Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Laboratorio Clinico San Antonio

Laboratorio Clinico San Antonio was paid $149K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 84443, Thyroid stimulating hormone (TSH) — 18% of everything it billed.

33Billing provider infoLABORATORIO CLINICO SAN ANTONIO
SAN SEBASTIAN, PR 00685
33aNPI1710176177assigned 10/22/2007
28Total paid$149K
24GClaims12,267
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Puerto Rico

Rank by total paid#492 of 777
Median peer was paid$278K
This provider vs. median0.5×

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$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
20181,949$19K
20191,624$15K
20201,199$11K
20212,279$34K
20222,065$38K
20231,524$15K
2024incomplete1,627$17K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
84443 Thyroid stimulating hormone (TSH) 18% 1,596 1,532 $26K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 17% 589 546 $26K
80061 Lipid panel 16% 1,760 1,691 $24K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 14% 2,730 2,544 $21K
80053 Comprehensive metabolic panel 13% 1,787 1,707 $19K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 11% 638 587 $16K
81000 4.4% 2,016 1,926 $7K
83036 Hemoglobin; glycosylated (A1C) 2.2% 335 323 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1.7% 85 80 $3K
36415 Collection of venous blood by venipuncture <1% 174 145 $651.80
82270 <1% 179 170 $605.73
86328 <1% 27 26 $511.10
10 more codes
87275 <1% 42 $498.62
87276 <1% 42 $498.62
80048 Basic metabolic panel (calcium, ionized) <1% 52 $443.63
82043 <1% 70 $420.62
82274 <1% 17 $306.85
84153 <1% 14 $267.21
81001 <1% 57 $198.00
84439 <1% 15 $147.30
82570 <1% 27 $146.26
87328 0% 15 $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 officialGONZALEZ, MARIBEL (OWNER)