Medicaid Provider Spending

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

LABORATORIO TERESITA LLC

NPI: 1205592854 · VEGA BAJA, PR 00693 · Clinical Medical Laboratory · NPI assigned 11/09/2021

$67K
Total Medicaid Paid
5,421
Total Claims
4,941
Beneficiaries
15
Codes Billed
2022-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGONZALEZ, JESSICA (PRESIDENTA)
NPI Enumeration Date11/09/2021

Related Entities

Other providers sharing the same authorized official: GONZALEZ, JESSICA

ProviderCityStateTotal Paid
LABORATORIO TERESITA BAYAMON PR $1.32M
LABORATORIO TERESITA VEGA ALTA PR $645K
LABORATORIO TERESITA DORADO PR $10K
LABORATORIO TERESITA LLC TRUJILLO ALTO PR $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 697 $16K
2023 2,350 $26K
2024 2,374 $25K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 416 397 $17K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 608 405 $10K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 995 917 $7K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 305 288 $6K
84443 Thyroid stimulating hormone (TSH) 423 403 $6K
86738 395 377 $5K
80053 Comprehensive metabolic panel 468 440 $4K
80061 Lipid panel 349 332 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 34 33 $2K
81000 532 500 $2K
83036 Hemoglobin; glycosylated (A1C) 154 148 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 44 42 $1K
36415 Collection of venous blood by venipuncture 408 383 $1K
82274 29 29 $461.65
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 261 247 $0.00