Lab
Richard Miranda Rodriguez
Richard Miranda Rodriguez was paid $219K by Medicaid between Jan 2018 and Feb 2021, across 31 billing codes. Its largest line is 84443, Thyroid stimulating hormone (TSH) — 15% of everything it billed.
33Billing provider infoRICHARD MIRANDA RODRIGUEZ
TOA ALTA, PR 00953
TOA ALTA, PR 00953
33aNPI1003364134assigned 09/19/2016
33bProvider typeClinical Medical Laboratory
28Total paid$219K
24GClaims20,526
24DCodes billed31
24AFirst – last monthJan 2018 – Feb 2021
Compared with peers
Next to other Clinical Medical Laboratory providers in Puerto Rico
Rank by total paid#440 of 777
Median peer was paid$278K
This provider vs. median0.8×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,127 | $57K | |
| 2019 | 5,417 | $50K | |
| 2020 | 8,175 | $99K | |
| 2021 | 807 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 84443 | Thyroid stimulating hormone (TSH) | 15% | 2,093 | 1,966 | $33K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 14% | 4,125 | 3,704 | $31K |
| 80061 | Lipid panel | 12% | 1,907 | 1,811 | $26K |
| 80053 | Comprehensive metabolic panel | 11% | 2,405 | 2,242 | $24K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 7.6% | 1,513 | 715 | $17K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 6.4% | 280 | 259 | $14K |
| 86328 | 5.9% | 703 | 670 | $13K | |
| 83036 | Hemoglobin; glycosylated (A1C) | 4.4% | 975 | 927 | $10K |
| 81000 | 4.1% | 2,813 | 2,623 | $9K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 3.0% | 290 | 266 | $6K |
| 36415 | Collection of venous blood by venipuncture | 2.6% | 706 | 669 | $6K |
| 86703 | 2.5% | 427 | 420 | $5K |
19 more codes
| 86738 | 1.9% | 299 | $4K | |
| 87088 | 1.5% | 393 | $3K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 1.5% | 392 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.1% | 53 | $2K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 187 | $2K |
| 84436 | <1% | 218 | $2K | |
| 82274 | <1% | 77 | $1K | |
| 84153 | <1% | 59 | $1K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 40 | $1K |
| 84439 | <1% | 108 | $1K | |
| 82043 | <1% | 146 | $874.60 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 23 | $842.08 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 23 | $838.85 |
| 84479 | <1% | 132 | $834.47 | |
| 86592 | <1% | 85 | $381.91 | |
| 80050 | General health panel | <1% | 13 | $128.41 |
| 85730 | <1% | 13 | $83.67 | |
| 85610 | <1% | 13 | $54.88 | |
| 85651 | <1% | 15 | $52.65 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMIRANDA RODRIGUEZ, RICHARD (OWNER)