Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Luis M Morales Seda

Luis M Morales Seda was paid $146K by Medicaid between Jan 2018 and Oct 2024, across 21 billing codes. Its largest line is 84443, Thyroid stimulating hormone (TSH) — 19% of everything it billed.

33Billing provider infoLUIS M MORALES SEDA
ARECIBO, PR 00612
33aNPI1114103538assigned 01/16/2008
28Total paid$146K
24GClaims14,211
24DCodes billed21
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Puerto Rico

Rank by total paid#499 of 777
Median peer was paid$278K
This provider vs. median0.5×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
20181,961$18K
20191,603$14K
20202,260$21K
20212,721$27K
20222,238$30K
20232,106$21K
2024incomplete1,322$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
84443 Thyroid stimulating hormone (TSH) 19% 1,803 1,738 $27K
80061 Lipid panel 17% 1,917 1,853 $24K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 14% 2,892 2,679 $20K
80053 Comprehensive metabolic panel 14% 2,110 2,005 $20K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 8.0% 424 405 $12K
83036 Hemoglobin; glycosylated (A1C) 6.5% 1,039 998 $10K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 5.0% 177 172 $7K
81000 4.6% 2,264 2,146 $7K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3.8% 229 214 $6K
82274 3.4% 320 306 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.2% 35 32 $2K
84436 <1% 189 182 $1K
9 more codes
82043 <1% 205 $1K
84479 <1% 179 $1K
36415 Collection of venous blood by venipuncture <1% 265 $771.55
82378 <1% 30 $570.50
86738 <1% 29 $374.42
82607 <1% 24 $343.29
84153 <1% 33 $295.30
87088 <1% 24 $154.03
87086 Culture, bacterial; quantitative colony count, urine <1% 23 $133.94

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 officialCABRERA, SYLVIA (OWNER)