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Hmmm.  Most of the practioners I've seen, and I've seen quite a few, tend to err on the side of not testing enough.  One I knew personally who worked in a clinic said they were paid so little via unisured or current-Medicare that they had to cut corners to ensure that the spread of patients coming to see them all had a fair shake at getting treated.  So the acute one patient's testing that should've been done got shelved so they could provide many more lesser services to a vast and growing sea of walk-ins without insurance.

And it was just this reticence to test that sent me home one of the two times to die until I insisted that other diagnostic stuff be done.  They finally did and found the little bug that was in me and then still refused to prescribe the antibiotic on the market most effective against it, because it was "too expensive".

So my experience on the battlefield is a little different from yours behind the computer screen handling the billing..