Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Prymed Medical Care INC

Prymed Medical Care INC was paid $824K by Medicaid between Jan 2018 and Oct 2024, across 61 billing codes. Its largest line is 84443, Thyroid stimulating hormone (TSH) — 15% of everything it billed.

33Billing provider infoPRYMED MEDICAL CARE INC
VEGA BAJA, PR 00693
33aNPI1174914154assigned 02/11/2015
28Total paid$824K
24GClaims79,947
24DCodes billed61
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Puerto Rico

Rank by total paid#158 of 777
Median peer was paid$278K
This provider vs. median3.0×

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$20K$40K2018201920202021202220232024
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
20186,886$65K
20196,334$65K
20206,908$69K
202115,386$158K
202214,603$172K
202315,481$153K
2024incomplete14,349$143K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
84443 Thyroid stimulating hormone (TSH) 15% 8,068 7,616 $126K
80061 Lipid panel 12% 7,945 7,544 $99K
80053 Comprehensive metabolic panel 10% 8,774 8,314 $86K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 8.9% 10,100 9,497 $73K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 6.5% 2,123 2,009 $54K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 5.1% 1,023 988 $42K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 4.9% 1,675 1,551 $40K
83036 Hemoglobin; glycosylated (A1C) 4.6% 4,248 4,035 $38K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4.0% 667 623 $33K
84439 3.6% 3,136 2,961 $30K
36415 Collection of venous blood by venipuncture 2.8% 9,784 8,905 $23K
82274 2.7% 1,533 1,430 $22K
49 more codes
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2.1% 567 $18K
81001 1.9% 4,766 $16K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1.8% 667 $15K
87590 1.5% 634 $12K
81000 1.4% 3,837 $11K
86580 1.2% 1,346 $10K
86592 1.1% 2,273 $9K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1.1% 174 $9K
84153 <1% 463 $8K
87088 <1% 916 $7K
87485 <1% 256 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 232 $4K
86738 <1% 213 $3K
86701 <1% 247 $2K
86800 <1% 147 $2K
87177 <1% 182 $2K
80074 <1% 45 $2K
87070 <1% 256 $2K
80048 Basic metabolic panel (calcium, ionized) <1% 253 $2K
82947 <1% 560 $2K
82043 <1% 289 $2K
87899 <1% 150 $2K
82044 <1% 391 $2K
86803 <1% 112 $1K
87490 <1% 65 $1K
82570 <1% 223 $1K
86703 <1% 88 $1K
86790 <1% 79 $950.81
84403 <1% 39 $949.64
83655 <1% 72 $936.49
83001 <1% 52 $921.43
86376 <1% 61 $817.72
85651 <1% 248 $808.98
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 21 $673.50
80069 <1% 71 $484.96
85730 <1% 80 $462.45
86038 <1% 40 $441.44
82607 <1% 28 $414.94
85610 <1% 92 $349.86
87276 <1% 16 $212.60
87275 <1% 16 $212.60
82950 <1% 43 $196.75
85018 <1% 67 $104.67
82270 <1% 32 $93.00
83540 <1% 13 $81.99
84550 <1% 12 $54.69
86140 <1% 14 $48.54
84479 <1% 147 $44.07
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 276 $0.09

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 officialVEGA, MARISOL (FINANCE DIRECTOR)