Lab
OIG excluded
Laboratorio Clinico San Juan INC
Laboratorio Clinico San Juan INC was paid $317K by Medicaid between Jan 2018 and May 2024, across 39 billing codes. Its largest line is 80061, Lipid panel — 12% of everything it billed.
33Billing provider infoLABORATORIO CLINICO SAN JUAN INC
SAN JUAN, PR 00926
SAN JUAN, PR 00926
33aNPI1255665261assigned 09/23/2009
33bProvider typeClinical Medical Laboratory
28Total paid$317K
24GClaims28,065
24DCodes billed39
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Puerto Rico
Rank by total paid#363 of 777
Median peer was paid$278K
This provider vs. median1.1×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
OIG exclusionListed on the federal exclusion list (06/19/2025).
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 | 1,074 | $9K | |
| 2019 | 4,659 | $41K | |
| 2020 | 6,217 | $66K | |
| 2021 | 5,613 | $68K | |
| 2022 | 5,495 | $79K | |
| 2023 | 3,726 | $40K | |
| 2024incomplete | 1,281 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 80061 | Lipid panel | 12% | 2,889 | 2,839 | $38K |
| 84443 | Thyroid stimulating hormone (TSH) | 11% | 2,315 | 2,268 | $36K |
| 86328 | 9.2% | 1,552 | 1,510 | $29K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 7.6% | 3,348 | 3,256 | $24K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 7.2% | 555 | 512 | $23K |
| 80053 | Comprehensive metabolic panel | 6.2% | 2,023 | 1,977 | $20K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 6.1% | 793 | 712 | $19K |
| 83970 | 5.9% | 447 | 441 | $19K | |
| 86738 | 5.1% | 1,153 | 1,067 | $16K | |
| 83036 | Hemoglobin; glycosylated (A1C) | 4.8% | 1,592 | 1,567 | $15K |
| 36415 | Collection of venous blood by venipuncture | 3.8% | 1,848 | 1,775 | $12K |
| 84436 | 3.2% | 1,506 | 1,486 | $10K |
27 more codes
| 84479 | 2.9% | 1,467 | $9K | |
| 81001 | 2.3% | 2,373 | $7K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.3% | 148 | $7K |
| 80048 | Basic metabolic panel (calcium, ionized) | 1.8% | 701 | $6K |
| 82043 | 1.7% | 929 | $5K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 1.2% | 161 | $4K |
| 82274 | <1% | 163 | $2K | |
| 82570 | <1% | 452 | $2K | |
| 86701 | <1% | 259 | $2K | |
| 84100 | <1% | 460 | $2K | |
| 84156 | <1% | 433 | $2K | |
| 86803 | <1% | 100 | $1K | |
| 82607 | <1% | 70 | $991.11 | |
| 87899 | <1% | 37 | $388.62 | |
| 87590 | <1% | 13 | $275.94 | |
| 87490 | <1% | 13 | $275.12 | |
| 86696 | <1% | 13 | $265.56 | |
| 84153 | <1% | 15 | $261.26 | |
| 87580 | <1% | 24 | $240.82 | |
| 86695 | <1% | 14 | $192.38 | |
| 84550 | <1% | 41 | $169.06 | |
| 86592 | <1% | 38 | $159.59 | |
| 87581 | <1% | 36 | $127.08 | |
| 80050 | General health panel | <1% | 13 | $124.91 |
| 87088 | <1% | 14 | $115.06 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 14 | $113.91 |
| 81000 | <1% | 43 | $111.80 |
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 officialARRIETA, CARMEN (PRESIDENT)