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    OpenPayerNPI Medicare & MedicaidDawilmar Franco Ginorio
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    Dawilmar Franco Ginorio — Billing Profile & Reimbursement Data

    NPI 1437318664 · Hatillo, PR · Clinical Medical Laboratory

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    Dawilmar Franco Ginorio is a clinical medical laboratory provider located in Hatillo, Puerto Rico. This profile covers 37 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDawilmar Franco Ginorio
    Address71 Calle Ph Hernandez
    CityHatillo
    StatePR
    ZIP00659
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedJune 3, 2008

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

    Payer SourceTotal Paid
    Medicare$27.9K
    Medicaid$0

    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.

    37 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.400$10$3.2K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.240$10$3.2K
    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…330$10$2.6K
    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.250$10$2.5K
    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…130$20$2.1K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…70$30$2K
    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).…150$10$1.5K
    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$1.1K
    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…240$1$980
    82607The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.60$20$860

    Showing 1–10 of 37

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 37 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    37 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    83970183020$40$2.2K
    823062620030$30$1.8K
    844434832040$20$1.7K
    800612434050$10$1.5K
    P9604667070$10$1.5K
    874264311030$30$1.5K
    800532534050$10$1.4K
    364152938070$10$1.2K
    8237872030$20$1.1K
    850252436060$10$1.1K

    Showing 1–10 of 37

    Nearby Providers

    Other providers in the same ZIP code as Dawilmar Franco Ginorio, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dauilmar Franco GinoroPRClinical Medical Laboratory$0$3.6M
    Corporacion Servicios Medicos Primarios Y Prevencion De HatilloPRFederally Qualified Health Center (FQHC)$0$2.9M
    Lj Health Group IncPRClinical Medical Laboratory$0$2M
    Rr Laboratory Services, IncPRClinical Medical Laboratory$3.6K$1.1M
    Speech N Play Therapy GroupPRSpeech-Language Pathologist$0$716.4K
    Juan Nieves-riveraPRCardiovascular Disease Physician$23.2K$651.8K
    Jeannette Toledo RodriguezPRClinical Medical Laboratory$1.8K$635K
    Gretchen Martinez AlayonPRInternal Medicine Physician$59.5K$0
    Kathy Caraballo RiveraPRFamily Medicine Physician$6.6K$23.7K
    Wal-mart Puerto Rico IncPRCommunity/Retail Pharmacy$13.7K$0

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Puerto Rico Distribution
    Dawilmar Franco Ginorio — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico