Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Laboratorio Clinico Plaza Palacios

Laboratorio Clinico Plaza Palacios was paid $209K by Medicaid between Feb 2018 and Dec 2024, across 22 billing codes. Its largest line is G2023, Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source — 21% of everything it billed.

33Billing provider infoLABORATORIO CLINICO PLAZA PALACIOS
TOA ALTA, PR 00953
33aNPI1093102485assigned 04/23/2015
28Total paid$209K
24GClaims13,740
24DCodes billed22
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Puerto Rico

Rank by total paid#447 of 777
Median peer was paid$278K
This provider vs. median0.8×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
201820$38.40
201983$768.65
20201,457$17K
20214,311$71K
20223,343$66K
20231,982$24K
2024incomplete2,544$30K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 21% 1,852 1,659 $44K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 16% 658 605 $33K
84443 Thyroid stimulating hormone (TSH) 11% 1,411 1,375 $23K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 11% 526 483 $22K
80061 Lipid panel 9.0% 1,396 1,363 $19K
80053 Comprehensive metabolic panel 8.4% 1,673 1,603 $18K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 8.3% 2,248 2,071 $17K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 3.2% 218 213 $7K
81001 2.5% 1,624 1,575 $5K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 2.4% 205 194 $5K
83036 Hemoglobin; glycosylated (A1C) 1.7% 370 353 $4K
86328 1.7% 190 180 $4K
10 more codes
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 1.5% 573 $3K
36415 Collection of venous blood by venipuncture <1% 400 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 101 $1K
84439 <1% 95 $920.58
86738 <1% 71 $893.26
82274 <1% 25 $432.08
87088 <1% 37 $313.79
82043 <1% 29 $181.14
86592 <1% 25 $107.08
87086 Culture, bacterial; quantitative colony count, urine <1% 13 $105.39

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 officialMARRERO, NIXZALIZ (PRESIDENT)