Laboratory Corporation of America Holdings
Clinical Medical Laboratory
Charleston, West Virginia
NPI: 1891770806
Risk Tier
Elevated
Total Paid
$220.0M
$220,037,248
Total Claims
8.8M
Beneficiaries
7.7M
Avg Cost/Claim
$25.15
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 4 procedure codes: 87389 at 2.3× median, 86769 at 1.8× median.
Advanced Detection Signals
Billing Velocity
4735.0 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