Medicaid Provider Spending

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

LABORATORIO CLINICO CDT DR. JAVIER J ANTON

NPI: 1710257886 · SAN JUAN, PR 00928 · Clinical Medical Laboratory · NPI assigned 01/06/2012

$17K
Total Medicaid Paid
557
Total Claims
495
Beneficiary Records
4
Codes Billed
2018-08
First Month
2024-10
Last Month

Provider Details

Authorized OfficialCLAS, LUIS (EXECUTIVE DIRECTOR/CEO)
NPI Enumeration Date01/06/2012

Related Entities

Other providers sharing the same authorized official: CLAS, LUIS

ProviderCityStateTotal Paid
LABORATORIO CLINICO CDT DR. JOSE LOPEZ ANTONGIORGI SAN JUAN PR $615K
LABORATORIO CLINICO CDT DR. ARNALDO J GARCIA SAN JUAN PR $515K
LABORATORIO CLINICO CDT DR. JOSE S BELAVAL SAN JUAN PR $499K
PROGRAMA SIDA DE SAN JUAN-LAB SAN JUAN PR $437K
MUNICIPALITY OF SAN JUAN PR SAN JUAN PR $121K
SAN JUAN HEALTHCARE-HOMELESS SAN JUAN PR $60K
MONSERRATE SALES AND RENTAL EQUIPMENT INC. SAN JUAN PR $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $88.92
2021 189 $8K
2022 195 $7K
2023 106 $791.00
2024 55 $732.19

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 463 414 $14K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 42 33 $2K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 16 13 $347.64
85025 Blood count; complete (CBC), automated, and automated differential WBC count 36 35 $267.63