Lab
Aguada Medical Center, INC.
Aguada Medical Center, INC. was paid $96K by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 28% of everything it billed.
33Billing provider infoAGUADA MEDICAL CENTER, INC.
AGUADA, PR 00602
AGUADA, PR 00602
33aNPI1023300803assigned 05/11/2011
33bProvider typeClinical Medical Laboratory
28Total paid$96K
24GClaims6,789
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Puerto Rico
Rank by total paid#542 of 777
Median peer was paid$278K
This provider vs. median0.3×
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 | 1,358 | $12K | |
| 2019 | 589 | $6K | |
| 2020 | 14 | $128.63 | |
| 2021 | 1,519 | $28K | |
| 2022 | 1,030 | $24K | |
| 2023 | 1,067 | $13K | |
| 2024incomplete | 1,212 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 28% | 823 | 698 | $27K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 17% | 824 | 700 | $16K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 16% | 1,575 | 1,410 | $15K |
| 80061 | Lipid panel | 12% | 732 | 666 | $11K |
| 84443 | Thyroid stimulating hormone (TSH) | 9.3% | 438 | 415 | $9K |
| 80053 | Comprehensive metabolic panel | 6.4% | 484 | 456 | $6K |
| 81001 | 3.2% | 799 | 721 | $3K | |
| 83036 | Hemoglobin; glycosylated (A1C) | 3.1% | 240 | 226 | $3K |
| 81000 | 1.6% | 373 | 348 | $2K | |
| 80048 | Basic metabolic panel (calcium, ionized) | 1.5% | 156 | 134 | $1K |
| 82043 | <1% | 104 | 100 | $822.43 | |
| 86336 | <1% | 19 | 12 | $397.26 |
7 more codes
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 officialORTEGA, HIRAM (DIRECTOR MEDICO)
| Provider | Location | Paid |
|---|---|---|
| Aguada Medical Center INC. | Aguada, PR | $991K |
| Advanced Gastroenterology Center, PSC | Aguada, PR | $416K |
| Aguada Medical Center INC. | Aguada, PR | $211K |
| Prime Medica PSC | Aguada, PR | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.