Medicaid Provider Spending Explorer

T-MSIS provider-level spending data, Jan 2018 – Dec 2024

Data note: November and December 2024 data may be incomplete due to CMS reporting delays (typically 3–6 months for full coverage). Learn more
← All Procedures

87635Pathology/Lab

SARS-CoV-2 (COVID-19), amplified probe

Total Paid

$1.02B

$1,018,708,179

Beneficiaries

22.4M

22,362,160

Avg $/Claim

$39

Median: $47

Utilization

1.2 claims/bene

13,565 providers

Top Providers for This Procedure

Each dot is a provider. X = cost index (vs procedure median). Y = total spending.

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Provider Rankings

#ProviderStateTotal Paid$/ClaimCost IndexClaimsBeneficiaries
1
1437368891

ALASKA NATIVE TRIBAL HEALTH CONSORTIUM

AK$64.6M$539vs $47 med11.40x119,847101,255
2
1720062524

SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM

AK$17.8M$670vs $47 med14.16x26,58718,356
3
1225101041

NORTON SOUND HEALTH CORPORATION

AK$10.4M$159vs $47 med3.36x65,23843,067
4
1811062763

MID ATLANTIC PEMANENTE MEDICAL GROUP

MD$6.8M$56vs $47 med1.18x122,337109,440
5
1366499048

DOCTORS CARE, PA

SC$6.1M$45vs $47 med0.95x136,009126,821
6
1689639544

HEALTHTRACKRX INDIANA, INC

TX$6.1M$26vs $47 med0.56x230,524212,374
7
1821201278

TANANA CHIEFS CONFERENCE

AK$5.5M$618vs $47 med13.06x8,8428,079
8
1720029960

IHC HEALTH SERVICES, INC.

UT$5.4M$49vs $47 med1.04x110,29893,183
9
1316995210

MANIILAQ ASSOCIATION

AK$5.1M$271vs $47 med5.73x18,98514,987
10
1477643690

TEXAS CHILDREN'S HOSPITAL

TX$4.9M$67vs $47 med1.42x72,36671,355
11
1578665048

OPTUM MEDICAL CARE OF NEW JERSEY PC

NJ$4.7M$43vs $47 med0.91x110,385104,828
12
1548771736

USA BIOSCIENCES LLC

CA$4.6M$42vs $47 med0.88x110,13419,619
13
1396188074

COOK CHILDREN'S MEDICAL CENTER

TX$4.6M$51vs $47 med1.07x89,94187,861
14
1710065933

RADY CHILDREN'S HOSPITAL SAN DIEGO

CA$4.2M$42vs $47 med0.89x100,34294,233
15
1063406551

COUNTY OF SANTA CLARA

CA$4.1M$27vs $47 med0.56x155,941135,448
16
1538144910

LABORATORY CORPORATION OF AMERICA HOLDINGS

NC$4.0M$40vs $47 med0.84x101,47691,644
17
1871606269

OROVILLE HOSPITAL

CA$3.8M$87vs $47 med1.84x43,79638,403
18
1275665457

NEW YORK NETWORK IPA INC

NY$3.8M$32vs $47 med0.67x119,60625,565
19
1366543795

NORTHWELL HEALTH LABORATORIES

NY$3.6M$44vs $47 med0.94x81,90470,788
20
1811973100

OCHSNER CLINIC FOUNDATION

LA$3.6M$40vs $47 med0.84x89,60782,729
21
1780639971

DHHS, PHS, NAIHS, SHIPROCK HOSPITAL

NM$3.6M$515vs $47 med10.88x6,9396,345
22
1932145778

QUEST DIAGNOSTICS INCORPORATED

NJ$3.6M$41vs $47 med0.87x86,86384,721
23
1619980430

UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION

OH$3.5M$43vs $47 med0.90x81,62078,816
24
1104362169

DOCS MEDICAL INC

CT$3.4M$45vs $47 med0.95x76,56470,498
25
1902827272

LEGACY CLINICS LLC

OR$3.4M$41vs $47 med0.87x82,28577,912

50 rows · Page 1 of 2

State Breakdown

Each dot is a state. X = average cost per claim. Y = total spending.

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State Rankings

#StateTotal PaidAvg $/ClaimClaimsBeneficiariesProviders
1AK$118.3M$337350,898279,99696
2CA$116.2M$343,465,4652,732,7281,209
3NY$79.7M$342,341,3642,021,954945
4TX$66.3M$391,682,1611,552,503849
5MA$43.2M$44973,449909,723718
6LA$42.9M$341,259,8621,068,287355
7NC$39.1M$43903,781721,211487
8NJ$33.6M$301,138,249974,670340
9FL$31.0M$191,622,6801,367,200648
10IL$30.4M$37818,910626,358888
11TN$29.5M$40742,342655,777377
12WI$25.8M$44583,342515,672260
13WA$23.6M$40595,284554,895206
14PR$23.4M$48490,446445,981364
15AL$23.0M$37618,952555,322295
16CT$22.8M$37610,482513,121140
17SC$22.4M$48462,203430,752174
18KY$21.9M$37595,669509,237307
19MI$20.4M$29694,421651,300407
20OH$15.9M$21761,557682,083298
21IN$15.9M$39405,750355,977246
22NM$15.7M$68232,277214,296112
23VA$14.8M$43342,122306,141226
24MD$13.0M$42308,189273,649202
25OR$10.8M$35310,649286,976143

56 rows · Page 1 of 3