Laboratory Corporation of America Holdings
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 4 procedure codes: 80321 at 5.5× median, 88185 at 2.9× 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 $264.3M is at the 75th percentile among 88 Clinical Medical Laboratory providers.
Total Paid
$264.3M
$264,262,233
Total Claims
15.3M
Beneficiaries
14.2M
1.1 claims/patient
Avg Cost/Claim
$17
#305 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 $264.3M in Medicaid payments across 15.3M claims.
Why This Matters
This provider received $264.3M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 33,032 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 22% of total spending.
$58.8M
978K claims
$60.15
$63.08
Infectious disease detection (COVID-19)
$58.8M
978K claims · 22.3%
$22.8M
588K claims
$38.75
$35.43
Drug test, presumptive, by chemistry analyzers
$22.8M
588K claims · 8.6%
$13.8M
23K claims
$602.10
$358.21
Fetal chromosomal aneuploidy genomic sequence analysis
$13.8M
23K claims · 5.2%
$13.0M
84K claims
$154.61
$90.89
Drug test, definitive, 22+ drug classes
$13.0M
84K claims · 4.9%
$8.8M
452K claims
$19.53
$23.39
Neisseria gonorrhoeae detection, nucleic acid, amplified probe
$8.8M
452K claims · 3.3%
$8.8M
453K claims
$19.44
$24.95
Chlamydia detection, nucleic acid, amplified probe
$8.8M
453K claims · 3.3%
$7.0M
508K claims
$13.88
$15.76
Infectious disease detection, COVID-19, antigen
$7.0M
508K claims · 2.7%
Vitamin D, 25 hydroxy
$6.9M
345K claims · 2.6%
Antibody, SARS-CoV-2 (COVID-19)
$5.6M
155K claims · 2.1%
Comprehensive metabolic panel
$5.5M
810K claims · 2.1%
$5.0M
116K claims
$42.95
$37.56
Drug test, definitive, 1-7 drug classes
$5.0M
116K claims · 1.9%
$4.5M
238K claims
$19.01
$21.08
Trichomonas vaginalis detection, nucleic acid, amplified probe
$4.5M
238K claims · 1.7%
$4.4M
114K claims
$38.61
$26.72
Infectious agent detection, nucleic acid, not otherwise specified
$4.4M
114K claims · 1.7%
$4.4M
61K claims
$71.52
$100.62
Respiratory virus detection, 3-5 targets, nucleic acid
$4.4M
61K claims · 1.7%
$4.1M
14K claims
$293.42
$183.31
CFTR gene analysis, common variants
$4.1M
14K claims · 1.5%
Lipid panel
$3.9M
675K claims · 1.5%
Thyroid stimulating hormone (TSH)
$3.8M
537K claims · 1.4%
$3.5M
243K claims
$14.22
$18.03
HIV-1 antigen with HIV-1 and HIV-2 antibodies
$3.5M
243K claims · 1.3%
$3.3M
4K claims · 1.3%
$3.0M
88K claims
$34.28
$38.79
Infectious agent detection, amplified probe, multiple organisms
$3.0M
88K claims · 1.1%
$2.6M
404K claims
$6.46
$5.50
Hemoglobin A1c (glycated hemoglobin)
$2.6M
404K claims · 1.0%
$2.5M
79K claims
$31.99
$38.35
Tuberculosis test, cell-mediated immunity
$2.5M
79K claims · 1.0%
$2.3M
803K claims
$2.89
$4.71
Complete blood count (CBC) with differential, automated
$2.3M
803K claims · 0.9%
$2.2M
108K claims
$20.36
$19.06
Cytopathology, cervical or vaginal, ThinPrep
$2.2M
108K claims · 0.8%
$2.2M
27K claims
$80.15
$64.72
Drug test, definitive, 8-14 drug classes
$2.2M
27K claims · 0.8%
General health panel
$2.1M
105K claims · 0.8%
$1.9M
79K claims
$23.52
$25.57
HPV detection, high-risk types, nucleic acid
$1.9M
79K claims · 0.7%
$1.7M
27K claims
$62.73
$40.67
Allergen specific IgE blood test, each allergen
$1.7M
27K claims · 0.6%
Cyanocobalamin (vitamin B-12)
$1.6M
183K claims · 0.6%
Free thyroxine level blood test
$1.6M
258K claims · 0.6%
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