Medicaid Provider Spending

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

LABORATORIO CLINICO Y DE REFERENCIA DE FAJARDO, INC.

NPI: 1790909265 · FAJARDO, PR 00738 · Clinical Medical Laboratory · NPI assigned 04/13/2007

$76K
Total Medicaid Paid
14,629
Total Claims
12,581
Beneficiaries
37
Codes Billed
2021-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOPEZ, SARA (DIRECTOR)
Parent OrganizationLABORATORIO CLINICO Y DE REFERENCIA DE FAJARDO, INC.
NPI Enumeration Date04/13/2007

Related Entities

Other providers sharing the same authorized official: LOPEZ, SARA

ProviderCityStateTotal Paid
LABORATORIO CLINICO Y DE REF DE FAJARDO INC FAJARDO PR $2.78M
FAJARDO INTEGRATED MEDICAL CENTER FAJARDO PR $46K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 54 $2K
2022 436 $6K
2023 250 $2K
2024 13,889 $66K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
84443 Thyroid stimulating hormone (TSH) 1,451 1,274 $12K
80061 Lipid panel 1,438 1,262 $9K
80053 Comprehensive metabolic panel 1,415 1,246 $7K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,435 1,242 $5K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 307 255 $5K
83036 Hemoglobin; glycosylated (A1C) 927 801 $4K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 284 246 $4K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 226 208 $4K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 269 231 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 408 187 $3K
81001 1,614 1,402 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 52 52 $2K
86703 360 318 $2K
85027 597 492 $2K
80074 39 38 $1K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 52 52 $1K
84439 302 234 $1K
80048 Basic metabolic panel (calcium, ionized) 340 268 $1K
84153 130 119 $778.98
86738 156 142 $734.71
87086 Culture, bacterial; quantitative colony count, urine 148 116 $689.68
82274 184 177 $685.79
82043 347 315 $629.21
86592 357 310 $617.15
82570 315 273 $569.82
84436 166 161 $546.14
84479 173 159 $463.18
85730 155 114 $342.00
85610 160 118 $264.55
84156 239 200 $228.93
82607 29 27 $192.59
85651 62 62 $123.24
86803 14 13 $83.64
82270 30 28 $43.82
86140 12 12 $25.90
3044F 294 288 $0.00
3061F 142 139 $0.00