Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › San Juan › NPI 1417359142
Lab

HPM Foundation INC

HPM Foundation INC was paid $2.71M by Medicaid between Nov 2018 and Dec 2024, across 80 billing codes. Its largest line is 87635, Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe — 13% of everything it billed.

33Billing provider infoHPM FOUNDATION INC
SAN JUAN, PR 00915
33aNPI1417359142assigned 09/25/2014
28Total paid$2.71M
24GClaims200,063
24DCodes billed80
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Puerto Rico

Rank by total paid#28 of 777
Median peer was paid$278K
This provider vs. median9.7×

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$50K$100K2018201920202021202220232024
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
2018397$3K
201916,126$109K
202023,500$343K
202139,474$624K
202231,471$510K
202334,617$378K
2024incomplete54,478$742K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 13% 6,903 6,212 $339K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 7.6% 6,397 5,491 $206K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 7.4% 6,539 5,613 $201K
80061 Lipid panel 6.9% 16,014 13,609 $187K
84443 Thyroid stimulating hormone (TSH) 6.9% 13,574 11,638 $187K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 5.9% 6,789 6,209 $160K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 5.8% 24,106 20,245 $156K
80074 5.7% 3,484 2,897 $153K
80053 Comprehensive metabolic panel 5.6% 17,097 14,514 $151K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 3.8% 5,280 4,333 $103K
83036 Hemoglobin; glycosylated (A1C) 3.6% 12,012 10,167 $98K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3.4% 2,381 1,955 $93K
68 more codes
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 3.1% 4,094 $84K
82274 3.0% 5,792 $82K
84439 2.5% 8,216 $67K
81000 1.8% 17,744 $50K
86738 1.1% 2,464 $31K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.0% 2,611 $28K
87276 <1% 2,363 $26K
87275 <1% 2,371 $26K
84153 <1% 1,573 $25K
86592 <1% 6,459 $24K
82607 <1% 1,725 $23K
86701 <1% 2,569 $22K
87088 <1% 2,340 $17K
80048 Basic metabolic panel (calcium, ionized) <1% 2,140 $16K
82043 <1% 1,921 $11K
86803 <1% 778 $10K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 187 $9K
83655 <1% 799 $9K
87581 <1% 294 $8K
86328 <1% 446 $8K
82570 <1% 1,603 $8K
86849 <1% 357 $7K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel <1% 221 $7K
85730 <1% 1,243 $7K
80050 General health panel <1% 726 $7K
82728 <1% 387 $5K
85610 <1% 1,227 $4K
84702 <1% 292 $4K
87807 <1% 377 $4K
87340 <1% 384 $4K
83001 <1% 190 $3K
84436 <1% 625 $3K
83002 <1% 189 $3K
86710 <1% 120 $3K
87536 <1% 41 $3K
36415 Collection of venous blood by venipuncture <1% 527 $3K
85651 <1% 821 $3K
87390 <1% 211 $2K
84146 <1% 117 $2K
84156 <1% 633 $2K
84703 <1% 313 $2K
86702 <1% 211 $2K
83540 <1% 191 $1K
87177 <1% 207 $1K
87086 Culture, bacterial; quantitative colony count, urine <1% 137 $1K
86038 <1% 96 $1K
84403 <1% 40 $995.29
82947 <1% 328 $957.78
83550 <1% 99 $794.93
87338 <1% 65 $642.52
86360 <1% 15 $604.04
86141 <1% 101 $544.13
82105 <1% 57 $502.87
86703 <1% 32 $364.79
86431 <1% 43 $224.44
82950 <1% 46 $210.83
84479 <1% 48 $209.78
86140 <1% 44 $199.23
82746 <1% 15 $163.03
80076 <1% 31 $134.63
82951 <1% 42 $91.36
85027 <1% 15 $88.93
84520 <1% 21 $79.04
84550 <1% 13 $52.01
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 12 $15.90
3051F 0% 15 $0.00
3048F 0% 44 $0.00
3049F 0% 29 $0.00

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 officialRIVERA, IVONNE (CEO)
Same official

Other billing entities under RIVERA, IVONNE

Full network →
ProviderLocationPaid
HPM Foundation INCSan Juan, PR$2.76M
HPM Foundation INC Centro De ImagenSan Juan, PR$671K
HPM Foundation Clinical LaboratoryVieques, PR$18K
HPM Foundation INCGuaynabo, PR$11K
HPM Foundation INCSan Juan, PR$1K
HPM Foundation INCCarolina, PR$508.71

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