Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LABORATORIO CLINICO DIVINO NINO, INC.

NPI: 1457763997 · MOCA, PR 00676 · Clinical Medical Laboratory · NPI assigned 06/02/2014

$499K
Total Medicaid Paid
36,835
Total Claims
34,911
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialAVILES, BRENDALIZ (SUPERVISOR)
NPI Enumeration Date06/02/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,240 $33K
2019 98 $636.28
2020 2,638 $23K
2021 8,081 $113K
2022 9,690 $163K
2023 6,733 $85K
2024 6,355 $81K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,388 2,122 $105K
84443 Thyroid stimulating hormone (TSH) 3,830 3,737 $68K
80061 Lipid panel 4,066 3,990 $55K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 6,108 5,792 $50K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,027 1,775 $49K
80053 Comprehensive metabolic panel 3,455 3,359 $39K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,196 1,173 $36K
81000 5,047 4,869 $17K
82274 751 741 $13K
83036 Hemoglobin; glycosylated (A1C) 1,141 1,120 $12K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 742 364 $9K
87088 936 885 $8K
84153 350 346 $7K
80048 Basic metabolic panel (calcium, ionized) 517 500 $5K
87086 Culture, bacterial; quantitative colony count, urine 508 479 $4K
86738 244 238 $4K
86328 127 120 $2K
84460 558 544 $2K
86803 133 132 $2K
84450 558 544 $2K
82565 474 461 $2K
36415 Collection of venous blood by venipuncture 269 247 $2K
82947 494 482 $1K
84520 471 458 $1K
82043 221 218 $1K
86769 45 43 $1K
85651 86 83 $306.16
87185 29 28 $139.86
86701 12 12 $116.28
86140 15 12 $77.64
84436 12 12 $77.49
84479 12 12 $67.74
86592 13 13 $60.31