Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Grupo Clinico Del Norte CSP

Grupo Clinico Del Norte CSP was paid $119K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 84443, Thyroid stimulating hormone (TSH) — 30% of everything it billed.

33Billing provider infoGRUPO CLINICO DEL NORTE CSP
VEGA ALTA, PR 00692
33aNPI1104098896assigned 04/02/2008
28Total paid$119K
24GClaims12,013
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Puerto Rico

Rank by total paid#516 of 777
Median peer was paid$278K
This provider vs. median0.4×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20181,247$14K
20192,002$18K
20201,331$13K
20211,687$17K
20221,403$14K
20231,498$15K
2024incomplete2,845$28K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
84443 Thyroid stimulating hormone (TSH) 30% 2,099 1,832 $35K
80061 Lipid panel 22% 1,954 1,701 $26K
80053 Comprehensive metabolic panel 17% 1,853 1,644 $20K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 15% 2,292 1,954 $18K
83036 Hemoglobin; glycosylated (A1C) 6.5% 806 678 $8K
81001 4.6% 1,642 1,415 $5K
81000 1.3% 447 402 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1.1% 54 39 $1K
85027 <1% 145 141 $909.76
36415 Collection of venous blood by venipuncture <1% 398 342 $797.58
80048 Basic metabolic panel (calcium, ionized) <1% 86 55 $637.12
82043 <1% 100 71 $522.50
6 more codes
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 15 $322.66
86701 <1% 38 $267.67
80076 <1% 22 $175.66
82270 <1% 28 $85.60
82570 <1% 19 $77.74
86592 <1% 15 $38.23

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialGONZALEZ, MILAGROS (PRESIDENT SUPERVISOR)
Same official

Other billing entities under GONZALEZ, MILAGROS

Full network →
ProviderLocationPaid
Laboratorio Clinico Bacteriologico Lares INCLares, PR$344K
Grupo Clinico Del Norte CSPVega Baja, PR$275K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.