Medicaid Provider Spending

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

VINCENTE CALDERON RODRIGUEZ

NPI: 1336223189 · TOA BAJA, PR 00949 · Clinical Medical Laboratory · NPI assigned 10/25/2006

$22K
Total Medicaid Paid
2,483
Total Claims
2,166
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialALICEA, ELIZABETH (DIRECTOR)
NPI Enumeration Date10/25/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 351 $2K
2019 391 $2K
2020 176 $640.28
2023 860 $11K
2024 705 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,365 1,095 $9K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 90 88 $4K
80053 Comprehensive metabolic panel 259 250 $3K
86738 76 74 $1K
81000 381 351 $1K
87276 84 82 $1K
84443 Thyroid stimulating hormone (TSH) 55 55 $894.49
80061 Lipid panel 72 72 $854.66
87275 64 62 $747.18
83615 25 25 $159.98
83036 Hemoglobin; glycosylated (A1C) 12 12 $113.72