Lab
Iluminada Pacheco Garcia
Iluminada Pacheco Garcia was paid $266K by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 84443, Thyroid stimulating hormone (TSH) — 22% of everything it billed.
33Billing provider infoILUMINADA PACHECO GARCIA
SABANA GRANDE, PR 00637
SABANA GRANDE, PR 00637
33aNPI1639356504assigned 01/23/2008
33bProvider typeClinical Medical Laboratory
28Total paid$266K
24GClaims27,486
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Puerto Rico
Rank by total paid#401 of 777
Median peer was paid$278K
This provider vs. median1.0×
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 | 3,531 | $32K | |
| 2019 | 4,479 | $32K | |
| 2020 | 3,396 | $32K | |
| 2021 | 3,692 | $36K | |
| 2022 | 3,956 | $42K | |
| 2023 | 5,304 | $59K | |
| 2024incomplete | 3,128 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 84443 | Thyroid stimulating hormone (TSH) | 22% | 3,583 | 3,280 | $60K |
| 80061 | Lipid panel | 20% | 3,859 | 3,513 | $52K |
| 80053 | Comprehensive metabolic panel | 9.4% | 2,358 | 2,122 | $25K |
| 83036 | Hemoglobin; glycosylated (A1C) | 7.4% | 2,031 | 1,831 | $20K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 7.3% | 2,554 | 2,303 | $19K |
| 85027 | 6.4% | 2,762 | 2,501 | $17K | |
| 80048 | Basic metabolic panel (calcium, ionized) | 5.8% | 1,870 | 1,716 | $15K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 5.2% | 621 | 545 | $14K |
| 81000 | 5.1% | 4,341 | 3,959 | $14K | |
| 86701 | 2.7% | 856 | 821 | $7K | |
| 82043 | 2.2% | 970 | 866 | $6K | |
| 82274 | 1.8% | 300 | 266 | $5K |
15 more codes
| 82607 | 1.2% | 197 | $3K | |
| 86803 | 1.1% | 200 | $3K | |
| 84153 | <1% | 98 | $2K | |
| 84439 | <1% | 94 | $893.12 | |
| 87088 | <1% | 129 | $873.21 | |
| 82947 | <1% | 203 | $749.91 | |
| 86592 | <1% | 158 | $600.23 | |
| 82570 | <1% | 72 | $395.36 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 13 | $325.30 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 13 | $317.54 |
| 36415 | Collection of venous blood by venipuncture | <1% | 108 | $216.49 |
| 82270 | <1% | 59 | $190.32 | |
| 87340 | <1% | 13 | $128.73 | |
| 84436 | <1% | 12 | $82.28 | |
| 85651 | <1% | 12 | $42.57 |
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 officialPACHECO, ILUMINADA (OWNER)
Parent organizationILUMINADA PACHECO GARCIA