Medicaid Provider Spending

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

NORTHWESTERN MEDICAL LAB INC

NPI: 1124234422 · AGUADILLA, PR 00603 · Clinical Medical Laboratory · NPI assigned 05/15/2007

$155K
Total Medicaid Paid
11,782
Total Claims
11,187
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMENDEZ, MARISOL (PRESIDENT)
NPI Enumeration Date05/15/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,630 $17K
2019 1,082 $10K
2020 1,393 $20K
2021 2,123 $36K
2022 2,132 $35K
2023 2,010 $21K
2024 1,412 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 870 802 $37K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 954 881 $23K
80061 Lipid panel 1,379 1,335 $18K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,262 2,156 $17K
84443 Thyroid stimulating hormone (TSH) 843 812 $13K
80053 Comprehensive metabolic panel 1,069 1,025 $11K
82274 445 425 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 131 129 $7K
81000 1,526 1,466 $5K
83036 Hemoglobin; glycosylated (A1C) 326 314 $3K
87276 212 205 $3K
86328 133 129 $3K
87275 213 206 $2K
36415 Collection of venous blood by venipuncture 504 460 $2K
82043 257 238 $2K
82570 253 232 $1K
80048 Basic metabolic panel (calcium, ionized) 130 122 $1K
84702 31 25 $475.89
87400 19 19 $426.96
86738 17 17 $232.93
87335 13 13 $30.14
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 195 176 $0.00