Rios Laboratory INC.
Rios Laboratory INC. was paid $2K by Medicaid between Jan 2022 and Mar 2024, across 8 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 53% of everything it billed.
SAN SEBASTIAN, PR 00685
Next to other Clinical Medical Laboratory providers in Puerto Rico
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 277 | $1K | |
| 2023 | 433 | $215.30 | |
| 2024incomplete | 28 | $0.00 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 53% | 20 | 20 | $904.60 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 28% | 19 | 19 | $475.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 7.6% | 228 | 215 | $129.22 |
| 80053 | Comprehensive metabolic panel | 3.3% | 99 | 97 | $55.61 |
| 80061 | Lipid panel | 3.1% | 109 | 106 | $52.90 |
| 84443 | Thyroid stimulating hormone (TSH) | 3.1% | 94 | 91 | $52.14 |
| 81000 | 1.1% | 155 | 152 | $18.94 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 14 | 14 | $10.58 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| First Choice In-Home Care, LLC | Donna, TX | $49.20M |
| Care Counseling Center | Bridgewater, NJ | $2.12M |
| Maria Elena Rodriguez, M.D. P.A. | Edinburg, TX | $1.79M |
| Yorkville Endoscopy, LLC | New York, NY | $1.04M |
| First Choice Medical Supply & Equipment, LLC. | Donna, TX | $693K |
| Laboratorio Clinico Caribe Medical Plaza,inc. | Vega Alta, PR | $615K |
| Mundo Chico Pediatric Associates, LLC | Union City, NJ | $329K |
| Cardiovascular Consultants of Fresno, a Professional Corporation | Fresno, CA | $212K |
| Centro De Gastroenterologia Pediatrica Del Oeste | Mayaguez, PR | $180K |
| Honest Care Health Services LLC | Doral, FL | $85K |
| Laboratorio Clinico Elena LLC | Ponce, PR | $57K |
| Rodmart Optical, INC | San German, PR | $10K |
| Lab Clinico Villanueva | Isabela, PR | $113.10 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.