Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Lab

Plaza Del Carmen Medical Services, INC.

Plaza Del Carmen Medical Services, INC. was paid $21K by Medicaid between Jan 2018 and Oct 2018, across 10 billing codes. Its largest line is 84443, Thyroid stimulating hormone (TSH) — 29% of everything it billed.

33Billing provider infoPLAZA DEL CARMEN MEDICAL SERVICES, INC.
COROZAL, PR 00783
33aNPI1558745885assigned 07/16/2015
28Total paid$21K
24GClaims2,926
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2018
Compared with peers

Next to other Clinical Medical Laboratory providers in Puerto Rico

Rank by total paid#672 of 777
Median peer was paid$278K
This provider vs. median0.1×

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$2.0K$4.0K2018201920202021202220232024
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
20182,926$21K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
84443 Thyroid stimulating hormone (TSH) 29% 438 261 $6K
80061 Lipid panel 19% 397 233 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 18% 609 359 $4K
80053 Comprehensive metabolic panel 16% 409 244 $3K
83036 Hemoglobin; glycosylated (A1C) 6.1% 180 90 $1K
81001 5.2% 426 254 $1K
84436 4.6% 174 99 $973.00
82043 2.8% 115 65 $589.68
81000 <1% 13 13 $35.84
82274 0% 165 79 $0.00

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 officialORTIZ CALDERO, MIGUEL (PRESIDENT)
Same official

Other billing entities under ORTIZ CALDERO, MIGUEL

Full network →
ProviderLocationPaid
Grupo De Medicina Familiar De Corozal, INC.Corozal, PR$440.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.