Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Policlinica De Familia Factor INC

Policlinica De Familia Factor INC was paid $269K by Medicaid between Jan 2018 and Oct 2024, across 31 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 30% of everything it billed.

33Billing provider infoPOLICLINICA DE FAMILIA FACTOR INC
ARECIBO, PR 00612
33aNPI1508897299assigned 07/05/2006
28Total paid$269K
24GClaims23,628
24DCodes billed31
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Puerto Rico

Rank by total paid#397 of 777
Median peer was paid$278K
This provider vs. median1.0×

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$5.0K$10K$15K2018201920202021202220232024
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
20181,735$10K
20192,383$13K
20201,853$12K
20215,534$62K
20225,282$95K
20233,458$38K
2024incomplete3,383$38K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 30% 1,941 1,840 $79K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 20% 2,309 2,105 $55K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 13% 4,871 4,567 $34K
80061 Lipid panel 9.7% 2,158 2,076 $26K
80048 Basic metabolic panel (calcium, ionized) 7.8% 2,776 2,682 $21K
86769 4.2% 402 394 $11K
81000 3.9% 3,740 3,580 $10K
84443 Thyroid stimulating hormone (TSH) 2.5% 441 416 $7K
83036 Hemoglobin; glycosylated (A1C) <1% 305 304 $3K
87899 <1% 228 220 $2K
84153 <1% 143 143 $2K
87276 <1% 170 166 $2K
19 more codes
87275 <1% 170 $2K
82270 <1% 605 $2K
36415 Collection of venous blood by venipuncture <1% 646 $1K
86738 <1% 121 $1K
84478 <1% 244 $1K
82465 <1% 296 $1K
82565 <1% 174 $801.47
82947 <1% 199 $695.73
84460 <1% 126 $601.70
84450 <1% 126 $589.06
80053 Comprehensive metabolic panel <1% 59 $573.06
84520 <1% 162 $569.70
86592 <1% 134 $522.84
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 900 $467.84
84075 <1% 81 $379.64
82043 <1% 40 $246.80
82310 <1% 26 $118.92
87177 <1% 21 $110.81
83718 <1% 14 $105.24

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 officialSOTO, BRUNILDA (ADMINISTRATOR)
Parent organizationPOLICLINICA DE FAMILIA FACTOR INC
Same official

Other billing entities under SOTO, BRUNILDA

Full network →
ProviderLocationPaid
Policlinica De Familia Factor INCArecibo, PR$5K

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