Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Lab

Eduardo A. Rios

Eduardo A. Rios was paid $6K by Medicaid between Jan 2018 and Oct 2018, across 5 billing codes. Its largest line is 80053, Comprehensive metabolic panel — 38% of everything it billed.

33Billing provider infoEDUARDO A. RIOS
TOA ALTA, PR 00953
33aNPI1942267695assigned 04/27/2006
28Total paid$6K
24GClaims566
24DCodes billed5
24AFirst – last monthJan 2018 – Oct 2018
Compared with peers

Next to other Clinical Medical Laboratory providers in Puerto Rico

Rank by total paid#717 of 777
Median peer was paid$278K
This provider vs. median0.0×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$500$1.0K$1.5K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018566$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
80053 Comprehensive metabolic panel 38% 184 162 $2K
80061 Lipid panel 33% 124 104 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 24% 155 134 $1K
81000 5.4% 88 73 $297.56
82274 <1% 15 15 $17.34

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialRIOS, EDUARDO (MD)