Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LABORATORIO CLINICO VICTORIA INC

NPI: 1043460702 · BAYAMON, PR 00956 · Clinical Medical Laboratory · NPI assigned 09/30/2008

$628K
Total Medicaid Paid
42,607
Total Claims
39,298
Beneficiaries
38
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialORTIZ, JOLLY (DIRECTOR)
NPI Enumeration Date09/30/2008

Related Entities

Other providers sharing the same authorized official: ORTIZ, JOLLY

ProviderCityStateTotal Paid
LABORATORIO CLINICO JOLLYMAR INC TOA ALTA PR $2.26M
LABORATORIO CLINICO AQUARIUM INC TOA ALTA PR $1.32M
LABORATORIO CLINICO MARTIN INC BAYAMON PR $1.10M
LABORATORIO CLINICO JOLLYMAR INC DORADO PR $382K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,254 $29K
2019 3,640 $33K
2020 5,267 $73K
2021 7,737 $147K
2022 9,481 $182K
2023 7,421 $93K
2024 5,807 $72K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,990 2,660 $125K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,610 3,220 $87K
84443 Thyroid stimulating hormone (TSH) 3,860 3,625 $61K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,087 1,034 $54K
80061 Lipid panel 3,641 3,398 $48K
80053 Comprehensive metabolic panel 4,357 4,045 $44K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4,216 3,831 $31K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,043 958 $29K
83036 Hemoglobin; glycosylated (A1C) 1,682 1,567 $16K
81000 4,820 4,449 $15K
86328 732 683 $13K
85027 2,050 1,951 $13K
86738 873 819 $12K
86701 1,314 1,229 $12K
87276 867 820 $10K
87275 848 801 $10K
84439 858 803 $8K
82274 443 408 $7K
36415 Collection of venous blood by venipuncture 824 765 $6K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 106 98 $4K
86803 231 226 $3K
87400 250 105 $3K
82043 476 439 $3K
87086 Culture, bacterial; quantitative colony count, urine 308 283 $2K
86780 151 141 $2K
84436 260 255 $2K
87590 72 71 $1K
87177 92 92 $1K
87088 142 130 $1K
84479 155 152 $973.83
87899 20 18 $379.00
82570 58 57 $323.80
86592 64 64 $283.12
84153 12 12 $235.65
85651 53 50 $190.36
83655 14 14 $179.22
80050 General health panel 13 13 $120.41
80048 Basic metabolic panel (calcium, ionized) 15 12 $120.10