Lab
Carmen Cermira Rivera Marcano
Carmen Cermira Rivera Marcano was paid $105K by Medicaid between Feb 2018 and Aug 2023, across 25 billing codes. Its largest line is 84443, Thyroid stimulating hormone (TSH) — 21% of everything it billed.
33Billing provider infoCARMEN CERMIRA RIVERA MARCANO
SAN LORENZO, PR 00754
SAN LORENZO, PR 00754
33aNPI1992828685assigned 04/09/2007
33bProvider typeClinical Medical Laboratory
28Total paid$105K
24GClaims13,143
24DCodes billed25
24AFirst – last monthFeb 2018 – Aug 2023
Compared with peers
Next to other Clinical Medical Laboratory providers in Puerto Rico
Rank by total paid#531 of 777
Median peer was paid$278K
This provider vs. median0.4×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,151 | $43K | |
| 2019 | 4,050 | $31K | |
| 2020 | 3,494 | $31K | |
| 2021 | 39 | $142.27 | |
| 2022 | 321 | $709.60 | |
| 2023 | 88 | $631.60 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 84443 | Thyroid stimulating hormone (TSH) | 21% | 1,622 | 1,492 | $22K |
| 80061 | Lipid panel | 18% | 1,749 | 1,604 | $19K |
| 80053 | Comprehensive metabolic panel | 16% | 1,929 | 1,775 | $17K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 13% | 2,237 | 2,027 | $14K |
| 83036 | Hemoglobin; glycosylated (A1C) | 6.8% | 1,055 | 966 | $7K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 5.1% | 244 | 228 | $5K |
| 81000 | 5.0% | 2,024 | 1,853 | $5K | |
| 82274 | 4.2% | 389 | 357 | $4K | |
| 82043 | 2.3% | 559 | 507 | $2K | |
| 84153 | 2.0% | 151 | 138 | $2K | |
| 86701 | 1.2% | 161 | 141 | $1K | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 1.2% | 30 | 28 | $1K |
13 more codes
| 84436 | <1% | 177 | $963.42 | |
| 84439 | <1% | 107 | $811.37 | |
| 84479 | <1% | 145 | $739.11 | |
| 87088 | <1% | 96 | $671.66 | |
| 86592 | <1% | 136 | $496.87 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 82 | $459.57 |
| 36415 | Collection of venous blood by venipuncture | <1% | 160 | $237.98 |
| 87276 | <1% | 12 | $118.66 | |
| 87275 | <1% | 12 | $118.66 | |
| 87177 | <1% | 23 | $82.12 | |
| 85651 | <1% | 16 | $65.66 | |
| 85730 | <1% | 12 | $49.23 | |
| 85610 | <1% | 15 | $47.49 |
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 officialRIVERA MARCANO, CARMEN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Carmen Cermira Rivera Marcano | San Lorenzo, PR | $1.05M |
| Carmen Cermira Rivera Marcano | Juncos, PR | $723K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.