Stuart, Nelson

Stuart, Nelson was paid $186K by Medicaid between Jan 2018 and Aug 2022, across 21 billing codes. Its largest line is 84443, Thyroid stimulating hormone (TSH) — 20% of everything it billed.

33Billing provider infoSTUART, NELSON
TOA ALTA, PR 00953

33aNPI1245498021assigned 05/28/2008

33bProvider typeClinical Medical Laboratory

28Total paid$186K

24GClaims18,709

24DCodes billed21

24AFirst – last monthJan 2018 – Aug 2022

Compared with peers

Next to other Clinical Medical Laboratory providers in Puerto Rico

Rank by total paid#461 of 777

Median peer was paid$278K

This provider vs. median0.7×

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

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

Year	Claims	Paid
2018	3,941	$38K
2019	3,600	$34K
2020	3,466	$36K
2021	4,316	$42K
2022	3,386	$37K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
84443	Thyroid stimulating hormone (TSH)	20%	2,261	2,195	$38K
80061	Lipid panel	15%	2,088	2,031	$28K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	14%	3,441	3,223	$26K
80053	Comprehensive metabolic panel	13%	2,372	2,280	$25K
83719		12%	1,864	1,810	$22K
83036	Hemoglobin; glycosylated (A1C)	5.4%	1,038	1,011	$10K
81000		5.1%	3,010	2,862	$10K
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	3.4%	221	219	$6K
82274		2.8%	330	324	$5K
86701		2.7%	554	528	$5K
87088		1.5%	359	341	$3K
82570		1.0%	362	355	$2K

9 more codes

84439		<1%	137	$1K
82043		<1%	215	$1K
84436		<1%	112	$776.30
84153		<1%	38	$726.50
84479		<1%	106	$670.96
80048	Basic metabolic panel (calcium, ionized)	<1%	89	$648.24
86592		<1%	74	$308.27
87490		<1%	14	$306.04
36415	Collection of venous blood by venipuncture	<1%	24	$61.59

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.