Lab
Milagros Defillo Garcia Estate
Milagros Defillo Garcia Estate was paid $546K by Medicaid between Jan 2018 and Nov 2024, across 47 billing codes. Its largest line is 84443, Thyroid stimulating hormone (TSH) — 16% of everything it billed.
33Billing provider infoMILAGROS DEFILLO GARCIA ESTATE
GUAYANILLA, PR 00656
GUAYANILLA, PR 00656
33aNPI1528316593assigned 08/24/2012
33bProvider typeClinical Medical Laboratory
28Total paid$546K
24GClaims54,930
24DCodes billed47
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Puerto Rico
Rank by total paid#235 of 777
Median peer was paid$278K
This provider vs. median2.0×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 17,489 | $160K | |
| 2019 | 12,088 | $104K | |
| 2020 | 7,579 | $66K | |
| 2021 | 4,846 | $65K | |
| 2022 | 4,837 | $70K | |
| 2023 | 4,205 | $42K | |
| 2024incomplete | 3,886 | $39K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 84443 | Thyroid stimulating hormone (TSH) | 16% | 5,302 | 4,936 | $86K |
| 80061 | Lipid panel | 11% | 4,605 | 4,295 | $59K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 10% | 8,048 | 7,338 | $55K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 8.5% | 1,747 | 1,656 | $46K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 7.4% | 946 | 863 | $41K |
| 80053 | Comprehensive metabolic panel | 5.3% | 2,861 | 2,660 | $29K |
| 80048 | Basic metabolic panel (calcium, ionized) | 4.8% | 3,355 | 3,107 | $26K |
| 83036 | Hemoglobin; glycosylated (A1C) | 4.3% | 2,592 | 2,393 | $24K |
| 84439 | 3.9% | 2,589 | 2,412 | $21K | |
| 81000 | 3.5% | 6,455 | 5,923 | $19K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 3.1% | 724 | 660 | $17K |
| 82274 | 3.1% | 1,225 | 1,156 | $17K |
35 more codes
| 87088 | 2.9% | 2,095 | $16K | |
| 82043 | 1.9% | 1,950 | $10K | |
| 86710 | 1.8% | 798 | $10K | |
| 80076 | 1.7% | 1,320 | $9K | |
| 87276 | 1.6% | 787 | $8K | |
| 86703 | 1.3% | 635 | $7K | |
| 86328 | 1.2% | 327 | $7K | |
| 84436 | <1% | 828 | $5K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 684 | $4K |
| 84153 | <1% | 254 | $4K | |
| 86738 | <1% | 371 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 940 | $3K |
| 85730 | <1% | 488 | $3K | |
| 84479 | <1% | 480 | $3K | |
| 82607 | <1% | 163 | $2K | |
| 85610 | <1% | 527 | $2K | |
| 82950 | <1% | 283 | $1K | |
| 82947 | <1% | 335 | $1K | |
| 86592 | <1% | 272 | $1K | |
| 87340 | <1% | 74 | $636.52 | |
| 85652 | <1% | 244 | $602.87 | |
| 86140 | <1% | 122 | $546.23 | |
| 85651 | <1% | 178 | $505.50 | |
| 86677 | <1% | 36 | $493.48 | |
| 84703 | <1% | 62 | $439.14 | |
| 86301 | <1% | 16 | $301.28 | |
| 83690 | <1% | 44 | $273.91 | |
| 82150 | <1% | 44 | $256.64 | |
| 83655 | <1% | 16 | $186.08 | |
| 83615 | <1% | 29 | $161.70 | |
| 86038 | <1% | 13 | $150.93 | |
| 84484 | <1% | 14 | $127.30 | |
| 83540 | <1% | 18 | $105.46 | |
| 82550 | <1% | 15 | $88.25 | |
| 84450 | <1% | 19 | $24.85 |
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 officialFRANCESCHINI, GRETCHEN (OWNER)