Lab
Laboratorio Clinico Puerto Nuevo
Laboratorio Clinico Puerto Nuevo was paid $797K by Medicaid between Jan 2018 and Oct 2024, across 39 billing codes. Its largest line is 84443, Thyroid stimulating hormone (TSH) — 14% of everything it billed.
33Billing provider infoLABORATORIO CLINICO PUERTO NUEVO
SAN JUAN, PR 00920
SAN JUAN, PR 00920
33aNPI1376559112assigned 08/01/2006
33bProvider typeClinical Medical Laboratory
28Total paid$797K
24GClaims69,932
24DCodes billed39
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Puerto Rico
Rank by total paid#163 of 777
Median peer was paid$278K
This provider vs. median2.9×
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
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 | 7,778 | $70K | |
| 2019 | 8,633 | $86K | |
| 2020 | 10,219 | $110K | |
| 2021 | 9,588 | $103K | |
| 2022 | 9,823 | $124K | |
| 2023 | 12,018 | $147K | |
| 2024incomplete | 11,873 | $157K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 84443 | Thyroid stimulating hormone (TSH) | 14% | 7,046 | 6,822 | $109K |
| 80061 | Lipid panel | 12% | 7,324 | 7,097 | $94K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 11% | 12,174 | 11,390 | $89K |
| 80053 | Comprehensive metabolic panel | 11% | 8,761 | 8,416 | $86K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 9.7% | 2,740 | 2,649 | $77K |
| 83036 | Hemoglobin; glycosylated (A1C) | 5.5% | 4,712 | 4,591 | $44K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 5.0% | 979 | 922 | $40K |
| 82274 | 4.4% | 2,240 | 2,187 | $35K | |
| 80074 | 3.8% | 626 | 599 | $30K | |
| 81001 | 3.5% | 8,783 | 8,453 | $28K | |
| 84439 | 3.3% | 2,864 | 2,781 | $27K | |
| 87400 | 2.4% | 900 | 867 | $19K |
27 more codes
| 86328 | 2.0% | 691 | $16K | |
| 84153 | 1.9% | 865 | $15K | |
| 87088 | 1.9% | 1,933 | $15K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.4% | 473 | $11K |
| 87590 | 1.2% | 529 | $10K | |
| 86738 | 1.2% | 680 | $10K | |
| 86701 | 1.1% | 990 | $9K | |
| 87270 | <1% | 558 | $6K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 699 | $6K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 538 | $4K |
| 86592 | <1% | 867 | $4K | |
| 82044 | <1% | 869 | $3K | |
| 85651 | <1% | 375 | $1K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 21 | $1K |
| 84436 | <1% | 126 | $810.41 | |
| 83655 | <1% | 59 | $738.38 | |
| 85730 | <1% | 114 | $667.69 | |
| 85610 | <1% | 128 | $490.99 | |
| 82607 | <1% | 27 | $396.78 | |
| 84479 | <1% | 75 | $396.66 | |
| 86696 | <1% | 16 | $316.11 | |
| 87177 | <1% | 44 | $306.01 | |
| 80050 | General health panel | <1% | 25 | $231.75 |
| 82728 | <1% | 13 | $187.63 | |
| 82947 | <1% | 41 | $160.01 | |
| 83550 | <1% | 12 | $110.80 | |
| 86140 | <1% | 15 | $78.12 |
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 officialPESQUERA, RITA (ADMINISTRATOR)