Medicaid Provider Spending

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

LABORATORIO EBENEZER LLC

NPI: 1528678323 · GUAYANILLA, PR 00656 · Clinical Medical Laboratory · NPI assigned 08/06/2020

$113K
Total Medicaid Paid
11,210
Total Claims
9,759
Beneficiaries
20
Codes Billed
2022-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCORREA, DAGMAR (OWNER)
NPI Enumeration Date08/06/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 2,432 $30K
2023 4,866 $44K
2024 3,912 $39K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 530 465 $21K
84443 Thyroid stimulating hormone (TSH) 1,183 1,070 $18K
80061 Lipid panel 1,163 1,050 $14K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,269 1,133 $9K
36415 Collection of venous blood by venipuncture 1,292 893 $9K
80053 Comprehensive metabolic panel 741 680 $7K
83036 Hemoglobin; glycosylated (A1C) 643 575 $6K
84439 553 499 $5K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 178 158 $4K
81000 1,398 1,240 $4K
80048 Basic metabolic panel (calcium, ionized) 512 455 $4K
87088 471 410 $4K
85027 429 389 $3K
82043 424 371 $2K
87086 Culture, bacterial; quantitative colony count, urine 211 196 $2K
82274 82 66 $988.64
86738 64 56 $917.10
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 17 13 $330.96
80076 35 25 $146.64
82570 15 15 $80.46