Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Rosalina Alicea Ortiz

Rosalina Alicea Ortiz was paid $435K by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is 84443, Thyroid stimulating hormone (TSH) — 16% of everything it billed.

33Billing provider infoROSALINA ALICEA ORTIZ
GURABO, PR 00778
33aNPI1447323605assigned 11/16/2006
28Total paid$435K
24GClaims33,737
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Puerto Rico

Rank by total paid#290 of 777
Median peer was paid$278K
This provider vs. median1.6×

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
20183,739$33K
20193,908$35K
20204,221$44K
20215,916$95K
20225,863$101K
20234,296$54K
2024incomplete5,794$74K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
84443 Thyroid stimulating hormone (TSH) 16% 3,863 3,421 $70K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 14% 1,442 1,260 $62K
80061 Lipid panel 14% 3,942 3,445 $59K
80053 Comprehensive metabolic panel 12% 4,414 3,856 $51K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 9.0% 5,613 4,877 $39K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 7.2% 1,270 1,103 $31K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 6.5% 1,033 901 $28K
83036 Hemoglobin; glycosylated (A1C) 6.1% 2,550 2,251 $27K
81000 3.6% 4,551 3,995 $16K
86328 2.1% 483 454 $9K
82274 1.9% 567 552 $8K
84439 1.3% 674 567 $6K
17 more codes
82043 1.1% 955 $5K
36415 Collection of venous blood by venipuncture 1.1% 661 $5K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 135 $3K
84153 <1% 183 $3K
86703 <1% 211 $2K
87088 <1% 241 $2K
87899 <1% 160 $2K
84436 <1% 191 $1K
87276 <1% 89 $959.68
87275 <1% 89 $932.07
86592 <1% 226 $909.70
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 30 $902.59
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 30 $742.49
80048 Basic metabolic panel (calcium, ionized) <1% 75 $712.14
86738 <1% 34 $425.92
82607 <1% 13 $193.09
82570 <1% 12 $60.86

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 officialALICEA, ROSALINA (SUPERVISOR AND OWNER)