Lab
Margarita Cruz Gonzalez
Margarita Cruz Gonzalez was paid $421K by Medicaid between Jan 2018 and Jul 2024, across 33 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 16% of everything it billed.
33Billing provider infoMARGARITA CRUZ GONZALEZ
ARECIBO, PR 00612
ARECIBO, PR 00612
33aNPI1356483226assigned 02/13/2007
33bProvider typeClinical Medical Laboratory
28Total paid$421K
24GClaims34,912
24DCodes billed33
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Puerto Rico
Rank by total paid#298 of 777
Median peer was paid$278K
This provider vs. median1.5×
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 | 1,925 | $15K | |
| 2019 | 1,728 | $13K | |
| 2020 | 3,329 | $32K | |
| 2021 | 6,171 | $84K | |
| 2022 | 7,861 | $127K | |
| 2023 | 8,917 | $93K | |
| 2024incomplete | 4,981 | $57K |
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% | 1,613 | 1,527 | $66K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 13% | 1,090 | 1,009 | $55K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 11% | 1,957 | 1,767 | $46K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 9.0% | 5,306 | 5,012 | $38K |
| 84443 | Thyroid stimulating hormone (TSH) | 6.9% | 1,891 | 1,861 | $29K |
| 80061 | Lipid panel | 6.0% | 2,048 | 2,017 | $25K |
| 87275 | 4.2% | 1,391 | 1,369 | $18K | |
| 86738 | 4.0% | 1,372 | 1,346 | $17K | |
| 36415 | Collection of venous blood by venipuncture | 3.8% | 5,506 | 5,154 | $16K |
| 86328 | 3.5% | 556 | 510 | $15K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 3.1% | 493 | 490 | $13K |
| 80053 | Comprehensive metabolic panel | 2.7% | 1,202 | 1,173 | $11K |
21 more codes
| 80048 | Basic metabolic panel (calcium, ionized) | 2.6% | 1,441 | $11K |
| 86710 | 2.4% | 814 | $10K | |
| 87276 | 1.8% | 582 | $7K | |
| 81000 | 1.7% | 2,558 | $7K | |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.7% | 826 | $7K |
| 80076 | 1.6% | 917 | $7K | |
| 86592 | <1% | 1,016 | $4K | |
| 82274 | <1% | 259 | $4K | |
| 84436 | <1% | 419 | $2K | |
| 84479 | <1% | 396 | $2K | |
| 82043 | <1% | 353 | $2K | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 33 | $2K |
| 82570 | <1% | 356 | $2K | |
| 87186 | <1% | 104 | $751.47 | |
| 87070 | <1% | 95 | $706.02 | |
| 87088 | <1% | 103 | $694.96 | |
| 87899 | <1% | 57 | $667.52 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 103 | $621.86 |
| 82378 | <1% | 28 | $416.07 | |
| 86301 | <1% | 13 | $285.22 | |
| 83525 | <1% | 14 | $128.30 |
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 officialCRUZ, MARGARITA (OWNER)