Dominguez, Felipe

Dominguez, Felipe was paid $9K by Medicaid between Jan 2022 and Mar 2023, across 28 billing codes. Its largest line is U0003, Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r — 36% of everything it billed.

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
2022	2,066	$9K
2023	1,892	$0.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	36%	36	27	$3K
87481		14%	135	93	$1K
U0005	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2	6.5%	34	25	$550.00
87529		6.1%	173	118	$516.78
87653		3.6%	153	109	$308.23
87532		3.6%	157	113	$305.37
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	3.6%	154	110	$305.37
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	3.6%	165	117	$305.37
87798	Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism	3.6%	138	90	$305.37
87641		3.3%	154	110	$284.52
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	3.3%	163	116	$281.88
87496		3.3%	171	124	$281.88

16 more codes

87511		3.0%	130	$258.39
87661	Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe	2.8%	148	$234.90
87088		<1%	173	$78.00
87500		<1%	107	$41.07
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	21	$29.56
84443	Thyroid stimulating hormone (TSH)	<1%	183	$28.46
80053	Comprehensive metabolic panel	<1%	244	$25.43
87640		<1%	123	$23.71
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	270	$19.50
82607		<1%	111	$12.19
P9604	Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge	<1%	292	$0.10
83036	Hemoglobin; glycosylated (A1C)	0%	56	$0.00
36415	Collection of venous blood by venipuncture	0%	257	$0.00
84439		0%	88	$0.00
87150		0%	109	$0.00
87186		0%	13	$0.00

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.