Medicaid Provider Spending

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

PUERTO RICO CLINICAL REFERENCE LABORATORY

NPI: 1801364880 · MANATI, PR 00674 · Clinical Medical Laboratory · NPI assigned 11/07/2018

$380K
Total Medicaid Paid
15,729
Total Claims
14,117
Beneficiaries
19
Codes Billed
2019-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGONZALEZ, CARLOS (PRESIDENT)
Parent OrganizationLLC
NPI Enumeration Date11/07/2018

Related Entities

Other providers sharing the same authorized official: GONZALEZ, CARLOS

ProviderCityStateTotal Paid
P.R. CLINICAL REFERENCE LABORATORY INC VEGA BAJA PR $3.66M
STARS SPEECH INC. CHULA VISTA CA $2.30M
ST. THOMAS CLINICAL REFERENCE LABORATORY ST THOMAS VI $708K
BROADWAY INTERNAL MEDICINE P.C ELMHURTS NY $31K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 30 $202.69
2020 2,801 $80K
2021 5,972 $171K
2022 3,840 $98K
2023 1,707 $18K
2024 1,379 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,090 2,802 $155K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 4,436 3,818 $106K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,380 1,152 $57K
86328 513 478 $12K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,218 1,096 $9K
80053 Comprehensive metabolic panel 811 744 $8K
84443 Thyroid stimulating hormone (TSH) 493 468 $8K
36415 Collection of venous blood by venipuncture 1,612 1,446 $7K
80061 Lipid panel 389 376 $5K
86738 323 317 $4K
87276 285 278 $4K
87275 285 278 $4K
81000 611 583 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 39 39 $1K
83036 Hemoglobin; glycosylated (A1C) 77 75 $654.81
85730 72 72 $372.61
85610 70 70 $230.09
86787 13 13 $166.98
80048 Basic metabolic panel (calcium, ionized) 12 12 $87.28