PACHECO, ILUMINADE
NPI: 1114901899
· SABANA GRANDE, PR 00637
· Medical Laboratory Technician
· NPI assigned 12/06/2005
$342.22
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
52 |
$342.22 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
| 80061 |
Lipid panel |
14 |
14 |
$225.28 |
| 81000 |
|
16 |
16 |
$60.84 |
| 36415 |
Collection of venous blood by venipuncture |
22 |
22 |
$56.10 |