Medicaid Provider Spending

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

LABORATORIO CLINICO DOMUS CORP

NPI: 1083313860 · CAMUY, PR 00627 · Clinical Medical Laboratory · NPI assigned 03/01/2023

$69K
Total Medicaid Paid
6,805
Total Claims
6,517
Beneficiaries
28
Codes Billed
2023-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCRUZ, IVETTE (PRESIDENT)
NPI Enumeration Date03/01/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 1,784 $15K
2024 5,021 $54K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
84443 Thyroid stimulating hormone (TSH) 667 648 $11K
80061 Lipid panel 656 638 $8K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,021 967 $7K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 263 253 $7K
80053 Comprehensive metabolic panel 721 686 $7K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 161 155 $6K
83036 Hemoglobin; glycosylated (A1C) 467 454 $4K
82274 149 144 $2K
36415 Collection of venous blood by venipuncture 846 798 $2K
82607 109 108 $2K
81001 462 445 $1K
86738 103 100 $1K
82043 187 180 $1K
87276 88 85 $1K
87275 88 85 $1K
84439 109 107 $1K
86703 84 82 $954.93
81000 249 228 $885.10
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 38 29 $712.34
84153 39 36 $697.52
80074 13 13 $612.14
84436 90 88 $564.08
86803 27 26 $358.28
84479 66 63 $348.44
80048 Basic metabolic panel (calcium, ionized) 31 30 $261.21
82570 29 28 $145.76
86592 29 29 $115.01
85651 13 12 $33.80