Lab
Atlantic Pathology
Atlantic Pathology was paid $2.45M by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 31% of everything it billed.
33Billing provider infoATLANTIC PATHOLOGY
MANATI, PR 00674
MANATI, PR 00674
33aNPI1336461128assigned 02/19/2010
33bProvider typeClinical Medical Laboratory
28Total paid$2.45M
24GClaims32,156
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Puerto Rico
Rank by total paid#33 of 777
Median peer was paid$278K
This provider vs. median8.8×
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 | 5,278 | $315K | |
| 2019 | 3,922 | $202K | |
| 2020 | 3,320 | $245K | |
| 2021 | 4,374 | $405K | |
| 2022 | 3,583 | $310K | |
| 2023 | 5,107 | $475K | |
| 2024incomplete | 6,572 | $503K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 31% | 11,075 | 9,422 | $752K |
| 88312 | 20% | 4,391 | 3,858 | $487K | |
| 88173 | 14% | 2,788 | 2,645 | $333K | |
| 10005 | 11% | 2,217 | 2,094 | $282K | |
| 88172 | 6.1% | 2,785 | 2,643 | $149K | |
| 10022 | 4.2% | 548 | 514 | $102K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.6% | 1,920 | 1,864 | $88K |
| 88142 | 2.1% | 2,589 | 2,238 | $50K | |
| 88342 | 1.8% | 574 | 304 | $44K | |
| 76942 | 1.4% | 522 | 486 | $34K | |
| 10006 | 1.2% | 362 | 334 | $29K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.1% | 290 | 220 | $27K |
8 more codes
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 1.0% | 753 | $26K |
| 88112 | <1% | 315 | $23K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 284 | $11K |
| 88365 | <1% | 220 | $6K | |
| 88311 | <1% | 293 | $6K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 86 | $3K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 86 | $3K |
| 88164 | <1% | 58 | $287.04 |
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 officialRORDRIGUEZ, JAVIER (PRESIDENT)