Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › Utuado › NPI 1376525444
Lab

Laboratorio Clinico Rivera INC

Laboratorio Clinico Rivera INC was paid $178K by Medicaid between Jan 2018 and Oct 2024, across 21 billing codes. Its largest line is 84443, Thyroid stimulating hormone (TSH) — 17% of everything it billed.

33Billing provider infoLABORATORIO CLINICO RIVERA INC
UTUADO, PR 00611
33aNPI1376525444assigned 11/15/2005
28Total paid$178K
24GClaims16,672
24DCodes billed21
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Puerto Rico

Rank by total paid#466 of 777
Median peer was paid$278K
This provider vs. median0.6×

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

$0$5.0K$10K2018201920202021202220232024
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
20183,155$31K
20192,179$19K
20201,588$14K
20212,989$35K
20222,239$35K
20232,258$22K
2024incomplete2,264$21K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
84443 Thyroid stimulating hormone (TSH) 17% 1,968 1,836 $30K
80061 Lipid panel 15% 2,084 1,932 $26K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 12% 3,021 2,760 $21K
80053 Comprehensive metabolic panel 11% 2,154 1,998 $20K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 10% 444 394 $19K
83036 Hemoglobin; glycosylated (A1C) 6.9% 1,365 1,271 $12K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 6.8% 444 417 $12K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 5.8% 414 365 $10K
82274 3.3% 416 393 $6K
81001 2.3% 1,319 1,262 $4K
81000 1.8% 1,133 1,009 $3K
84436 1.5% 413 396 $3K
9 more codes
86769 1.5% 88 $3K
84479 1.3% 364 $2K
82043 <1% 299 $2K
84153 <1% 101 $2K
36415 Collection of venous blood by venipuncture <1% 306 $1K
82042 <1% 234 $1K
86430 <1% 71 $364.70
86328 <1% 20 $352.76
82378 <1% 14 $263.37

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, SARA (MEDICAL TECHNOLOGIST)