Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Corporacion De Servicios De Salud Y Medicina Avanzada (Cossma)

Corporacion De Servicios De Salud Y Medicina Avanzada (Cossma) was paid $447K by Medicaid between May 2020 and Sep 2024, across 41 billing codes. Its largest line is 87635, Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe — 25% of everything it billed.

33Billing provider infoCORPORACION DE SERVICIOS DE SALUD Y MEDICINA AVANZADA (COSSMA)
LAS PIEDRAS, PR 00771
33aNPI1679031462assigned 03/11/2019
28Total paid$447K
24GClaims43,331
24DCodes billed41
24AFirst – last monthMay 2020 – Sep 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Puerto Rico

Rank by total paid#283 of 777
Median peer was paid$278K
This provider vs. median1.6×

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

$0$10K$20K$30K2018201920202021202220232024
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
20202,683$30K
202112,326$134K
202210,621$120K
20232,001$18K
2024incomplete15,700$144K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 25% 2,310 2,107 $112K
84443 Thyroid stimulating hormone (TSH) 9.4% 2,957 2,776 $42K
80061 Lipid panel 9.0% 3,219 2,994 $40K
80053 Comprehensive metabolic panel 7.5% 3,648 3,390 $33K
36415 Collection of venous blood by venipuncture 7.3% 9,165 7,873 $32K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 6.1% 4,995 4,558 $27K
83036 Hemoglobin; glycosylated (A1C) 3.9% 2,001 1,849 $17K
82045 3.5% 595 508 $16K
86703 3.4% 1,659 1,568 $15K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 3.0% 734 657 $14K
81000 2.6% 3,958 3,628 $11K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2.4% 426 401 $11K
29 more codes
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2.3% 392 $10K
86803 1.8% 739 $8K
87276 1.6% 813 $7K
82274 1.5% 589 $7K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1.5% 157 $7K
86592 <1% 1,286 $4K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 76 $4K
86738 <1% 344 $3K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel <1% 113 $3K
84436 <1% 470 $3K
84439 <1% 386 $2K
84479 <1% 483 $2K
84153 <1% 164 $2K
87088 <1% 270 $2K
82043 <1% 379 $2K
80074 <1% 43 $1K
80050 General health panel <1% 145 $1K
86003 <1% 76 $1K
82607 <1% 104 $1K
82785 <1% 79 $946.04
80048 Basic metabolic panel (calcium, ionized) <1% 88 $762.70
87177 <1% 108 $583.60
83655 <1% 55 $413.80
86593 <1% 121 $369.85
85651 <1% 112 $309.44
84703 <1% 28 $193.42
86695 <1% 14 $162.90
85730 <1% 15 $63.82
85610 <1% 15 $42.12

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 officialANTOMATTEI, NORMA (EXECUTIVE DIRECTOR)
Same official

Other billing entities under ANTOMATTEI, NORMA

Full network →
ProviderLocationPaid
CossmaCidra, PR$49K
CosssmaAibonito, PR$12K

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