Medicaid Provider Spending

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

LABORATORIO CLINICO Y DE REFERENCIA DE FAJARDO, INC.

NPI: 1063636546 · VIEQUES, PR 00765 · Clinical Medical Laboratory · NPI assigned 04/13/2007

$76K
Total Medicaid Paid
11,586
Total Claims
10,165
Beneficiaries
36
Codes Billed
2021-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTORRES, SEVERINO (DIRECTOR)
Parent OrganizationLABORATORIO CLINICO Y DE REFERENCIA DE FAJARDO, INC
NPI Enumeration Date04/13/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 14 $325.00
2022 53 $1K
2024 11,519 $74K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,904 1,636 $10K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 607 311 $10K
84443 Thyroid stimulating hormone (TSH) 1,046 935 $9K
80061 Lipid panel 1,031 934 $7K
80053 Comprehensive metabolic panel 1,213 1,091 $7K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 119 112 $4K
86738 334 298 $4K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 117 106 $3K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 116 105 $3K
80048 Basic metabolic panel (calcium, ionized) 405 350 $3K
84439 521 473 $3K
82274 241 224 $3K
81001 1,322 1,184 $2K
80074 51 49 $2K
86703 122 110 $1K
84153 117 112 $1K
87086 Culture, bacterial; quantitative colony count, urine 100 92 $686.85
85027 127 117 $653.55
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 27 27 $650.00
84479 290 272 $569.36
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 13 13 $530.36
85730 90 75 $463.26
86592 151 139 $444.67
85610 90 75 $328.90
83036 Hemoglobin; glycosylated (A1C) 448 408 $314.81
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 39 32 $296.00
87276 13 13 $160.70
87275 13 13 $122.50
85651 52 48 $118.49
84703 14 12 $82.72
86701 12 12 $68.90
86140 13 12 $51.80
82570 165 155 $30.84
82043 206 187 $28.63
3061F 154 141 $0.00
3044F 303 292 $0.00