Lab
Vilma I Padilla Padilla/Lab Clinico Royal Gardens
Vilma I Padilla Padilla/Lab Clinico Royal Gardens was paid $773K by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 20% of everything it billed.
33Billing provider infoVILMA I PADILLA PADILLA/LAB CLINICO ROYAL GARDENS
BAYAMON, PR 00957
BAYAMON, PR 00957
33aNPI1265421119assigned 10/13/2005
33bProvider typeClinical Medical Laboratory
28Total paid$773K
24GClaims53,766
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Puerto Rico
Rank by total paid#169 of 777
Median peer was paid$278K
This provider vs. median2.8×
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
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 | 2,768 | $26K | |
| 2019 | 2,374 | $22K | |
| 2020 | 5,199 | $75K | |
| 2021 | 7,829 | $158K | |
| 2022 | 11,775 | $199K | |
| 2023 | 12,244 | $153K | |
| 2024incomplete | 11,577 | $140K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 20% | 3,825 | 3,383 | $158K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 13% | 4,150 | 3,570 | $100K |
| 84443 | Thyroid stimulating hormone (TSH) | 9.0% | 4,238 | 4,074 | $69K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 7.2% | 7,346 | 6,750 | $55K |
| 80061 | Lipid panel | 7.1% | 4,092 | 3,928 | $55K |
| 80053 | Comprehensive metabolic panel | 6.5% | 4,934 | 4,658 | $50K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 4.9% | 1,294 | 1,251 | $38K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.1% | 638 | 591 | $32K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.1% | 1,944 | 974 | $24K |
| 83036 | Hemoglobin; glycosylated (A1C) | 2.4% | 1,902 | 1,836 | $19K |
| 86328 | 2.4% | 942 | 872 | $18K | |
| 36415 | Collection of venous blood by venipuncture | 2.3% | 3,748 | 3,359 | $18K |
28 more codes
| 86738 | 2.3% | 1,171 | $18K | |
| 81000 | 1.9% | 4,436 | $14K | |
| 82274 | 1.5% | 717 | $12K | |
| 86703 | 1.2% | 762 | $9K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 1.2% | 223 | $9K |
| 84439 | 1.1% | 905 | $8K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 1.0% | 321 | $8K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 147 | $8K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 177 | $7K |
| 87088 | <1% | 772 | $6K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 697 | $5K |
| 86803 | <1% | 295 | $4K | |
| 82043 | <1% | 603 | $4K | |
| 82607 | <1% | 228 | $4K | |
| 86592 | <1% | 727 | $3K | |
| 84436 | <1% | 437 | $3K | |
| 84479 | <1% | 416 | $3K | |
| 84153 | <1% | 99 | $2K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 200 | $2K |
| 87276 | <1% | 146 | $2K | |
| 82570 | <1% | 323 | $2K | |
| 87275 | <1% | 146 | $2K | |
| 81001 | <1% | 400 | $1K | |
| 85651 | <1% | 245 | $853.72 | |
| 86701 | <1% | 69 | $666.60 | |
| 80050 | General health panel | <1% | 13 | $117.34 |
| 85610 | <1% | 25 | $104.93 | |
| 85730 | <1% | 13 | $84.21 |
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 officialPADILLA, VILMA (DIRECTOR)