Medicaid Provider Spending

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

TMG MEDICAL GROUP CSP

NPI: 1659553931 · BARCELONETA, PR 00617 · Clinical Medical Laboratory · NPI assigned 11/29/2007

$164K
Total Medicaid Paid
18,907
Total Claims
18,176
Beneficiaries
34
Codes Billed
2018-01
First Month
2020-03
Last Month

Provider Details

Authorized OfficialRIVERA, WALDEMAR (MED)
NPI Enumeration Date11/29/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,263 $82K
2019 7,178 $62K
2020 2,466 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
84443 Thyroid stimulating hormone (TSH) 1,817 1,780 $28K
80061 Lipid panel 1,836 1,798 $23K
80053 Comprehensive metabolic panel 1,987 1,927 $20K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,654 2,527 $19K
83036 Hemoglobin; glycosylated (A1C) 1,544 1,498 $14K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 438 424 $12K
82378 462 442 $8K
84153 381 375 $7K
81000 2,186 2,114 $6K
36415 Collection of venous blood by venipuncture 2,955 2,744 $6K
82274 284 277 $4K
82043 415 399 $2K
84403 89 85 $2K
82570 413 397 $2K
84436 292 281 $2K
84479 287 277 $2K
85651 409 396 $1K
80074 27 27 $1K
87276 73 68 $968.25
87275 58 56 $771.31
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 19 18 $588.69
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 19 18 $517.58
86592 74 69 $279.06
86677 15 15 $273.96
86696 15 15 $265.05
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge 12 12 $232.80
86695 14 14 $172.58
85730 30 26 $170.82
86701 17 17 $157.20
85610 30 26 $111.80
87088 15 15 $108.08
80048 Basic metabolic panel (calcium, ionized) 13 12 $96.72
87086 Culture, bacterial; quantitative colony count, urine 15 15 $95.62
86140 12 12 $82.92