LABORATORIO CLINICO JIREH INC
NPI: 1366456139
· TOA ALTA, PR 00953
· 291U00000X
$114K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
690 |
$6K |
| 2019 |
555 |
$5K |
| 2020 |
1,203 |
$16K |
| 2021 |
1,921 |
$30K |
| 2022 |
1,668 |
$27K |
| 2023 |
1,522 |
$14K |
| 2024 |
1,321 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87426 |
|
504 |
452 |
$21K |
| 84443 |
|
1,274 |
1,216 |
$20K |
| 80061 |
|
1,211 |
1,156 |
$16K |
| 80053 |
|
1,457 |
1,387 |
$15K |
| 85025 |
|
1,925 |
1,789 |
$14K |
| U0002 |
Covid-19 lab test non-cdc |
261 |
243 |
$13K |
| 81000 |
|
1,513 |
1,423 |
$5K |
| 86328 |
|
172 |
161 |
$3K |
| 83036 |
|
337 |
320 |
$3K |
| 82306 |
|
97 |
89 |
$2K |
| 82274 |
|
49 |
42 |
$709.06 |
| 86738 |
|
30 |
30 |
$392.02 |
| 84436 |
|
12 |
12 |
$88.22 |
| 85651 |
|
12 |
12 |
$30.58 |
| 86769 |
|
26 |
24 |
$0.00 |