Metro Toa Baja INC.
Metro Toa Baja INC. was paid $37K by Medicaid between Mar 2023 and Nov 2024, across 14 billing codes. Its largest line is 82306, Vitamin D; 25 hydroxy, includes fraction(s), if performed — 20% of everything it billed.
TOA BAJA, PR 00951
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 | |
|---|---|---|---|
| 2023 | 1,451 | $10K | |
| 2024incomplete | 3,339 | $28K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 20% | 270 | 237 | $7K |
| 84443 | Thyroid stimulating hormone (TSH) | 19% | 501 | 390 | $7K |
| 80061 | Lipid panel | 17% | 571 | 448 | $6K |
| 80053 | Comprehensive metabolic panel | 13% | 557 | 429 | $5K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 12% | 712 | 561 | $5K |
| 82607 | 6.8% | 195 | 161 | $3K | |
| 36415 | Collection of venous blood by venipuncture | 6.5% | 959 | 771 | $2K |
| 81001 | 4.1% | 542 | 431 | $2K | |
| 82274 | <1% | 15 | 13 | $225.56 | |
| 87276 | <1% | 17 | 13 | $170.88 | |
| 87275 | <1% | 17 | 13 | $170.88 | |
| 86738 | <1% | 16 | 13 | $151.56 |
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 |
|---|---|---|
| Pediatric Associates, LLC | Bristol, CT | $3.66M |
| Morning Star Adult Day Care Corp | Miami, FL | $990K |
| Flanders Pediatrics LLC | East Lyme, CT | $772K |
| Metro Pavia Healthcare Centers INC | Ponce, PR | $370K |
| Metro Toa Baja, INC. | Toa Baja, PR | $209K |
| Laboratorio Alhambra, LLC | Juana Diaz, PR | $113K |
| Metro Pavia Healthcare Center | Bayamon, PR | $75K |
| Integrate Community Health System | Aguadilla, PR | $70K |
| Metro Toa Baja INC. | Toa Baja, PR | $66K |
| Madorsky, Pinon, Bruck & Mennie Urology Center of South Florida PA | Miami, FL | $14K |
| Metro Pavia Healthcare Center | Arecibo, PR | $7K |
| Metro Pavia Healthcare Centers INC | Ponce, PR | $5K |
| Integrate Community Health System | Fajardo, PR | $4K |
| Metro Pavia Healthcare Center | Bayamon, PR | $3K |
| Integrate Community Health System | Aguadilla, PR | $2K |
| Metro Pavia Healthcare Centers | Bayamon, PR | $1K |
| Maria Isabel Lopez, MD, PA | Daytona Beach, FL | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.