Lab
Carmen Cermira Rivera Marcano
Carmen Cermira Rivera Marcano was paid $723K by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is 84443, Thyroid stimulating hormone (TSH) — 17% of everything it billed.
33Billing provider infoCARMEN CERMIRA RIVERA MARCANO
JUNCOS, PR 00777
JUNCOS, PR 00777
33aNPI1548382575assigned 04/03/2007
33bProvider typeClinical Medical Laboratory
28Total paid$723K
24GClaims68,530
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Puerto Rico
Rank by total paid#175 of 777
Median peer was paid$278K
This provider vs. median2.6×
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 | 15,180 | $128K | |
| 2019 | 11,691 | $92K | |
| 2020 | 5,830 | $53K | |
| 2021 | 8,387 | $110K | |
| 2022 | 9,065 | $126K | |
| 2023 | 8,111 | $96K | |
| 2024incomplete | 10,266 | $120K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 84443 | Thyroid stimulating hormone (TSH) | 17% | 7,399 | 6,704 | $125K |
| 80061 | Lipid panel | 16% | 8,203 | 7,442 | $112K |
| 80053 | Comprehensive metabolic panel | 11% | 7,774 | 7,037 | $83K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 10% | 10,829 | 9,575 | $73K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 7.7% | 2,266 | 2,077 | $56K |
| 83036 | Hemoglobin; glycosylated (A1C) | 7.5% | 5,744 | 5,198 | $55K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 6.3% | 1,057 | 968 | $46K |
| 81000 | 3.9% | 8,924 | 8,070 | $28K | |
| 82274 | 3.5% | 1,946 | 1,832 | $25K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 2.9% | 860 | 786 | $21K |
| 82043 | 2.7% | 3,975 | 3,573 | $20K | |
| 84153 | 1.6% | 769 | 737 | $12K |
32 more codes
| 80048 | Basic metabolic panel (calcium, ionized) | 1.3% | 1,085 | $9K |
| 84439 | 1.2% | 1,030 | $8K | |
| 86701 | 1.1% | 960 | $8K | |
| 87276 | <1% | 551 | $6K | |
| 87275 | <1% | 550 | $6K | |
| 82570 | <1% | 902 | $4K | |
| 87088 | <1% | 490 | $4K | |
| 84436 | <1% | 540 | $3K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 83 | $3K |
| 84479 | <1% | 445 | $2K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 70 | $2K |
| 82951 | <1% | 175 | $2K | |
| 86738 | <1% | 139 | $2K | |
| 86328 | <1% | 89 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 702 | $884.88 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 208 | $760.10 |
| 82607 | <1% | 58 | $684.11 | |
| 86803 | <1% | 43 | $602.00 | |
| 80074 | <1% | 12 | $542.54 | |
| 85651 | <1% | 156 | $502.30 | |
| 86696 | <1% | 25 | $448.97 | |
| 86592 | <1% | 112 | $423.63 | |
| 86790 | <1% | 53 | $371.99 | |
| 85610 | <1% | 114 | $366.48 | |
| 85730 | <1% | 83 | $317.09 | |
| 87899 | <1% | 19 | $171.00 | |
| 86695 | <1% | 12 | $148.46 | |
| 80050 | General health panel | <1% | 15 | $146.55 |
| 86038 | <1% | 13 | $140.49 | |
| 82565 | <1% | 25 | $114.21 | |
| 82947 | <1% | 13 | $43.72 | |
| 84156 | <1% | 12 | $34.83 |
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 officialRIVERA MARCANO, CARMEN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Carmen Cermira Rivera Marcano | San Lorenzo, PR | $1.05M |
| Carmen Cermira Rivera Marcano | San Lorenzo, PR | $105K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.