Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Ponce Advance Medical Group, LLC

Ponce Advance Medical Group, LLC was paid $63K by Medicaid between Sep 2023 and Nov 2024, across 22 billing codes. Its largest line is 84443, Thyroid stimulating hormone (TSH) — 12% of everything it billed.

33Billing provider infoPONCE ADVANCE MEDICAL GROUP, LLC
PONCE, PR 00717
33aNPI1346950672assigned 11/28/2022
28Total paid$63K
24GClaims5,189
24DCodes billed22
24AFirst – last monthSep 2023 – Nov 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Puerto Rico

Rank by total paid#593 of 777
Median peer was paid$278K
This provider vs. median0.2×

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$5.0K$10K2018201920202021202220232024
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
20231,081$10K
2024incomplete4,108$53K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
84443 Thyroid stimulating hormone (TSH) 12% 466 437 $7K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 11% 180 178 $7K
80061 Lipid panel 9.8% 494 459 $6K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 8.7% 160 160 $6K
36415 Collection of venous blood by venipuncture 8.5% 843 762 $5K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 7.8% 144 144 $5K
80053 Comprehensive metabolic panel 7.8% 495 444 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 7.5% 297 168 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 7.2% 650 605 $5K
87390 5.8% 167 165 $4K
86738 3.3% 165 163 $2K
83036 Hemoglobin; glycosylated (A1C) 3.3% 216 210 $2K
10 more codes
81001 2.3% 501 $1K
82274 1.5% 62 $974.73
84153 1.1% 38 $677.03
86592 <1% 126 $526.74
82043 <1% 54 $307.84
87177 <1% 35 $278.18
84439 <1% 30 $272.58
82570 <1% 28 $138.54
82947 <1% 25 $98.67
85027 <1% 13 $83.49

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 officialORTIZ RANGEL, JULIA (PRESIDENT)