Medicaid Provider Spending

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

LABORATORIO CLINICO EBENEZER LLC

NPI: 1972063618 · TRUJILLO ALTO, PR 00976 · Clinical Medical Laboratory · NPI assigned 03/20/2019

$19K
Total Medicaid Paid
705
Total Claims
578
Beneficiaries
8
Codes Billed
2021-04
First Month
2024-08
Last Month

Provider Details

Authorized OfficialVELAZQUEZ, ENILDA (OWNER)
NPI Enumeration Date03/20/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 308 $11K
2022 182 $6K
2024 215 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 245 191 $11K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 245 191 $6K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 59 53 $444.96
80053 Comprehensive metabolic panel 37 34 $374.79
80061 Lipid panel 29 27 $372.82
84443 Thyroid stimulating hormone (TSH) 18 18 $290.81
36415 Collection of venous blood by venipuncture 35 30 $179.45
81000 37 34 $123.36