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Quest Diagnostics of Pennsylvania, Inc.

Clinical Medical Laboratory·Pittsburgh, PA·NPI: 1841236684Share

Compared to Clinical Medical Laboratory Peers

Total spending distribution among 88 providers in this specialty

P25MedianP75P90

This provider's total spending of $132.4M is at the 25th percentile among 88 Clinical Medical Laboratory providers.

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

Total Paid

$132.4M

$132,391,899

Total Claims

11.2M

Beneficiaries

10.0M

1.1 claims/patient

Avg Cost/Claim

$12

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

🔍 Analysis

Provider Overview

Quest Diagnostics of Pennsylvania, Inc. is a Clinical Medical Laboratory provider based in Pittsburgh, PA. From the 2018–2024 period, this provider received $132.4M in Medicaid payments across 11.2M claims.

Why This Matters

This provider received $132.4M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,548 Medicaid beneficiaries for a full year at average per-enrollee costs.

48% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$11.1M
+22%
2019
$13.6M
+56%
2020
$21.2M
+24%
2021
$26.4M
-12%
2022
$23.3M
-13%
2023
$20.2M
-18%
2024
$16.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (80307 (Drug test, presumptive, by chemistry analyzers)) accounts for 15% of total spending.

80307Normal range

Drug test, presumptive, by chemistry analyzers

$20.5M

762K claims · 15.5%

Your Cost: $26.93/claim|Median: $35.43
0.8× median
U0003Normal range

Infectious disease detection (COVID-19)

$18.3M

252K claims · 13.8%

Your Cost: $72.53/claim|Median: $63.08
1.1× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$6.6M

320K claims · 5.0%

Your Cost: $20.53/claim|Median: $24.95
0.8× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$6.4M

316K claims · 4.8%

Your Cost: $20.12/claim|Median: $23.39
0.9× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$5.6M

164K claims · 4.3%

Your Cost: $34.26/claim|Median: $37.56
0.9× median
80053Normal range

Comprehensive metabolic panel

$3.3M

591K claims · 2.5%

Your Cost: $5.56/claim|Median: $7.24
0.8× median
82306Normal range

Vitamin D, 25 hydroxy

$3.2M

205K claims · 2.4%

Your Cost: $15.49/claim|Median: $18.18
0.8× median
84443Normal range

Thyroid stimulating hormone (TSH)

$2.9M

376K claims · 2.2%

Your Cost: $7.81/claim|Median: $9.87
0.8× median
80061Normal range

Lipid panel

$2.9M

437K claims · 2.2%

Your Cost: $6.60/claim|Median: $8.41
0.8× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$2.4M

171K claims · 1.8%

Your Cost: $14.17/claim|Median: $21.08
0.7× median
87801Normal range

Infectious agent detection, amplified probe, multiple organisms

$2.3M

65K claims · 1.8%

Your Cost: $36.09/claim|Median: $38.79
0.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$2.0M

537K claims · 1.5%

Your Cost: $3.76/claim|Median: $4.71
0.8× median
87389Normal range

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

$1.9M

150K claims · 1.5%

Your Cost: $12.98/claim|Median: $18.03
0.7× median
88175Normal range

Cytopathology, cervical or vaginal, ThinPrep

$1.8M

107K claims · 1.4%

Your Cost: $16.81/claim|Median: $19.06
0.9× median
U0005Top 25%

Infectious disease detection, COVID-19, antigen

$1.8M

78K claims · 1.3%

Your Cost: $22.39/claim|Median: $15.76
1.4× median
86480Normal range

Tuberculosis test, cell-mediated immunity

$1.7M

50K claims · 1.3%

Your Cost: $34.01/claim|Median: $38.35
0.9× median
81420Normal range

Fetal chromosomal aneuploidy genomic sequence analysis

$1.5M

5K claims · 1.1%

Your Cost: $313.79/claim|Median: $358.21
0.9× median
87624Normal range

HPV detection, high-risk types, nucleic acid

$1.3M

72K claims · 1.0%

Your Cost: $18.60/claim|Median: $25.57
0.7× median
81513Normal range

$1.3M

43K claims · 1.0%

Your Cost: $30.23/claim|Median: $71.32
0.4× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$1.3M

253K claims · 1.0%

Your Cost: $5.07/claim|Median: $5.50
0.9× median
87799Normal range

$1.2M

37K claims · 0.9%

Your Cost: $34.08/claim|Median: $21.87
1.6× median
81220Normal range

CFTR gene analysis, common variants

$1.2M

4K claims · 0.9%

Your Cost: $276.83/claim|Median: $183.31
1.5× median
80348Normal range

$1.2M

214K claims · 0.9%

Your Cost: $5.42/claim|Median: $6.63
0.8× median
80050Normal range

General health panel

$1.0M

58K claims · 0.8%

Your Cost: $17.84/claim|Median: $25.59
0.7× median
87086Normal range

Urine culture, colony count, with identification

$1.0M

217K claims · 0.8%

Your Cost: $4.73/claim|Median: $5.31
0.9× median
86803Normal range

Hepatitis C antibody

$972K

130K claims · 0.7%

Your Cost: $7.49/claim|Median: $10.17
0.7× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$970K

9K claims · 0.7%

Your Cost: $102.80/claim|Median: $97.61
1.1× median
87902Normal range

$919K

7K claims · 0.7%

Your Cost: $125.54/claim|Median: $156.75
0.8× median
84439Normal range

Free thyroxine level blood test

$906K

181K claims · 0.7%

Your Cost: $5.00/claim|Median: $6.31
0.8× median
82607Normal range

Cyanocobalamin (vitamin B-12)

$895K

114K claims · 0.7%

Your Cost: $7.86/claim|Median: $8.72
0.9× median