Medicaid Provider Spending

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

PONCE CLINICAL LABORATORY, INC.

NPI: 1164563243 · PONCE, PR 00716 · Clinical Medical Laboratory · NPI assigned 02/09/2007

$1.89M
Total Medicaid Paid
133,639
Total Claims
117,343
Beneficiaries
74
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROSADO SANTIAGO, GRYCEL (OWNER)
NPI Enumeration Date02/09/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,392 $115K
2019 11,100 $90K
2020 13,806 $193K
2021 28,138 $651K
2022 22,507 $413K
2023 23,486 $254K
2024 20,210 $175K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 10,217 8,720 $401K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 11,949 10,005 $287K
84443 Thyroid stimulating hormone (TSH) 9,482 8,662 $138K
80061 Lipid panel 9,628 8,812 $112K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,904 1,763 $94K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 13,803 12,402 $91K
80053 Comprehensive metabolic panel 9,469 8,608 $87K
86328 3,467 1,766 $69K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,628 2,378 $62K
83036 Hemoglobin; glycosylated (A1C) 5,376 4,901 $43K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 344 300 $39K
0012A 971 950 $37K
0011A 1,194 1,073 $31K
81000 10,442 9,315 $30K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,028 1,052 $25K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 768 656 $24K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 773 663 $24K
84439 3,152 2,879 $23K
80048 Basic metabolic panel (calcium, ionized) 2,976 2,735 $23K
82274 1,505 1,412 $20K
86738 1,654 1,475 $20K
86702 1,780 1,580 $19K
36415 Collection of venous blood by venipuncture 3,172 2,803 $18K
82607 1,504 1,339 $17K
87088 2,217 2,003 $16K
86701 2,015 1,823 $16K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 291 258 $14K
84153 768 698 $12K
82043 2,514 2,317 $11K
0064A 291 286 $10K
87086 Culture, bacterial; quantitative colony count, urine 1,116 1,019 $8K
86592 1,766 1,585 $7K
85730 899 781 $5K
0004A 155 155 $4K
81001 1,233 1,162 $4K
0031A 114 106 $4K
86769 90 54 $4K
85610 1,003 873 $4K
0001A 91 89 $3K
82570 842 788 $3K
0002A 72 70 $3K
87106 253 228 $2K
87186 287 257 $2K
84436 375 351 $2K
85027 461 439 $2K
0013A 67 58 $2K
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge 150 138 $2K
85651 529 497 $2K
82947 431 410 $2K
80074 38 28 $2K
86803 112 90 $1K
87276 130 130 $1K
87275 130 130 $1K
84479 210 186 $1K
85007 261 246 $761.27
87490 22 13 $390.15
86704 36 26 $384.80
86708 36 26 $383.47
86706 39 27 $364.61
83540 59 52 $360.18
0003A 65 48 $320.00
80050 General health panel 32 32 $319.24
87177 44 41 $288.41
84703 43 37 $285.62
84550 82 67 $260.63
87181 49 46 $215.44
87081 33 26 $169.79
86140 24 24 $88.82
82950 19 14 $78.11
3050F 347 280 $0.00
3061F 256 221 $0.00
3048F 1,405 1,182 $0.00
3049F 517 443 $0.00
3044F 1,434 1,234 $0.00