Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › Ensenada › NPI 1710191689
Lab

Laboratorio Clinico Ensenadeno INC

Laboratorio Clinico Ensenadeno INC was paid $296K by Medicaid between Jan 2018 and Nov 2024, across 30 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 29% of everything it billed.

33Billing provider infoLABORATORIO CLINICO ENSENADENO INC
ENSENADA, PR 00647
33aNPI1710191689assigned 05/10/2007
28Total paid$296K
24GClaims26,164
24DCodes billed30
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Puerto Rico

Rank by total paid#377 of 777
Median peer was paid$278K
This provider vs. median1.1×

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$20K$40K2018201920202021202220232024
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
20184,500$38K
20192,820$20K
20201,315$8K
20214,423$49K
20226,215$117K
20234,025$47K
2024incomplete2,866$16K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 29% 2,243 2,008 $87K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 15% 2,038 1,838 $45K
84443 Thyroid stimulating hormone (TSH) 11% 2,564 2,424 $31K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 8.3% 4,328 4,004 $25K
80061 Lipid panel 8.0% 2,368 2,232 $24K
80053 Comprehensive metabolic panel 5.7% 2,223 2,086 $17K
81000 2.6% 3,297 3,071 $8K
87276 2.4% 696 657 $7K
86738 2.4% 596 558 $7K
87275 2.3% 697 657 $7K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 2.3% 364 354 $7K
83036 Hemoglobin; glycosylated (A1C) 2.2% 924 867 $7K
18 more codes
82274 1.9% 483 $6K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1.2% 181 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.2% 291 $3K
80048 Basic metabolic panel (calcium, ionized) 1.1% 483 $3K
82043 <1% 488 $2K
82570 <1% 484 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 114 $1K
84153 <1% 89 $1K
36415 Collection of venous blood by venipuncture <1% 599 $1K
87088 <1% 179 $838.93
86328 <1% 162 $750.17
84439 <1% 69 $553.90
82947 <1% 71 $254.70
84436 <1% 40 $238.63
86592 <1% 40 $155.40
82465 <1% 24 $100.32
84479 <1% 15 $90.15
86803 <1% 14 $31.10

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 officialACEVEDO, ANGELES (PRESIDENT)