Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › Toa Baja › NPI 1609247881
Lab

Laboratorio Neoclinico INC.

Laboratorio Neoclinico INC. was paid $366K by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 18% of everything it billed.

33Billing provider infoLABORATORIO NEOCLINICO INC.
TOA BAJA, PR 00949
33aNPI1609247881assigned 10/13/2015
28Total paid$366K
24GClaims23,935
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#331 of 777
Median peer was paid$278K
This provider vs. median1.3×

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$20K2018201920202021202220232024
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
20186,012$48K
20191,256$9K
20203,440$70K
20213,397$88K
20222,997$71K
20232,840$35K
2024incomplete3,993$44K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 18% 1,686 1,466 $67K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 18% 2,812 2,411 $65K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 16% 1,232 1,105 $60K
84443 Thyroid stimulating hormone (TSH) 9.1% 2,114 1,945 $33K
80061 Lipid panel 6.3% 1,811 1,655 $23K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 6.2% 3,052 2,759 $23K
80053 Comprehensive metabolic panel 6.0% 2,208 2,016 $22K
86328 3.6% 753 658 $13K
83036 Hemoglobin; glycosylated (A1C) 2.6% 1,047 936 $10K
36415 Collection of venous blood by venipuncture 2.2% 1,203 1,066 $8K
81000 1.7% 2,015 1,845 $6K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1.6% 197 194 $6K
29 more codes
84436 1.1% 627 $4K
82274 1.0% 307 $4K
86738 1.0% 272 $4K
84479 <1% 624 $4K
82043 <1% 558 $3K
87276 <1% 101 $1K
82570 <1% 264 $1K
84439 <1% 135 $1K
87275 <1% 101 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 80 $925.08
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 34 $860.48
84478 <1% 132 $734.55
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 26 $657.36
80074 <1% 16 $642.37
82607 <1% 39 $598.52
82465 <1% 133 $560.73
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 19 $497.20
87088 <1% 54 $460.30
86592 <1% 94 $360.33
87086 Culture, bacterial; quantitative colony count, urine <1% 41 $340.57
86696 <1% 17 $276.20
86701 <1% 25 $241.45
86695 <1% 17 $192.30
86694 <1% 14 $174.76
86038 <1% 14 $171.34
86703 <1% 15 $160.30
86430 <1% 15 $82.63
86140 <1% 15 $78.96
85651 <1% 16 $55.60

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 officialPANTOJA, DARLING (PRESIDENT)