Medicaid Provider Spending

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

LABORATORIO CLINICO SHALOM CORPORATION

NPI: 1487709721 · QUEBRADILLAS, PR 00678 · Clinical Medical Laboratory · NPI assigned 01/25/2007

$159K
Total Medicaid Paid
6,605
Total Claims
6,217
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialRODRIGUEZ VAZQUEZ, EDUARDO (PRESIDENTE)
NPI Enumeration Date01/25/2007

Related Entities

Other providers sharing the same authorized official: RODRIGUEZ VAZQUEZ, EDUARDO

ProviderCityStateTotal Paid
CENTRO DE DIAGNOSTICO Y TRATAMIENTO DE SAN SEBASTIAN INC SAN SEBASTIAN PR $1.85M
CENTRO DE DIAGNOSTICO Y TRATAMIENTO DE SAN SEBASTIAN INC SAN SEBASTIAN PR $1.21M
CENTRO DE DIAGNOSTICO Y TRATAMIENTO DE SAN SEBASTIAN INC SAN SEBASTIAN PR $748K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 360 $3K
2019 138 $804.89
2020 105 $480.94
2021 860 $21K
2022 2,933 $87K
2023 1,985 $44K
2024 224 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,434 2,295 $95K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,438 2,288 $51K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 573 540 $4K
84443 Thyroid stimulating hormone (TSH) 196 184 $3K
80053 Comprehensive metabolic panel 255 235 $2K
80061 Lipid panel 113 106 $1K
81000 295 274 $838.61
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 36 36 $743.67
36415 Collection of venous blood by venipuncture 265 259 $505.68