Lab
Laboratorio Clinico Irizarry Guasch INC
Laboratorio Clinico Irizarry Guasch INC was paid $1.05M by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 17% of everything it billed.
33Billing provider infoLABORATORIO CLINICO IRIZARRY GUASCH INC
PONCE, PR 00780
PONCE, PR 00780
33aNPI1346685328assigned 05/06/2013
33bProvider typeClinical Medical Laboratory
28Total paid$1.05M
24GClaims92,166
24DCodes billed49
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Puerto Rico
Rank by total paid#119 of 777
Median peer was paid$278K
This provider vs. median3.8×
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 | 4,682 | $42K | |
| 2019 | 4,992 | $26K | |
| 2020 | 6,093 | $46K | |
| 2021 | 11,543 | $169K | |
| 2022 | 14,949 | $212K | |
| 2023 | 22,545 | $246K | |
| 2024incomplete | 27,362 | $311K |
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) | 17% | 4,965 | 4,232 | $179K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 9.6% | 4,187 | 3,549 | $101K |
| 84443 | Thyroid stimulating hormone (TSH) | 9.3% | 6,556 | 5,598 | $97K |
| 80061 | Lipid panel | 8.0% | 6,853 | 5,831 | $84K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 7.8% | 11,937 | 9,753 | $82K |
| 36415 | Collection of venous blood by venipuncture | 6.7% | 15,659 | 12,510 | $70K |
| 80053 | Comprehensive metabolic panel | 5.4% | 6,069 | 5,125 | $57K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.8% | 3,226 | 1,553 | $51K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 4.4% | 1,715 | 1,390 | $46K |
| 83036 | Hemoglobin; glycosylated (A1C) | 2.8% | 3,365 | 2,852 | $30K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 2.6% | 1,241 | 1,007 | $27K |
| 81000 | 2.5% | 8,499 | 7,054 | $26K |
37 more codes
| 86738 | 2.3% | 1,853 | $24K | |
| 80048 | Basic metabolic panel (calcium, ionized) | 2.2% | 3,003 | $23K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 1.8% | 554 | $19K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 1.8% | 539 | $19K |
| 82274 | 1.7% | 1,297 | $18K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.6% | 343 | $17K |
| 84439 | 1.3% | 1,676 | $14K | |
| 82607 | <1% | 696 | $10K | |
| 86328 | <1% | 484 | $9K | |
| 84153 | <1% | 442 | $8K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 1,028 | $8K |
| 82043 | <1% | 1,217 | $6K | |
| 86592 | <1% | 947 | $4K | |
| 80074 | <1% | 55 | $3K | |
| 85730 | <1% | 376 | $2K | |
| 81001 | <1% | 739 | $2K | |
| 80050 | General health panel | <1% | 240 | $2K |
| 87088 | <1% | 242 | $2K | |
| 82570 | <1% | 313 | $2K | |
| 85610 | <1% | 390 | $2K | |
| 82947 | <1% | 401 | $1K | |
| 82728 | <1% | 100 | $1K | |
| 85651 | <1% | 357 | $1K | |
| 86803 | <1% | 56 | $888.37 | |
| 83540 | <1% | 90 | $589.62 | |
| 83001 | <1% | 20 | $391.54 | |
| 84436 | <1% | 64 | $374.13 | |
| 83550 | <1% | 30 | $265.36 | |
| 83655 | <1% | 20 | $244.07 | |
| 86140 | <1% | 42 | $216.53 | |
| 84703 | <1% | 26 | $204.49 | |
| 84479 | <1% | 43 | $200.71 | |
| 86706 | <1% | 15 | $152.06 | |
| 86708 | <1% | 12 | $146.31 | |
| 84550 | <1% | 25 | $108.44 | |
| 82565 | <1% | 14 | $66.79 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 145 | $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 officialIRIZARRY GUASCH, NILSA (DUENA)
| Provider | Location | Paid |
|---|---|---|
| Laboratorio Clinico Irizarry Guasch INC | Mayaguez, PR | $171K |
| Laboratorio Clinico Irizarry Guasch INC | Sabana Grande, PR | $118K |
| Laboratorio Clinico Irizarry Guasch INC | Lajas, PR | $69K |
| Laboratorio Clinico Irizarry Guasch INC | San German, PR | $66K |
| Laboratorio Clinico Irizarry Guasch INC | Aguada, PR | $51K |
| Laboratorio Clinico Irizarry Guasch INC | Isabela, PR | $31K |
| Laboratorio Clinico Irizarry Guasch INC | Yauco, PR | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.