Medicaid Provider Spending

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

LABORATORO CLINICO EXPRESO TRUJILLO ALTO INC

NPI: 1174500698 · SAN JUAN, PR 00926 · Clinical Medical Laboratory · NPI assigned 12/27/2005

$423K
Total Medicaid Paid
32,090
Total Claims
29,206
Beneficiaries
38
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARDONA, EDWIN (PRESIDENT)
NPI Enumeration Date12/27/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,600 $22K
2019 2,721 $21K
2020 2,942 $37K
2021 5,978 $126K
2022 5,093 $92K
2023 6,675 $65K
2024 6,081 $60K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,336 1,208 $66K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,470 2,135 $66K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,247 1,067 $44K
84443 Thyroid stimulating hormone (TSH) 3,322 3,121 $44K
80061 Lipid panel 3,213 3,007 $41K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 5,410 4,826 $33K
80053 Comprehensive metabolic panel 3,674 3,398 $32K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 727 661 $23K
83036 Hemoglobin; glycosylated (A1C) 1,744 1,631 $16K
81000 3,856 3,546 $12K
84439 1,229 1,121 $11K
82274 402 348 $6K
80050 General health panel 179 179 $5K
87088 565 518 $4K
36415 Collection of venous blood by venipuncture 946 822 $3K
86328 130 123 $2K
86738 118 98 $2K
86701 208 178 $2K
80048 Basic metabolic panel (calcium, ionized) 235 221 $2K
87276 106 102 $2K
87275 106 102 $2K
82044 255 228 $1K
87490 45 40 $886.37
87425 53 53 $722.62
81001 141 139 $480.50
86790 14 13 $402.90
86592 101 85 $402.69
82570 73 64 $361.74
87590 15 14 $289.20
84153 19 14 $285.93
85027 40 40 $184.96
85651 25 24 $92.16
85730 14 12 $79.52
85610 14 12 $55.57
84460 12 12 $52.42
84450 12 12 $51.21
82947 14 14 $43.09
86769 20 18 $0.00