Lab
TMG Medical Group CSP
TMG Medical Group CSP was paid $164K by Medicaid between Jan 2018 and Mar 2020, across 34 billing codes. Its largest line is 84443, Thyroid stimulating hormone (TSH) — 17% of everything it billed.
33Billing provider infoTMG MEDICAL GROUP CSP
BARCELONETA, PR 00617
BARCELONETA, PR 00617
33aNPI1659553931assigned 11/29/2007
33bProvider typeClinical Medical Laboratory
28Total paid$164K
24GClaims18,907
24DCodes billed34
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Clinical Medical Laboratory providers in Puerto Rico
Rank by total paid#476 of 777
Median peer was paid$278K
This provider vs. median0.6×
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 | 9,263 | $82K | |
| 2019 | 7,178 | $62K | |
| 2020 | 2,466 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 84443 | Thyroid stimulating hormone (TSH) | 17% | 1,817 | 1,780 | $28K |
| 80061 | Lipid panel | 14% | 1,836 | 1,798 | $23K |
| 80053 | Comprehensive metabolic panel | 12% | 1,987 | 1,927 | $20K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 12% | 2,654 | 2,527 | $19K |
| 83036 | Hemoglobin; glycosylated (A1C) | 8.3% | 1,544 | 1,498 | $14K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 7.4% | 438 | 424 | $12K |
| 82378 | 4.9% | 462 | 442 | $8K | |
| 84153 | 4.0% | 381 | 375 | $7K | |
| 81000 | 3.9% | 2,186 | 2,114 | $6K | |
| 36415 | Collection of venous blood by venipuncture | 3.5% | 2,955 | 2,744 | $6K |
| 82274 | 2.6% | 284 | 277 | $4K | |
| 82043 | 1.5% | 415 | 399 | $2K |
22 more codes
| 84403 | 1.3% | 89 | $2K | |
| 82570 | 1.2% | 413 | $2K | |
| 84436 | 1.1% | 292 | $2K | |
| 84479 | 1.0% | 287 | $2K | |
| 85651 | <1% | 409 | $1K | |
| 80074 | <1% | 27 | $1K | |
| 87276 | <1% | 73 | $968.25 | |
| 87275 | <1% | 58 | $771.31 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 19 | $588.69 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 19 | $517.58 |
| 86592 | <1% | 74 | $279.06 | |
| 86677 | <1% | 15 | $273.96 | |
| 86696 | <1% | 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 | <1% | 12 | $232.80 |
| 86695 | <1% | 14 | $172.58 | |
| 85730 | <1% | 30 | $170.82 | |
| 86701 | <1% | 17 | $157.20 | |
| 85610 | <1% | 30 | $111.80 | |
| 87088 | <1% | 15 | $108.08 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 13 | $96.72 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 15 | $95.62 |
| 86140 | <1% | 12 | $82.92 |
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, WALDEMAR (MED)