Medicaid Provider Spending

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

MUNICIPIO DE SABANA GRANDE

NPI: 1659597581 · SABANA GRANDE, PR 00637 · Clinical Medical Laboratory · NPI assigned 04/18/2007

$25K
Total Medicaid Paid
2,455
Total Claims
2,269
Beneficiaries
13
Codes Billed
2018-01
First Month
2020-05
Last Month

Provider Details

Authorized OfficialMENDEZ, ULISES (COORDINADOR DE SERVICIOS DE SALUD)
NPI Enumeration Date04/18/2007

Related Entities

Other providers sharing the same authorized official: MENDEZ, ULISES

ProviderCityStateTotal Paid
MUNICIPIO DE SABANA GRANDE SABANA GRANDE PR $43K
MUNICIPIO DE SABANA GRANDE SABANA GRANDE PR $38K
MUNICIPIO DE SABANA GRANDE SABANA GRANDE PR $189.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,059 $11K
2019 1,024 $10K
2020 372 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
85025 Blood count; complete (CBC), automated, and automated differential WBC count 797 733 $7K
84443 Thyroid stimulating hormone (TSH) 324 305 $6K
80061 Lipid panel 375 347 $6K
81001 634 583 $2K
87400 30 30 $832.18
80053 Comprehensive metabolic panel 74 66 $791.22
36415 Collection of venous blood by venipuncture 63 60 $474.80
87899 47 44 $405.87
86328 17 17 $323.00
80048 Basic metabolic panel (calcium, ionized) 36 29 $277.18
86701 24 24 $250.36
83655 18 15 $240.10
82947 16 16 $73.10