Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Lab

Edgardo Roman

Edgardo Roman was paid $239K by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 20% of everything it billed.

33Billing provider infoEDGARDO ROMAN
TOA BAJA, PR 00949
33aNPI1164586483assigned 12/21/2006
28Total paid$239K
24GClaims19,050
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Puerto Rico

Rank by total paid#425 of 777
Median peer was paid$278K
This provider vs. median0.9×

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$5.0K$10K$15K2018201920202021202220232024
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
20182,019$19K
20191,283$12K
20201,860$22K
20213,992$62K
20224,106$60K
20233,485$39K
2024incomplete2,305$26K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 20% 1,085 1,016 $47K
84443 Thyroid stimulating hormone (TSH) 13% 2,147 2,092 $32K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 12% 1,178 1,091 $29K
80061 Lipid panel 10% 2,057 1,996 $24K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 10% 3,487 3,282 $24K
80053 Comprehensive metabolic panel 9.1% 2,308 2,210 $22K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4.8% 225 213 $11K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 4.2% 449 435 $10K
83036 Hemoglobin; glycosylated (A1C) 3.5% 989 960 $8K
81001 3.1% 2,518 2,416 $7K
86328 2.6% 339 309 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2.3% 446 277 $5K
12 more codes
86738 1.7% 331 $4K
36415 Collection of venous blood by venipuncture 1.5% 945 $4K
82274 <1% 94 $1K
82044 <1% 216 $853.95
84436 <1% 93 $624.64
87276 <1% 36 $355.80
87275 <1% 36 $355.80
84153 <1% 12 $228.05
82607 <1% 13 $197.19
84439 <1% 20 $196.40
87899 <1% 14 $142.32
84479 <1% 12 $76.67

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 officialVAZQUEZ BOLORIN, BRENDA (MEDICAL TECNOLOGIST)