LABORATORIO SAN RAFAEL QUEBRADILLAS, INC.
NPI: 1093051393
· QUEBRADILLAS, PR 00678
· 291U00000X
$1.15M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12,270 |
$110K |
| 2019 |
9,939 |
$89K |
| 2020 |
13,428 |
$165K |
| 2021 |
25,556 |
$447K |
| 2022 |
7,510 |
$135K |
| 2023 |
8,609 |
$93K |
| 2024 |
10,111 |
$109K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87426 |
|
4,372 |
3,796 |
$182K |
| G2023 |
Specimen collect covid-19 |
5,560 |
4,727 |
$135K |
| 84443 |
|
6,979 |
6,650 |
$110K |
| 80061 |
|
7,002 |
6,653 |
$88K |
| 85025 |
|
11,450 |
10,508 |
$83K |
| 80053 |
|
7,598 |
7,153 |
$75K |
| 82306 |
|
2,696 |
2,578 |
$74K |
| U0002 |
Covid-19 lab test non-cdc |
1,196 |
1,088 |
$61K |
| 86328 |
|
1,833 |
1,711 |
$47K |
| 83036 |
|
5,060 |
4,810 |
$46K |
| 87804 |
|
1,531 |
1,091 |
$26K |
| 36415 |
|
5,026 |
4,522 |
$25K |
| 81000 |
|
8,544 |
8,055 |
$25K |
| 82274 |
|
1,626 |
1,535 |
$24K |
| 87635 |
|
310 |
293 |
$16K |
| 82043 |
|
2,488 |
2,356 |
$14K |
| 86738 |
|
1,037 |
942 |
$14K |
| 84439 |
|
1,324 |
1,272 |
$12K |
| 82607 |
|
849 |
816 |
$12K |
| 82570 |
|
2,640 |
2,499 |
$12K |
| 80048 |
|
1,419 |
1,320 |
$11K |
| 84153 |
|
605 |
570 |
$10K |
| 87088 |
|
775 |
729 |
$6K |
| 86703 |
|
517 |
495 |
$6K |
| 84436 |
|
857 |
813 |
$5K |
| 84479 |
|
865 |
816 |
$5K |
| 87086 |
|
649 |
608 |
$5K |
| 82378 |
|
208 |
195 |
$4K |
| 87591 |
|
102 |
102 |
$3K |
| 87491 |
|
102 |
102 |
$3K |
| 85651 |
|
586 |
537 |
$2K |
| 80076 |
|
262 |
257 |
$2K |
| 86592 |
|
376 |
359 |
$2K |
| 85730 |
|
205 |
190 |
$1K |
| 85610 |
|
280 |
249 |
$1K |
| 86301 |
|
31 |
18 |
$613.42 |
| 86140 |
|
148 |
139 |
$588.59 |
| P9604 |
One-way allow prorated trip |
35 |
29 |
$447.76 |
| 86038 |
|
25 |
25 |
$287.23 |
| 82947 |
|
60 |
54 |
$205.42 |
| 86376 |
|
13 |
12 |
$169.10 |
| 86225 |
|
13 |
13 |
$164.01 |
| 86430 |
|
29 |
25 |
$141.11 |
| 84156 |
|
16 |
12 |
$60.50 |
| 99211 |
|
124 |
122 |
$0.00 |