Lab
Iliana Ruiz
Iliana Ruiz was paid $454K by Medicaid between Jan 2018 and Oct 2024, across 23 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 30% of everything it billed.
33Billing provider infoILIANA RUIZ
ARECIBO, PR 00612
ARECIBO, PR 00612
33aNPI1275762361assigned 07/09/2009
33bProvider typeClinical Medical Laboratory
28Total paid$454K
24GClaims26,038
24DCodes billed23
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Puerto Rico
Rank by total paid#275 of 777
Median peer was paid$278K
This provider vs. median1.6×
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 | 1,022 | $9K | |
| 2019 | 258 | $2K | |
| 2020 | 2,527 | $53K | |
| 2021 | 6,798 | $146K | |
| 2022 | 7,896 | $152K | |
| 2023 | 4,943 | $66K | |
| 2024incomplete | 2,594 | $27K |
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) | 30% | 3,242 | 2,906 | $137K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 21% | 3,886 | 3,381 | $95K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 15% | 1,310 | 1,157 | $66K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.2% | 386 | 355 | $19K |
| 84443 | Thyroid stimulating hormone (TSH) | 4.0% | 1,155 | 1,062 | $18K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 4.0% | 2,443 | 2,225 | $18K |
| 36415 | Collection of venous blood by venipuncture | 3.6% | 5,993 | 5,038 | $17K |
| 80061 | Lipid panel | 3.0% | 1,056 | 969 | $14K |
| 80053 | Comprehensive metabolic panel | 2.8% | 1,250 | 1,152 | $13K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.7% | 1,051 | 539 | $12K |
| 86328 | 2.5% | 516 | 470 | $11K | |
| 86738 | 2.3% | 800 | 769 | $10K |
11 more codes
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 1.3% | 207 | $6K |
| 81001 | <1% | 1,295 | $4K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 448 | $4K |
| 87276 | <1% | 278 | $4K | |
| 87275 | <1% | 258 | $3K | |
| 82274 | <1% | 72 | $1K | |
| P9604 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge | <1% | 33 | $538.51 |
| 82043 | <1% | 57 | $332.27 | |
| 84436 | <1% | 32 | $203.13 | |
| 84479 | <1% | 31 | $184.88 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 239 | $0.00 |
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 officialRUIZ, ILIANA (OWNER)