Medicaid Provider Spending

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

LABORATORIO CLINICO OTOAO LLC

NPI: 1104430883 · UTUADO, PR 00641 · Clinical Medical Laboratory · NPI assigned 09/01/2020

$677K
Total Medicaid Paid
45,699
Total Claims
41,591
Beneficiaries
42
Codes Billed
2021-03
First Month
2024-10
Last Month

Provider Details

Authorized OfficialNIEVES, JOHANNA (OWNER)
NPI Enumeration Date09/01/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 11,002 $216K
2022 8,472 $174K
2023 11,372 $110K
2024 14,853 $177K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 5,203 4,626 $205K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 4,778 4,199 $112K
84443 Thyroid stimulating hormone (TSH) 3,581 3,311 $52K
80061 Lipid panel 3,404 3,150 $40K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 5,054 4,542 $33K
80053 Comprehensive metabolic panel 3,628 3,317 $33K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,266 1,179 $33K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 552 511 $27K
83036 Hemoglobin; glycosylated (A1C) 2,141 1,992 $18K
82274 1,019 958 $14K
86738 991 910 $12K
87276 985 938 $12K
81000 4,146 3,778 $11K
87275 981 935 $11K
80074 194 172 $8K
82607 603 568 $8K
82043 1,460 1,358 $8K
84153 358 319 $6K
86701 628 576 $5K
85027 752 657 $5K
84439 457 406 $4K
80048 Basic metabolic panel (calcium, ionized) 511 462 $4K
87088 412 376 $3K
82570 509 460 $2K
84436 309 297 $2K
84479 317 277 $2K
36415 Collection of venous blood by venipuncture 227 208 $1K
84480 91 88 $1K
86328 54 53 $1K
82947 252 244 $784.67
85651 240 217 $757.07
85730 101 85 $575.29
86592 152 139 $557.96
85610 102 86 $379.98
87086 Culture, bacterial; quantitative colony count, urine 45 25 $314.10
81001 73 72 $252.58
83525 24 24 $242.84
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 42 28 $149.17
86803 12 12 $126.32
86140 21 12 $76.90
82565 12 12 $54.45
84520 12 12 $41.98