Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Montes, Liza

Montes, Liza was paid $237K by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 23% of everything it billed.

33Billing provider infoMONTES, LIZA
YAUCO, PR 00698
33aNPI1205261112assigned 09/10/2013
28Total paid$237K
24GClaims19,176
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Puerto Rico

Rank by total paid#428 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$10K$20K$30K2018201920202021202220232024
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
20181,817$16K
20191,644$13K
20201,117$9K
20212,925$34K
20225,317$97K
20233,551$39K
2024incomplete2,805$30K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 23% 1,339 1,176 $55K
84443 Thyroid stimulating hormone (TSH) 14% 2,237 2,088 $33K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 13% 1,253 1,096 $30K
80061 Lipid panel 12% 2,085 1,953 $27K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 10% 3,543 3,222 $24K
80053 Comprehensive metabolic panel 7.0% 1,786 1,663 $17K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 5.3% 465 442 $13K
81000 3.8% 2,906 2,681 $9K
83036 Hemoglobin; glycosylated (A1C) 3.5% 889 828 $8K
87088 2.0% 612 576 $5K
87086 Culture, bacterial; quantitative colony count, urine 1.9% 608 572 $4K
82043 1.4% 614 557 $3K
13 more codes
84439 <1% 247 $2K
80048 Basic metabolic panel (calcium, ionized) <1% 269 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 105 $1K
86328 <1% 39 $680.49
82274 <1% 43 $661.48
86738 <1% 29 $396.73
82607 <1% 15 $221.50
36415 Collection of venous blood by venipuncture <1% 28 $144.72
80050 General health panel <1% 12 $112.34
82570 <1% 16 $85.38
85730 <1% 12 $72.74
84550 <1% 12 $52.71
85610 <1% 12 $46.82

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.