Medicaid Provider Spending

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

LABORATORIO CLINICO SAN ANTONIO

NPI: 1063665743 · QUEBRADILLAS, PR 00678 · Clinical Medical Laboratory · NPI assigned 10/28/2008

$61K
Total Medicaid Paid
7,219
Total Claims
7,085
Beneficiaries
22
Codes Billed
2018-01
First Month
2018-10
Last Month

Provider Details

Authorized OfficialVELEZ, OMAYRA (OWNER)
NPI Enumeration Date10/28/2008

Related Entities

Other providers sharing the same authorized official: VELEZ, OMAYRA

ProviderCityStateTotal Paid
LCSA LLC QUEBRADILLAS PR $1.06M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,219 $61K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
84443 Thyroid stimulating hormone (TSH) 822 817 $13K
80061 Lipid panel 788 787 $10K
80053 Comprehensive metabolic panel 905 893 $9K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,197 1,168 $8K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 138 138 $3K
83036 Hemoglobin; glycosylated (A1C) 394 394 $3K
82274 197 195 $3K
81000 992 976 $3K
36415 Collection of venous blood by venipuncture 904 853 $2K
84153 84 83 $1K
87186 145 138 $1K
82043 153 152 $869.20
87088 98 96 $714.18
87086 Culture, bacterial; quantitative colony count, urine 92 90 $591.04
84479 104 103 $538.80
87276 39 37 $513.65
87275 39 37 $513.65
80048 Basic metabolic panel (calcium, ionized) 39 39 $309.84
84436 47 47 $284.35
82378 12 12 $211.08
84439 15 15 $145.30
85651 15 15 $45.32