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    OpenPayerNPI Medicare & MedicaidDegmar Clinical Laboratory Inc
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    Degmar Clinical Laboratory Inc — Billing Profile & Reimbursement Data

    NPI 1265771117 · Ponce, PR · Clinical Medical Laboratory

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    Degmar Clinical Laboratory Inc is a clinical medical laboratory provider located in Ponce, Puerto Rico. This profile covers 24 Medicare and 34 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationDegmar Clinical Laboratory Inc
    Address8104 Calle Concordia
    CityPonce
    StatePR
    ZIP00717
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedFebruary 12, 2013

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$535.3K
    Medicare$19.3K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    82652The lab analyst measures the level of vitamin D, 1, 25 dihydroxy, a fat soluble steroid that stimulates calcium absorption in the intestine. Vitamin D, 1, 25 dihydroxy is the hormonally active form…70$40$2.8K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…140$20$2.2K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.170$10$2.2K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…250$10$2K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.180$10$1.8K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…110$10$1.1K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.350$1$1.1K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…30$40$950
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…80$10$610
    84439The lab analyst performs a test to measure free thyroxine, or free T4, typically in patient serum.70$10$590

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8265211060$40$1.9K
    844434332040$20$1.7K
    800614134050$10$1.5K
    874265111030$30$1.5K
    800534334050$10$1.4K
    364153538070$10$1.2K
    850253836060$10$1.1K
    841534811020$20$980
    826074413030$10$840
    830364229040$10$820

    Showing 1–10 of 24

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    34 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…2,640$40$105.5K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…4,420$20$66.3K
    G2023Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source2,460$20$59.1K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.4,380$10$56.9K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…7,040$10$49.3K
    82652The lab analyst measures the level of vitamin D, 1, 25 dihydroxy, a fat soluble steroid that stimulates calcium absorption in the intestine. Vitamin D, 1, 25 dihydroxy is the hormonally active form…1,100$40$40.8K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.4,370$10$39.3K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…2,030$10$18.3K
    81000The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…5,410$1$16.2K
    84439The lab analyst performs a test to measure free thyroxine, or free T4, typically in patient serum.1,120$10$10K

    Showing 1–10 of 34

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Puerto Rico providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Puerto Rico median

    34 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…1806501,260$40$93.7K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…2297702,520$20$65.5K
    G2023Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source2005901,440$20$65.4K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.2278102,350$10$52.7K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.162290170$30$43.8K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.197310190$30$43.1K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.2297902,360$10$41.9K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…1978503,250$10$40.5K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…2727301,330$10$22.4K
    82274The lab analyst uses an immunoassay method to perform a test for hidden blood in a fecal specimen that the patient collects from three consecutive bowel movements or that the clinician acquires…490630460$10$14.8K

    Showing 1–10 of 34

    Nearby Providers

    Other providers in the same ZIP code as Degmar Clinical Laboratory Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Caribbean Imaging And Radiation Treatment Center,incPRMulti-Specialty Clinic/Center$0$19.3M
    Compression Health Care IncPROxygen Equipment & Supplies (DME)$0$10.6M
    Caribbean Cancer Care Services, LLCPRMedical Oncology Physician$0$6.5M
    Oficina Medica Dr Quintero PscPRSpecialist$0$4.9M
    Pet Diagnostic Imaging CorpPRRadiology Clinic/Center$0$4.8M
    Hector Velez CortesPRHematology & Oncology Physician$4.3K$4M
    Centro Oncologico De La Mujer De Puerto Rico CspPROncology Clinic/Center$0$3.8M
    Caribbean Wellness Oncology, PscPRHematology & Oncology Physician$0$3.6M
    Jose Santiago AlvaradoPRAnatomic Pathology & Clinical Pathology Physician$17.2K$3.2M
    Dr German Chaves Radiologo CspPRDiagnostic Radiology Physician$0$2.9M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Puerto Rico Distribution
    Degmar Clinical Laboratory Inc — 1 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico
    Medicaid Revenue by Year vs. Puerto Rico Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Puerto Rico Distribution
    Degmar Clinical Laboratory Inc — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico