Lab
PR Professional Laboratory INC.
PR Professional Laboratory INC. was paid $316K by Medicaid between Jan 2018 and Jul 2022, across 31 billing codes. Its largest line is 84443, Thyroid stimulating hormone (TSH) — 15% of everything it billed.
33Billing provider infoPR PROFESSIONAL LABORATORY INC.
CAGUAS, PR 00725
CAGUAS, PR 00725
33aNPI1316297344assigned 09/18/2012
33bProvider typeClinical Medical Laboratory
28Total paid$316K
24GClaims28,661
24DCodes billed31
24AFirst – last monthJan 2018 – Jul 2022
Compared with peers
Next to other Clinical Medical Laboratory providers in Puerto Rico
Rank by total paid#365 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.
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 | 9,641 | $109K | |
| 2019 | 6,381 | $62K | |
| 2020 | 5,633 | $58K | |
| 2021 | 4,656 | $59K | |
| 2022 | 2,350 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 84443 | Thyroid stimulating hormone (TSH) | 15% | 2,971 | 2,756 | $46K |
| 80061 | Lipid panel | 12% | 3,035 | 2,829 | $39K |
| 80053 | Comprehensive metabolic panel | 9.1% | 2,891 | 2,684 | $29K |
| 80074 | 8.7% | 788 | 724 | $27K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 8.0% | 4,016 | 3,651 | $25K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 7.9% | 878 | 803 | $25K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 7.5% | 833 | 766 | $24K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 6.4% | 898 | 836 | $20K |
| 86696 | 3.9% | 766 | 703 | $12K | |
| 84436 | 3.3% | 1,922 | 1,794 | $11K | |
| 81000 | 3.1% | 3,371 | 3,112 | $10K | |
| 84479 | 3.1% | 1,915 | 1,790 | $10K |
19 more codes
| 83036 | Hemoglobin; glycosylated (A1C) | 1.9% | 832 | $6K |
| 86701 | 1.8% | 774 | $6K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.7% | 119 | $5K |
| 86695 | 1.3% | 342 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 348 | $3K |
| 86592 | <1% | 830 | $3K | |
| 86328 | <1% | 162 | $3K | |
| 82274 | <1% | 158 | $2K | |
| 86376 | <1% | 151 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 214 | $2K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 162 | $1K |
| 84153 | <1% | 29 | $354.30 | |
| 82043 | <1% | 62 | $336.12 | |
| 84439 | <1% | 20 | $175.32 | |
| 87275 | <1% | 13 | $172.06 | |
| 87276 | <1% | 13 | $172.06 | |
| 87177 | <1% | 27 | $105.57 | |
| 82570 | <1% | 16 | $76.94 | |
| 80050 | General health panel | 0% | 105 | $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 officialACEVEDO, DAVID (VP)