Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › Guayama › NPI 1356797377
Lab

JL Rivera & Sons INC

JL Rivera & Sons INC was paid $257K by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is 84443, Thyroid stimulating hormone (TSH) — 16% of everything it billed.

33Billing provider infoJL RIVERA & SONS INC
GUAYAMA, PR 00784
33aNPI1356797377assigned 05/09/2016
28Total paid$257K
24GClaims23,945
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Puerto Rico

Rank by total paid#410 of 777
Median peer was paid$278K
This provider vs. median0.9×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,123$8K
20191,632$14K
20201,675$21K
20213,738$48K
20223,358$39K
20235,481$54K
2024incomplete6,938$72K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
84443 Thyroid stimulating hormone (TSH) 16% 2,696 2,255 $41K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 15% 757 668 $38K
80061 Lipid panel 13% 2,704 2,205 $33K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 12% 4,518 3,666 $30K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 5.6% 641 564 $14K
80053 Comprehensive metabolic panel 5.2% 1,346 1,034 $13K
80048 Basic metabolic panel (calcium, ionized) 4.7% 1,647 1,447 $12K
81000 4.4% 3,645 2,914 $11K
83036 Hemoglobin; glycosylated (A1C) 3.8% 1,103 861 $10K
82274 3.5% 673 543 $9K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 3.1% 297 192 $8K
80076 2.0% 736 616 $5K
27 more codes
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1.5% 118 $4K
86328 1.3% 184 $3K
87276 1.3% 253 $3K
82043 1.3% 645 $3K
87275 1.1% 253 $3K
86738 1.0% 233 $3K
36415 Collection of venous blood by venipuncture <1% 187 $2K
86701 <1% 188 $2K
84153 <1% 82 $1K
82570 <1% 214 $1K
86301 <1% 44 $795.96
87088 <1% 103 $776.67
82378 <1% 45 $718.25
87186 <1% 93 $717.41
82105 <1% 49 $704.50
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 19 $606.49
86592 <1% 156 $592.12
87086 Culture, bacterial; quantitative colony count, urine <1% 78 $549.83
85730 <1% 55 $330.79
84439 <1% 38 $314.01
85610 <1% 55 $235.06
86803 <1% 18 $223.22
87590 <1% 19 $212.36
86800 <1% 13 $166.42
86376 <1% 12 $139.57
87070 <1% 14 $103.30
87077 <1% 14 $96.72

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 officialRIVERA IRIZARRY, LAURA (PRESIDENT)
Same official

Other billing entities under RIVERA IRIZARRY, LAURA

Full network →
ProviderLocationPaid
Policlinica San Pedro PSCArroyo, PR$3K
JL Rivera & Sons INCGuayama, PR$734.11

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.