Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Cossma, INC.

Cossma, INC. was paid $574K by Medicaid between Jan 2020 and Sep 2024, across 42 billing codes. Its largest line is 87635, Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe — 29% of everything it billed.

33Billing provider infoCOSSMA, INC.
HUMACAO, PR 00791
33aNPI1407408347assigned 07/11/2019
28Total paid$574K
24GClaims57,774
24DCodes billed42
24AFirst – last monthJan 2020 – Sep 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Puerto Rico

Rank by total paid#227 of 777
Median peer was paid$278K
This provider vs. median2.1×

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$10K$20K$30K2018201920202021202220232024
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
20201,166$9K
202114,312$140K
202217,447$156K
202317,195$181K
2024incomplete7,654$89K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 29% 3,787 3,436 $167K
84443 Thyroid stimulating hormone (TSH) 7.9% 3,654 3,373 $45K
80061 Lipid panel 7.5% 3,830 3,534 $43K
36415 Collection of venous blood by venipuncture 7.2% 10,940 9,519 $41K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 6.4% 7,348 6,657 $36K
80053 Comprehensive metabolic panel 6.0% 4,277 3,958 $35K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 5.2% 1,535 1,404 $30K
83036 Hemoglobin; glycosylated (A1C) 3.4% 2,580 2,363 $19K
87276 3.2% 1,943 1,749 $18K
86703 3.0% 1,991 1,851 $17K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 2.5% 294 286 $14K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2.4% 549 511 $14K
30 more codes
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2.2% 508 $13K
81000 2.2% 4,773 $13K
86803 1.9% 1,122 $11K
86738 1.8% 1,039 $10K
82274 1.1% 580 $6K
87088 1.0% 820 $6K
84439 <1% 853 $6K
82043 <1% 903 $4K
86592 <1% 1,121 $3K
80050 General health panel <1% 334 $3K
82045 <1% 121 $3K
82607 <1% 221 $3K
86593 <1% 748 $2K
84436 <1% 414 $2K
84479 <1% 419 $2K
84153 <1% 136 $2K
82570 <1% 386 $2K
80074 <1% 27 $1K
87400 <1% 126 $897.35
80048 Basic metabolic panel (calcium, ionized) <1% 88 $709.54
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 15 $675.35
86701 <1% 45 $341.60
85730 <1% 58 $206.27
84703 <1% 32 $201.09
85610 <1% 60 $143.75
83550 <1% 14 $115.97
86901 <1% 28 $79.93
85651 <1% 26 $58.13
86900 <1% 16 $54.19
84550 <1% 13 $53.80

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 officialMIRANDA, ISOLINA (EXECUTIVE DIRECTOR)
Same official

Other billing entities under MIRANDA, ISOLINA

Full network →
ProviderLocationPaid
Cossma INCCidra, PR$2.91M
Cossma, INC.San Lorenzo, PR$58K
Cossma, INC.Las Piedras, RI$26K
Cossma, INC.Las Piedras, PR$4K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.