Lab
Laboratorio Clinico Irizarry Guasch INC
Laboratorio Clinico Irizarry Guasch INC was paid $2.00M by Medicaid between Jan 2018 and Aug 2024, across 68 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 23% of everything it billed.
33Billing provider infoLABORATORIO CLINICO IRIZARRY GUASCH INC
LAJAS, PR 00667
LAJAS, PR 00667
33aNPI1720294705assigned 05/15/2007
33bProvider typeClinical Medical Laboratory
28Total paid$2.00M
24GClaims165,511
24DCodes billed68
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Puerto Rico
Rank by total paid#49 of 777
Median peer was paid$278K
This provider vs. median7.2×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official SANCHEZ, JOSE controls 14+ related entities in our dataset. Read more
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 | 6,726 | $30K | |
| 2019 | 22,017 | $160K | |
| 2020 | 17,596 | $188K | |
| 2021 | 34,840 | $585K | |
| 2022 | 40,310 | $615K | |
| 2023 | 32,455 | $330K | |
| 2024incomplete | 11,567 | $91K |
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) | 23% | 10,599 | 9,499 | $450K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 14% | 11,348 | 9,900 | $276K |
| 84443 | Thyroid stimulating hormone (TSH) | 8.2% | 11,471 | 11,233 | $164K |
| 80061 | Lipid panel | 6.6% | 11,456 | 11,235 | $132K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 6.0% | 19,904 | 18,914 | $120K |
| 80053 | Comprehensive metabolic panel | 4.9% | 10,953 | 10,681 | $97K |
| 36415 | Collection of venous blood by venipuncture | 3.5% | 23,425 | 21,896 | $69K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 3.5% | 2,672 | 2,634 | $69K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.2% | 1,283 | 1,210 | $64K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 3.1% | 2,809 | 2,755 | $62K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.0% | 4,478 | 2,667 | $60K |
| 86328 | 2.3% | 1,829 | 1,749 | $47K |
56 more codes
| 83036 | Hemoglobin; glycosylated (A1C) | 2.3% | 5,585 | $45K |
| 81000 | 2.0% | 14,528 | $39K | |
| 82274 | 1.7% | 2,296 | $33K | |
| 80048 | Basic metabolic panel (calcium, ionized) | 1.5% | 3,846 | $30K |
| 86738 | 1.4% | 2,325 | $28K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 1.4% | 965 | $27K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 1.3% | 865 | $26K |
| 84153 | 1.0% | 1,295 | $20K | |
| 84439 | <1% | 2,304 | $17K | |
| 82607 | <1% | 1,085 | $14K | |
| 82043 | <1% | 2,656 | $14K | |
| 80074 | <1% | 318 | $13K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 1,394 | $9K |
| 86803 | <1% | 578 | $7K | |
| 86592 | <1% | 1,763 | $7K | |
| 84436 | <1% | 1,557 | $7K | |
| 85651 | <1% | 1,643 | $5K | |
| 85730 | <1% | 934 | $5K | |
| 84479 | <1% | 1,355 | $5K | |
| 82947 | <1% | 1,100 | $4K | |
| 85610 | <1% | 968 | $3K | |
| 87088 | <1% | 409 | $3K | |
| 86360 | <1% | 66 | $3K | |
| 86706 | <1% | 295 | $3K | |
| 86708 | <1% | 245 | $3K | |
| 82570 | <1% | 478 | $2K | |
| 86038 | <1% | 146 | $2K | |
| 82950 | <1% | 338 | $1K | |
| 82728 | <1% | 124 | $1K | |
| 83001 | <1% | 83 | $1K | |
| 83655 | <1% | 115 | $1K | |
| 86140 | <1% | 363 | $1K | |
| 83540 | <1% | 165 | $960.54 | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 13 | $667.29 |
| 84146 | <1% | 31 | $569.38 | |
| 80076 | <1% | 93 | $517.73 | |
| 83970 | <1% | 12 | $460.32 | |
| 84703 | <1% | 59 | $369.84 | |
| 84403 | <1% | 12 | $270.82 | |
| 87015 | <1% | 40 | $235.32 | |
| 83550 | <1% | 27 | $222.68 | |
| 82565 | <1% | 56 | $198.77 | |
| 84460 | <1% | 66 | $194.53 | |
| 80069 | <1% | 25 | $190.22 | |
| 84550 | <1% | 53 | $173.21 | |
| 84156 | <1% | 41 | $124.14 | |
| 86430 | <1% | 25 | $118.65 | |
| 82270 | <1% | 37 | $112.18 | |
| 87340 | <1% | 13 | $96.50 | |
| 84520 | <1% | 37 | $91.52 | |
| 84450 | <1% | 25 | $61.22 | |
| 85018 | <1% | 12 | $23.86 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 158 | $0.00 |
| P9604 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge | 0% | 13 | $0.00 |
| 3044F | 0% | 127 | $0.00 | |
| G0328 | Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | 0% | 122 | $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 officialSANCHEZ, JOSE (PRESIDENTE)
| Provider | Location | Paid |
|---|---|---|
| Laboratorio Clinico Irizarry Guasch INC | Mayaguez, PR | $1.64M |
| Laboratorio Clinico Irizarry Guasch INC | Lajas, PR | $1.53M |
| Laboratorio Clinico Irizarry Guasch INC | San Sebastian, PR | $1.50M |
| Laboratorio Clinico Irizarry Guasch INC | Mayaguez, PR | $1.24M |
| Lab Clinico Irizarry Guasch INC | Mayaguez, PR | $1.11M |
| Laboratorio Clinico Irizarry Guasch INC | San German, PR | $1.03M |
| Laboratorio Clinico Irizarry Guasch INC | Cabo Rojo, PR | $723K |
| Laboratorio Clinico Irizarry Guaschinc | Aguadilla, PR | $620K |
| Nuevo Smile Dental Care | Nuevo, CA | $546K |
| Laboratorio Clinico Irizarry Guasch INC | Aguadilla, PR | $542K |
| Laboratorio Clinico Anexo Irizarry Guasch INC | San Sebastian, PR | $353K |
| Jose M Sanchez Dental Corporation | Pomona, CA | $59K |
| Grupo Otorrinolaringologico De PR CSP | Bayamon, PR | $21K |
| Jose Manuel Sanchez MD PA | Coral Gables, FL | $62.40 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.