Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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87490

Billing code 87490

HHS publishes no description for this code; it is likely a state-specific local code.

Medicaid paid $8.31M on code 87490 from 2018 through 2024, to 229 providers — the #2,166 code in the file by dollars. 56% of it was billed in Puerto Rico.

28Total paid$8.31M
24GClaims520,285
Paid per claim line$15.97
33Providers billing it229
Box 32 · Location

Where 87490 is billed

  1. $4.7M
  2. $1.0M
  3. $510K
  4. $497K
  5. $419K
  6. $394K
  7. $251K
  8. $167K
  9. $146K
  10. $118K
  11. $48K
  12. $31K

The largest of 25 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.

Ranked

Top providers billing 87490

#ProviderLocationClaimsPaid on 87490
1 Laboratorio De Patologia DR Noy San Juan, PR 161,716 $3.67M
2 System Coordinated Services, INC Springfield, MA 44,919 $816K
3 Alameda Health System Oakland, CA 23,091 $455K
4 Tarrant County Hospital District Fort Worth, TX 20,875 $407K
5 Montefiore Medical Center Bronx, NY 51,519 $387K
6 San Juan Regional Medical Center, INC. Farmington, NM 16,328 $365K
7 Laboratorio Clinico Toledo, LLC Arecibo, PR 9,459 $183K
8 Laboratorio Clinico Borinquen, INC Caguas, PR 9,097 $178K
9 Recinto De Ciencias Medicas Rio Piedras, PR 6,208 $151K
10 Adventist Healthcare Fort Washington Medical Center INC Ft Washington, MD 960 $146K
11 Vicksburg Healthcare LLC Vicksburg, MS 8,172 $137K
12 Coreplus Servicios Clinicos Y Patologicos LLC Carolina, PR 6,551 $129K
13 Saint Peter's University Hospital New Brunswick, NJ 6,793 $106K
14 The Mercy Hospital INC Springfield, MA 4,875 $78K
15 Departamento De Salud Oficial Rio Piedras, PR 6,710 $72K
16 ST Josephs University Medical Center INC. Paterson, NJ 4,011 $70K
17 Brigham and Women's Faulkner Hospital, INC Boston, MA 4,815 $69K
18 Robert Wood Johnson University Hospital, INC New Brunswick, NJ 3,773 $64K
19 Laboratorio Clinico Bairoa INC Caguas, PR 2,894 $57K
20 Integrated Regional Laboratories Pathology Services, LLC Atlantis, FL 10,678 $50K
21 Santa-Rosario, Juan Carolina, PR 1,718 $44K
22 ST Joseph Regional Health Network Reading, PA 1,581 $38K
23 Laboratorio Clinico Noy , INC. San Juan, PR 1,545 $29K
24 Montefiore Medical Center Bronx, NY 1,307 $27K
25 Xu, Rong Flushing, NY 2,162 $23K
26 Lawrence General Hospital Lawrence, MA 8,154 $23K
27 Northern Utah Healthcare Corporation Salt Lake City, UT 1,614 $22K
28 Tallahassee Medical Center INC Tallahassee, FL 10,317 $21K
29 Lab Lorimar LLC Moca, PR 975 $20K
30 Yuma Regional Medical Center Yuma, AZ 6,460 $19K
31 North Kern South Tulare Hospital District Delano, CA 1,221 $19K
32 Tallahassee Memorial Healthcare INC Tallahassee, FL 3,846 $17K
33 Women Wellbeing Obgyn PC Great Neck, NY 761 $15K
34 MB Clinical Laboratories Corp. Naguabo, PR 743 $14K
35 Phc-Las Cruces INC Las Cruces, NM 579 $13K
36 Magnolia Regional Health Center Corinth, MS 909 $13K
37 Ketchum Wood & Burgert Chartered DRS Ketchum Wood & Burgert Tallahassee, FL 4,839 $13K
38 Oktibbeha County Hospital Starkville, MS 715 $12K
39 Senthilkumar, Nirmala Great Neck, NY 791 $12K
40 Martha's Vineyard Hospital, INC. Oak Bluffs, MA 780 $12K
41 Conmed Laboratories INC Caguas, PR 605 $12K
42 Laboratorio Clinico Amundaray, INC Ponce, PR 563 $10K
43 North Shore-Lij Medical PC Great Neck, NY 449 $10K
44 Montefiore Medical Center Bronx, NY 1,587 $9K
45 Sussman, Jeffrey Springfield, MA 457 $9K
46 Toussaint-Milord, Mary Brooklyn, NY 562 $8K
47 Newark Community Health Centers, INC. Newark, NJ 2,593 $8K
48 Butler Healthcare Providers Butler, PA 388 $7K
49 Uintah Basin Medical Center Roosevelt, UT 737 $7K
50 Laboratorio Clinico Parque Escorial Carolina, PR 395 $7K
51 Myrna Liz Beltran Naguabo, PR 403 $7K
52 Concilio De Salud Integral De Loiza INC Loiza, PR 410 $7K
53 Women's Health Midwifery Care PLLC Piermont, NY 849 $6K
54 Integrated Regional Laboratories Pathology Services, LLC Tallahassee, FL 1,475 $6K
55 1629174248 480 $6K
56 San Miguel Hospital Corporation Las Vegas, NM 233 $6K
57 Prymed Medical Care, INC Ciales, PR 302 $6K
58 Servi-Lab INC Luquillo, PR 305 $6K
59 Cibola General Hospital Corporation Grants, NM 189 $5K
60 Laboratorio LA Providencia De Ponce Ponce, PR 253 $5K
61 Cobre Valley Regional Medical Center Globe, AZ 330 $5K
62 Alameda Health System Alameda, CA 194 $5K
63 Laboratorio Clinico Lopez LLC Camuy, PR 246 $5K
64 Mandel, Mirona Haverstraw, NY 670 $5K
65 Alameda Health System Oakland, CA 250 $4K
66 Laboratorio Clinico Delgado Amador, PSC Camuy, PR 236 $4K
67 Laboratorio Sagrada Familia Corp. Villalba, PR 243 $4K
68 Centro De Servicios Primarios De Salud INC Florida, PR 539 $4K
69 Mcleod Health Clarendon Manning, SC 59 $4K
70 Samaritan Medical Center Watertown, NY 528 $4K
71 North Sunflower Medical Center Ruleville, MS 307 $4K
72 Community Health Care, INC. Bridgeton, NJ 4,359 $4K
73 Jose Carlos Flores Santiago Juncos, PR 199 $4K
74 Gholam a Kiani M.D.,P.A. Mcallen, TX 175 $3K
75 Friends of Family Health Center La Habra, CA 147 $3K
76 Chambers County Public Hospital District No 1 Anahuac, TX 163 $3K
77 Unilab INC Oak Park, IL 125 $3K
78 Laboratorio Clinico Jariselle P.S.C Toa Alta, PR 146 $3K
79 Laboratorio Clinico Y Bacteriologico Genesis INC. Patillas, PR 154 $3K
80 Acquisition Bell Hospital LLC Ishpeming, MI 237 $3K
81 Laboratorio Clinico Paseo Del Sur INC Ponce, PR 163 $3K
82 Kiani Khozani, Gholam Mcallen, TX 165 $3K
83 Laboratorio Clinico Caguas Norte Caguas, PR 154 $3K
84 Clarion Hospital Clarion, PA 125 $3K
85 Laboratorio Clinico Sharem Caguas, PR 145 $3K
86 Laboratorios Ramirez INC Ponce, PR 138 $2K
87 Departamento De Salud Oficial Ponce, PR 217 $2K
88 Phc-Los Alamos INC Los Alamos, NM 104 $2K
89 Viruch Vachirakorntong MD INC Apple Valley, CA 134 $2K
90 Teena Hughes, M.D.,P.A. Tampa, FL 856 $2K
91 Laboratorio Clinico Serhant Ponce, PR 122 $2K
92 Laboratorio Beiro INC Guayama, PR 118 $2K
93 Deming Hospital Corporation Deming, NM 69 $2K
94 Laboratorio Clinico Sangermeno Principal San German, PR 94 $2K
95 Butler County Community Health Consortium INC Hamilton, OH 266 $2K
96 Columbia Ogden Medical Center, INC. Ogden, UT 154 $2K
97 Laboratorio Clinico LA Monserrate Corp. Mayaguez, PR 88 $2K
98 Gorgan, Maria Springfield, MA 78 $2K
99 Integrated Regional Laboratories Pathology Services, LLC Atlantis, FL 981 $2K
100 Doctor's Medical Center, LLC Miami, FL 1,390 $2K