Medicaid Provider Spending

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

ILLIAD E HERNANDEZ LOPEZ

NPI: 1891842159 · MOCA, PR 00676 · Clinical Medical Laboratory · NPI assigned 01/05/2007

$15K
Total Medicaid Paid
1,873
Total Claims
1,835
Beneficiaries
11
Codes Billed
2018-01
First Month
2021-03
Last Month

Provider Details

Authorized OfficialHERNANDEZ, ILLIAD (MT)
NPI Enumeration Date01/05/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 684 $5K
2019 938 $8K
2020 149 $1K
2021 102 $874.04

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
80061 Lipid panel 348 345 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 547 532 $4K
84443 Thyroid stimulating hormone (TSH) 241 236 $3K
80053 Comprehensive metabolic panel 210 207 $2K
83036 Hemoglobin; glycosylated (A1C) 69 69 $635.02
36415 Collection of venous blood by venipuncture 162 153 $393.20
81001 109 107 $354.01
81000 129 128 $342.78
82274 14 14 $259.30
80048 Basic metabolic panel (calcium, ionized) 29 29 $209.24
82043 15 15 $100.80