Lab
Clinica Yaguez, INC.
Clinica Yaguez, INC. was paid $517K by Medicaid between Jul 2020 and Dec 2024, across 23 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 53% of everything it billed.
33Billing provider infoCLINICA YAGUEZ, INC.
MAYAGUEZ, PR 00680
MAYAGUEZ, PR 00680
33aNPI1689851040assigned 01/29/2008
33bProvider typeClinical Medical Laboratory
28Total paid$517K
24GClaims28,014
24DCodes billed23
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Puerto Rico
Rank by total paid#246 of 777
Median peer was paid$278K
This provider vs. median1.9×
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 | |
|---|---|---|---|
| 2020 | 2,546 | $25K | |
| 2021 | 3,577 | $46K | |
| 2022 | 3,905 | $87K | |
| 2023 | 9,499 | $180K | |
| 2024incomplete | 8,487 | $180K |
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) | 53% | 6,710 | 6,050 | $274K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 25% | 10,806 | 4,983 | $130K |
| 84443 | Thyroid stimulating hormone (TSH) | 3.7% | 1,250 | 1,095 | $19K |
| 80061 | Lipid panel | 3.3% | 1,316 | 1,139 | $17K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.7% | 1,895 | 1,636 | $14K |
| 80053 | Comprehensive metabolic panel | 2.2% | 1,153 | 1,000 | $11K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.2% | 283 | 215 | $11K |
| 82274 | 1.3% | 456 | 399 | $7K | |
| 86738 | 1.1% | 390 | 354 | $6K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 537 | 454 | $5K |
| 81001 | <1% | 1,523 | 1,330 | $5K | |
| 86328 | <1% | 254 | 194 | $4K |
11 more codes
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 178 | $4K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 138 | $3K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 311 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 255 | $2K |
| 82570 | <1% | 205 | $987.40 | |
| 82043 | <1% | 173 | $928.87 | |
| 84153 | <1% | 39 | $696.35 | |
| 85730 | <1% | 17 | $85.01 | |
| 85610 | <1% | 17 | $54.89 | |
| 85651 | <1% | 14 | $51.22 | |
| G0238 | Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) | 0% | 94 | $0.00 |
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 officialHUERTAS, CARLOS (FINANCE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Clinica Yaguez, INC. | Anasco, PR | $102K |
| Clinica Yaguez INC | Mayaguez, PR | $67K |
| Clinica Yaguez INC | Guanica, PR | $58K |
| Clinica Yaguez, INC. | Mayaguez, PR | $46K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.