Labone LLC
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 11 procedure codes: 86364 at 2.6× median, 99001 at 20.7× 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 $212.3M is at the 75th percentile among 88 Clinical Medical Laboratory providers.
Total Paid
$212.3M
$212,275,717
Total Claims
15.3M
Beneficiaries
14.4M
1.1 claims/patient
Avg Cost/Claim
$14
#415 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Labone LLC is a Clinical Medical Laboratory provider based in Lenexa, KS. From the 2018–2024 period, this provider received $212.3M in Medicaid payments across 15.3M claims.
Why This Matters
This provider received $212.3M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 26,534 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 7% of total spending.
$15.7M
214K claims
$73.56
$63.08
Infectious disease detection (COVID-19)
$15.7M
214K claims · 7.4%
$12.3M
431K claims
$28.66
$23.39
Neisseria gonorrhoeae detection, nucleic acid, amplified probe
$12.3M
431K claims · 5.8%
$12.2M
418K claims
$29.31
$24.95
Chlamydia detection, nucleic acid, amplified probe
$12.2M
418K claims · 5.8%
General health panel
$10.2M
264K claims · 4.8%
Lipid panel
$8.8M
872K claims · 4.1%
$8.3M
695K claims
$11.95
$9.87
Thyroid stimulating hormone (TSH)
$8.3M
695K claims · 3.9%
Comprehensive metabolic panel
$8.2M
1.1M claims · 3.9%
Vitamin D, 25 hydroxy
$8.0M
352K claims · 3.8%
$6.4M
297K claims
$21.37
$18.03
HIV-1 antigen with HIV-1 and HIV-2 antibodies
$6.4M
297K claims · 3.0%
$5.1M
964K claims
$5.30
$4.71
Complete blood count (CBC) with differential, automated
$5.1M
964K claims · 2.4%
$5.0M
632K claims
$7.91
$5.50
Hemoglobin A1c (glycated hemoglobin)
$5.0M
632K claims · 2.4%
$4.7M
79K claims · 2.2%
$4.5M
124K claims
$36.70
$35.43
Drug test, presumptive, by chemistry analyzers
$4.5M
124K claims · 2.1%
$4.3M
175K claims
$24.77
$21.08
Trichomonas vaginalis detection, nucleic acid, amplified probe
$4.3M
175K claims · 2.0%
$4.3M
95K claims
$45.20
$38.79
Infectious agent detection, amplified probe, multiple organisms
$4.3M
95K claims · 2.0%
$3.7M
8K claims
$465.19
$358.21
Fetal chromosomal aneuploidy genomic sequence analysis
$3.7M
8K claims · 1.7%
Hepatitis C antibody
$3.0M
259K claims · 1.4%
$3.0M
41K claims · 1.4%
$2.8M
61K claims
$46.09
$37.56
Drug test, definitive, 1-7 drug classes
$2.8M
61K claims · 1.3%
$2.6M
51K claims
$52.08
$40.67
Allergen specific IgE blood test, each allergen
$2.6M
51K claims · 1.2%
$2.4M
46K claims
$50.98
$38.35
Tuberculosis test, cell-mediated immunity
$2.4M
46K claims · 1.1%
$2.3M
94K claims
$24.26
$25.57
HPV detection, high-risk types, nucleic acid
$2.3M
94K claims · 1.1%
$2.1M
369K claims
$5.74
$5.31
Urine culture, colony count, with identification
$2.1M
369K claims · 1.0%
Cyanocobalamin (vitamin B-12)
$2.1M
181K claims · 1.0%
Ferritin
$2.0M
180K claims · 0.9%
$1.9M
50K claims · 0.9%
Free thyroxine level blood test
$1.9M
265K claims · 0.9%
$1.9M
116K claims
$16.19
$19.06
Cytopathology, cervical or vaginal, ThinPrep
$1.9M
116K claims · 0.9%
$1.8M
34K claims · 0.9%
$1.6M
258K claims · 0.7%
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