Lab
Lab Clinico Toa Alta INC
Lab Clinico Toa Alta INC was paid $453K by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 16% of everything it billed.
33Billing provider infoLAB CLINICO TOA ALTA INC
TOA ALTA, PR 00954
TOA ALTA, PR 00954
33aNPI1316166143assigned 04/24/2007
33bProvider typeClinical Medical Laboratory
28Total paid$453K
24GClaims35,207
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Puerto Rico
Rank by total paid#277 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 | 4,377 | $41K | |
| 2019 | 2,304 | $20K | |
| 2020 | 2,958 | $35K | |
| 2021 | 5,629 | $91K | |
| 2022 | 7,139 | $119K | |
| 2023 | 6,166 | $68K | |
| 2024incomplete | 6,634 | $78K |
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) | 16% | 1,743 | 1,462 | $70K |
| 84443 | Thyroid stimulating hormone (TSH) | 13% | 3,687 | 3,436 | $60K |
| 80061 | Lipid panel | 11% | 3,630 | 3,403 | $49K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 9.5% | 5,629 | 5,038 | $43K |
| 80053 | Comprehensive metabolic panel | 9.3% | 4,069 | 3,732 | $42K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 7.0% | 1,421 | 1,249 | $32K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 5.9% | 541 | 505 | $27K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 5.4% | 859 | 782 | $24K |
| 83036 | Hemoglobin; glycosylated (A1C) | 4.8% | 2,258 | 2,123 | $22K |
| 82274 | 3.1% | 888 | 828 | $14K | |
| 81000 | 2.3% | 3,292 | 3,124 | $10K | |
| 86738 | 1.6% | 511 | 448 | $7K |
25 more codes
| 36415 | Collection of venous blood by venipuncture | 1.2% | 954 | $5K |
| 82043 | 1.2% | 899 | $5K | |
| 81001 | 1.1% | 1,551 | $5K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 1.1% | 199 | $5K |
| 86328 | <1% | 229 | $4K | |
| 84153 | <1% | 167 | $3K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 329 | $3K |
| 87276 | <1% | 215 | $2K | |
| 87275 | <1% | 213 | $2K | |
| 84436 | <1% | 343 | $2K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 275 | $2K |
| 82570 | <1% | 378 | $2K | |
| 84479 | <1% | 287 | $2K | |
| 80074 | <1% | 25 | $1K | |
| 87088 | <1% | 145 | $1K | |
| 85027 | <1% | 158 | $967.50 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 68 | $843.88 |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 18 | $703.20 |
| 84480 | <1% | 47 | $681.74 | |
| 86701 | <1% | 59 | $546.94 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 12 | $546.81 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 12 | $546.81 |
| 82652 | <1% | 12 | $480.62 | |
| 86592 | <1% | 70 | $309.43 | |
| 86687 | <1% | 14 | $127.96 |
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 officialCALCANO ADORNO, MARGARET (ADMINISTRADOR)