims · 5.9%
$79.5M
4.0M claims
$20.01
$23.39
Neisseria gonorrhoeae detection, nucleic acid, amplified probe
$79.5M
4.0M claims · 5.5%
$78.5M
2.4M claims
$32.60
$26.72
Infectious agent detection, nucleic acid, not otherwise specified
$78.5M
2.4M claims · 5.5%
$76.3M
2.2M claims
$34.61
$35.43
Drug test, presumptive, by chemistry analyzers
$76.3M
2.2M claims · 5.3%
$50.1M
1.4M claims
$36.82
$38.79
Infectious agent detection, amplified probe, multiple organisms
$50.1M
1.4M claims · 3.5%
$48.4M
2.8M claims
$17.54
$21.08
Trichomonas vaginalis detection, nucleic acid, amplified probe
$48.4M
2.8M claims · 3.4%
$44.8M
103K claims
$435.28
$358.21
Fetal chromosomal aneuploidy genomic sequence analysis
$44.8M
103K claims · 3.1%
$39.3M
550K claims
$71.38
$90.89
Drug test, definitive, 22+ drug classes
$39.3M
550K claims · 2.7%
$33.2M
684K claims
$48.57
$37.56
Drug test, definitive, 1-7 drug classes
$33.2M
684K claims · 2.3%
Vitamin D, 25 hydroxy
$31.7M
2.2M claims · 2.2%
Lipid panel
$30.5M
4.3M claims · 2.1%
$29.2M
1.9M claims
$15.56
$18.03
HIV-1 antigen with HIV-1 and HIV-2 antibodies
$29.2M
1.9M claims · 2.0%
Comprehensive metabolic panel
$27.2M
4.8M claims · 1.9%
$27.1M
414K claims
$65.47
$40.67
Allergen specific IgE blood test, each allergen
$27.1M
414K claims · 1.9%
$23.8M
2.7M claims
$8.68
$9.87
Thyroid stimulating hormone (TSH)
$23.8M
2.7M claims · 1.7%
$22.9M
379K claims
$60.47
$64.72
Drug test, definitive, 8-14 drug classes
$22.9M
379K claims · 1.6%
$22.1M
73K claims
$301.51
$183.31
CFTR gene analysis, common variants
$22.1M
73K claims · 1.5%
$18.6M
4.3M claims
$4.32
$4.71
Complete blood count (CBC) with differential, automated
$18.6M
4.3M claims · 1.3%
$16.5M
3.3M claims
$4.97
$5.50
Hemoglobin A1c (glycated hemoglobin)
$16.5M
3.3M claims · 1.2%
$15.3M
924K claims
$16.61
$19.06
Cytopathology, cervical or vaginal, ThinPrep
$15.3M
924K claims · 1.1%
$15.3M
606K claims
$25.19
$25.57
HPV detection, high-risk types, nucleic acid
$15.3M
606K claims · 1.1%
$13.7M
297K claims
$46.08
$51.73
HIV-1 detection by nucleic acid, quantitative
$13.7M
297K claims · 1.0%
$12.8M
87K claims · 0.9%
$11.6M
651K claims
$17.75
$15.76
Infectious disease detection, COVID-19, antigen
$11.6M
651K claims · 0.8%
General health panel
$11.4M
1.2M claims · 0.8%
$10.5M
330K claims
$31.80
$38.35
Tuberculosis test, cell-mediated immunity
$10.5M
330K claims · 0.7%
$10.4M
2.1M claims
$4.96
$5.31
Urine culture, colony count, with identification
$10.4M
2.1M claims · 0.7%
Hepatitis C antibody
$8.7M
1.1M claims · 0.6%
$7.5M
290K claims · 0.5%
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