Lab
Dorado Community Health INC
Dorado Community Health INC was paid $162K by Medicaid between Jan 2018 and Aug 2024, across 21 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 47% of everything it billed.
33Billing provider infoDORADO COMMUNITY HEALTH INC
DORADO, PR 00646
DORADO, PR 00646
33aNPI1619918331assigned 06/10/2006
33bProvider typeClinical Medical Laboratory
28Total paid$162K
24GClaims8,733
24DCodes billed21
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Puerto Rico
Rank by total paid#477 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
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 | 851 | $10K | |
| 2019 | 867 | $8K | |
| 2020 | 3,383 | $38K | |
| 2021 | 638 | $14K | |
| 2022 | 1,009 | $34K | |
| 2023 | 1,310 | $40K | |
| 2024incomplete | 675 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 47% | 1,864 | 1,783 | $77K |
| 86328 | 15% | 1,373 | 1,255 | $24K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 13% | 981 | 919 | $21K |
| 36415 | Collection of venous blood by venipuncture | 7.2% | 1,526 | 1,405 | $12K |
| 84443 | Thyroid stimulating hormone (TSH) | 4.0% | 357 | 343 | $6K |
| 80061 | Lipid panel | 3.5% | 404 | 392 | $6K |
| 80053 | Comprehensive metabolic panel | 3.1% | 449 | 433 | $5K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 3.0% | 589 | 574 | $5K |
| 81001 | 1.1% | 524 | 509 | $2K | |
| 84479 | <1% | 138 | 137 | $987.10 | |
| 84436 | <1% | 131 | 129 | $985.96 | |
| 86738 | <1% | 72 | 61 | $946.93 |
9 more codes
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 17 | $821.28 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 28 | $299.48 |
| 82274 | <1% | 13 | $225.30 | |
| 82043 | <1% | 34 | $207.90 | |
| 86803 | <1% | 14 | $186.60 | |
| 86701 | <1% | 18 | $155.04 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 14 | $148.12 |
| 87899 | <1% | 161 | $114.14 | |
| 82270 | <1% | 26 | $91.54 |
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 officialGONZALEZ BERMUDEZ, LUIS (DIRECTOR MEDICO)
| Provider | Location | Paid |
|---|---|---|
| Vega Alta Community Health | Vega Alta, PR | $918K |
| Vega Alta Community Health | Vega Alta, PR | $383K |
| Dorado Community Health INC | Dorado, PR | $298K |
| First Medical Center INC | Comerio, PR | $31K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.