Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Lab

Laboratorio Clinico Plaza Cayey, INC.

Laboratorio Clinico Plaza Cayey, INC. was paid $33K by Medicaid between Jan 2020 and Apr 2024, across 11 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 40% of everything it billed.

33Billing provider infoLABORATORIO CLINICO PLAZA CAYEY, INC.
CAYEY, PR 00737
33aNPI1194950519assigned 05/29/2009
28Total paid$33K
24GClaims2,133
24DCodes billed11
24AFirst – last monthJan 2020 – Apr 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Puerto Rico

Rank by total paid#642 of 777
Median peer was paid$278K
This provider vs. median0.1×

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$10K2018201920202021202220232024
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
202084$705.74
2021549$12K
2022700$14K
2023542$4K
2024incomplete258$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 40% 347 310 $13K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 25% 375 332 $8K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 9.2% 477 449 $3K
80061 Lipid panel 8.6% 189 182 $3K
84443 Thyroid stimulating hormone (TSH) 7.2% 129 124 $2K
80053 Comprehensive metabolic panel 4.3% 121 121 $1K
81000 2.9% 270 262 $978.73
36415 Collection of venous blood by venipuncture 2.0% 184 172 $675.00
83036 Hemoglobin; glycosylated (A1C) <1% 15 15 $182.13
87275 <1% 13 13 $140.19
87276 <1% 13 13 $139.29

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 officialMELENDEZ TORRES, BRENDALEE (GENERAL SUPERVISOR)