Medicaid Provider Spending

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

ISMAEL PEREZ PTR

NPI: 1558329615 · SAN SEBASTIAN, PR 00685 · Clinical Medical Laboratory · NPI assigned 05/01/2006

$53K
Total Medicaid Paid
4,920
Total Claims
4,630
Beneficiaries
17
Codes Billed
2018-01
First Month
2018-12
Last Month

Provider Details

Authorized OfficialANDUJAR-RIOS, MARITZA (OWNER)
NPI Enumeration Date05/01/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,920 $53K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
84443 Thyroid stimulating hormone (TSH) 550 525 $10K
80061 Lipid panel 590 569 $8K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 892 807 $7K
80053 Comprehensive metabolic panel 645 623 $7K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 182 176 $6K
82274 247 236 $4K
83036 Hemoglobin; glycosylated (A1C) 279 268 $3K
81000 709 672 $2K
84153 78 73 $1K
86701 142 133 $1K
86592 266 252 $1K
82043 149 138 $905.42
36415 Collection of venous blood by venipuncture 104 74 $190.00
85651 46 44 $175.99
85610 14 13 $56.49
82947 12 12 $51.72
81001 15 15 $51.40