Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Ismael Perez PTR

Ismael Perez PTR was paid $53K by Medicaid between Jan 2018 and Dec 2018, across 17 billing codes. Its largest line is 84443, Thyroid stimulating hormone (TSH) — 18% of everything it billed.

33Billing provider infoISMAEL PEREZ PTR
SAN SEBASTIAN, PR 00685
33aNPI1558329615assigned 05/01/2006
28Total paid$53K
24GClaims4,920
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers

Next to other Clinical Medical Laboratory providers in Puerto Rico

Rank by total paid#607 of 777
Median peer was paid$278K
This provider vs. median0.2×

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$10K2018201920202021202220232024
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
20184,920$53K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
84443 Thyroid stimulating hormone (TSH) 18% 550 525 $10K
80061 Lipid panel 16% 590 569 $8K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 14% 892 807 $7K
80053 Comprehensive metabolic panel 14% 645 623 $7K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 11% 182 176 $6K
82274 7.8% 247 236 $4K
83036 Hemoglobin; glycosylated (A1C) 5.4% 279 268 $3K
81000 4.5% 709 672 $2K
84153 2.8% 78 73 $1K
86701 2.5% 142 133 $1K
86592 2.2% 266 252 $1K
82043 1.7% 149 138 $905.42
5 more codes
36415 Collection of venous blood by venipuncture <1% 104 $190.00
85651 <1% 46 $175.99
85610 <1% 14 $56.49
82947 <1% 12 $51.72
81001 <1% 15 $51.40

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 officialANDUJAR-RIOS, MARITZA (OWNER)