Medicaid Provider Spending

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

LAB CLINICO Y BACTERIOLOGICO EBENEZER

NPI: 1275719874 · AGUADILLA, PR 00603 · Clinical Medical Laboratory · NPI assigned 01/14/2008

Deactivated NPI · This NPI was deactivated on 07/22/2008. Reactivated 06/24/2015.
$36K
Total Medicaid Paid
3,967
Total Claims
3,866
Beneficiaries
10
Codes Billed
2018-11
First Month
2024-05
Last Month

Provider Details

Authorized OfficialNIEVES, MARIA (OWNER)
NPI Enumeration Date01/14/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 162 $1K
2019 780 $7K
2020 621 $6K
2021 570 $5K
2022 695 $6K
2023 699 $6K
2024 440 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
84443 Thyroid stimulating hormone (TSH) 686 672 $10K
80061 Lipid panel 635 627 $8K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,100 1,055 $7K
80053 Comprehensive metabolic panel 680 661 $6K
81000 710 695 $2K
83036 Hemoglobin; glycosylated (A1C) 100 100 $882.95
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 12 12 $338.76
82274 17 17 $217.59
84439 12 12 $87.88
82043 15 15 $86.00