Lab
Cruz Gonzalez, Margarita
Cruz Gonzalez, Margarita was paid $174K by Medicaid between Feb 2018 and Dec 2024, across 29 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 16% of everything it billed.
33Billing provider infoCRUZ GONZALEZ, MARGARITA
ARECIBO, PR 00612
ARECIBO, PR 00612
33aNPI1306016456assigned 03/05/2008
33bProvider typeClinical Medical Laboratory
28Total paid$174K
24GClaims13,829
24DCodes billed29
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Puerto Rico
Rank by total paid#468 of 777
Median peer was paid$278K
This provider vs. median0.6×
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 | 70 | $391.86 | |
| 2019 | 615 | $4K | |
| 2020 | 860 | $8K | |
| 2021 | 1,619 | $23K | |
| 2022 | 2,465 | $46K | |
| 2023 | 3,168 | $37K | |
| 2024incomplete | 5,032 | $55K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 16% | 700 | 598 | $28K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 12% | 902 | 803 | $21K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 11% | 2,698 | 2,346 | $19K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 10% | 350 | 315 | $18K |
| 80061 | Lipid panel | 7.9% | 1,105 | 967 | $14K |
| 84443 | Thyroid stimulating hormone (TSH) | 7.4% | 851 | 737 | $13K |
| 86738 | 4.4% | 548 | 466 | $8K | |
| 80053 | Comprehensive metabolic panel | 3.7% | 681 | 568 | $7K |
| 36415 | Collection of venous blood by venipuncture | 3.7% | 1,137 | 848 | $7K |
| 87275 | 3.7% | 562 | 485 | $6K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 2.5% | 160 | 118 | $4K |
| 81000 | 2.4% | 1,348 | 1,177 | $4K |
17 more codes
| 87276 | 2.3% | 309 | $4K | |
| 83036 | Hemoglobin; glycosylated (A1C) | 2.2% | 407 | $4K |
| 86328 | 2.0% | 194 | $4K | |
| 86710 | 1.8% | 253 | $3K | |
| 80048 | Basic metabolic panel (calcium, ionized) | 1.5% | 322 | $3K |
| 82274 | <1% | 114 | $2K | |
| 86592 | <1% | 257 | $1K | |
| 84436 | <1% | 163 | $1K | |
| 84479 | <1% | 164 | $989.05 | |
| 82043 | <1% | 171 | $953.83 | |
| 80076 | <1% | 117 | $948.62 | |
| 82570 | <1% | 170 | $786.72 | |
| 80074 | <1% | 13 | $605.62 | |
| 87070 | <1% | 70 | $563.58 | |
| 86803 | <1% | 33 | $529.10 | |
| 87088 | <1% | 15 | $115.07 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 15 | $112.18 |
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.