Medicaid Provider Spending

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

LABORATORIO CLINICO JOLLYMAR INC

NPI: 1750935904 · DORADO, PR 00646 · Clinical Medical Laboratory · NPI assigned 07/26/2019

$382K
Total Medicaid Paid
20,435
Total Claims
18,220
Beneficiaries
21
Codes Billed
2021-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialORTIZ, JOLLY (PRESIDENT)
NPI Enumeration Date07/26/2019

Related Entities

Other providers sharing the same authorized official: ORTIZ, JOLLY

ProviderCityStateTotal Paid
LABORATORIO CLINICO JOLLYMAR INC TOA ALTA PR $2.26M
LABORATORIO CLINICO AQUARIUM INC TOA ALTA PR $1.32M
LABORATORIO CLINICO MARTIN INC BAYAMON PR $1.10M
LABORATORIO CLINICO VICTORIA INC BAYAMON PR $628K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 2,836 $84K
2022 6,647 $154K
2023 5,593 $69K
2024 5,359 $74K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,347 2,979 $143K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,086 2,699 $74K
84443 Thyroid stimulating hormone (TSH) 1,430 1,322 $23K
80061 Lipid panel 1,344 1,236 $18K
80053 Comprehensive metabolic panel 1,686 1,533 $17K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,197 1,971 $17K
86738 1,085 1,011 $16K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 305 292 $16K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 442 396 $13K
87276 765 708 $9K
87275 763 706 $9K
87400 604 280 $7K
83036 Hemoglobin; glycosylated (A1C) 680 620 $6K
81000 1,622 1,483 $5K
84436 306 275 $2K
85027 282 262 $2K
84479 277 244 $2K
82274 93 93 $2K
86701 76 74 $707.32
86780 25 24 $344.98
84439 20 12 $68.74