Lab
Gobierno Municipal De Cayey
Gobierno Municipal De Cayey was paid $95K by Medicaid between Jan 2018 and Oct 2024, across 18 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 44% of everything it billed.
33Billing provider infoGOBIERNO MUNICIPAL DE CAYEY
CAYEY, PR 00736
CAYEY, PR 00736
33aNPI1689839318assigned 07/22/2008
33bProvider typeClinical Medical Laboratory
28Total paid$95K
24GClaims5,015
24DCodes billed18
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Puerto Rico
Rank by total paid#544 of 777
Median peer was paid$278K
This provider vs. median0.3×
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 | 2,020 | $20K | |
| 2019 | 238 | $682.98 | |
| 2021 | 396 | $11K | |
| 2022 | 1,919 | $54K | |
| 2023 | 389 | $9K | |
| 2024incomplete | 53 | $326.23 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 44% | 1,234 | 1,093 | $42K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 32% | 1,197 | 1,061 | $30K |
| 84443 | Thyroid stimulating hormone (TSH) | 4.9% | 331 | 324 | $5K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 4.4% | 680 | 634 | $4K |
| 80061 | Lipid panel | 3.7% | 287 | 283 | $4K |
| 80053 | Comprehensive metabolic panel | 2.9% | 294 | 287 | $3K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 2.5% | 82 | 80 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.3% | 135 | 132 | $1K |
| 81001 | 1.1% | 371 | 365 | $994.47 | |
| 86701 | 1.0% | 119 | 117 | $988.06 | |
| 82274 | <1% | 40 | 38 | $544.10 | |
| 86738 | <1% | 42 | 42 | $479.96 |
6 more codes
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, ROLANDO (MAYOR)
| Provider | Location | Paid |
|---|---|---|
| Gobierno Municipal De Cayey | Cayey, PR | $1.00M |
| DR. Rolando Ortiz, Optometrist, PLLC | Cary, NC | $883K |
| Gobierno Municipal De Cayey | Cayey, PR | $207K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.