Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Lillian I Rivera Ocasio

Lillian I Rivera Ocasio was paid $546K by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 87635, Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe — 20% of everything it billed.

33Billing provider infoLILLIAN I RIVERA OCASIO
BAYAMON, PR 00959
33aNPI1285038182assigned 10/21/2014
28Total paid$546K
24GClaims37,780
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Puerto Rico

Rank by total paid#233 of 777
Median peer was paid$278K
This provider vs. median2.0×

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
20183,865$37K
20192,934$24K
20204,068$71K
20218,034$167K
20227,598$135K
20237,411$69K
2024incomplete3,870$43K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 20% 2,245 1,908 $109K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 14% 3,163 2,695 $74K
84443 Thyroid stimulating hormone (TSH) 11% 3,554 3,268 $58K
80061 Lipid panel 9.0% 3,761 3,457 $49K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 8.7% 1,099 990 $47K
80053 Comprehensive metabolic panel 7.9% 4,185 3,816 $43K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 7.8% 5,623 5,021 $43K
83036 Hemoglobin; glycosylated (A1C) 4.4% 2,536 2,356 $24K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 3.7% 740 688 $20K
81000 2.6% 4,630 4,212 $14K
82274 2.6% 906 854 $14K
86328 1.7% 536 485 $9K
23 more codes
84436 <1% 786 $5K
36415 Collection of venous blood by venipuncture <1% 596 $4K
87088 <1% 512 $4K
82043 <1% 667 $4K
82607 <1% 248 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 234 $3K
86701 <1% 271 $2K
84153 <1% 146 $2K
84479 <1% 400 $2K
84439 <1% 241 $2K
86738 <1% 110 $2K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 42 $1K
86592 <1% 263 $1K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 31 $994.24
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 29 $917.76
80048 Basic metabolic panel (calcium, ionized) <1% 104 $732.31
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 16 $341.12
84702 <1% 13 $213.33
82746 <1% 14 $192.24
82570 <1% 36 $135.36
83540 <1% 13 $84.72
84550 <1% 16 $67.68
85651 <1% 14 $50.09

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.

From NPPES

Who's on the registration

Authorized officialRIVERA OCASIO, LILLIAN (ADMINISTRATOR)