Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Lab

Laboratorio Clinico Marbella, INC

Laboratorio Clinico Marbella, INC was paid $684K by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is 86328, — 14% of everything it billed.

33Billing provider infoLABORATORIO CLINICO MARBELLA, INC
VEGA BAJA, PR 00693
33aNPI1558593467assigned 08/12/2009
28Total paid$684K
24GClaims57,981
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Puerto Rico

Rank by total paid#190 of 777
Median peer was paid$278K
This provider vs. median2.5×

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$10K$20K$30K2018201920202021202220232024
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
20186,239$58K
20195,723$49K
20209,774$104K
202112,275$167K
202210,318$156K
20237,456$81K
2024incomplete6,196$70K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
86328 14% 3,570 3,267 $93K
84443 Thyroid stimulating hormone (TSH) 12% 5,321 5,131 $83K
80061 Lipid panel 9.5% 5,146 4,954 $65K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 9.4% 2,675 2,431 $64K
80053 Comprehensive metabolic panel 8.3% 5,842 5,498 $57K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 7.7% 7,243 6,713 $52K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 7.6% 1,897 1,840 $52K
83036 Hemoglobin; glycosylated (A1C) 3.8% 2,826 2,726 $26K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 3.3% 463 429 $22K
36415 Collection of venous blood by venipuncture 3.1% 5,373 4,956 $21K
81001 2.8% 6,048 5,789 $19K
82274 2.7% 1,207 1,168 $18K
29 more codes
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2.6% 449 $18K
86738 2.1% 1,120 $15K
87275 1.6% 889 $11K
87276 1.6% 876 $11K
82043 <1% 1,110 $7K
85027 <1% 994 $6K
87086 Culture, bacterial; quantitative colony count, urine <1% 720 $5K
84439 <1% 545 $5K
87088 <1% 642 $5K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 133 $4K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 144 $4K
86701 <1% 363 $3K
84153 <1% 161 $3K
84436 <1% 382 $2K
80048 Basic metabolic panel (calcium, ionized) <1% 269 $2K
84479 <1% 302 $2K
82570 <1% 359 $2K
82607 <1% 74 $1K
86592 <1% 239 $962.15
86803 <1% 63 $866.22
86703 <1% 67 $799.36
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 52 $673.50
86790 <1% 31 $435.24
86696 <1% 12 $345.87
86695 <1% 12 $236.46
85651 <1% 69 $226.83
86038 <1% 12 $137.38
84155 <1% 85 $84.77
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 196 $0.13

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 officialORTIZ-FRANCESCHI, NITZA (PRESIDENT)