Lab
Laboratorio Clinico Garcia INC
Laboratorio Clinico Garcia INC was paid $505K by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 84443, Thyroid stimulating hormone (TSH) — 17% of everything it billed.
33Billing provider infoLABORATORIO CLINICO GARCIA INC
CABO ROJO, PR 00623
CABO ROJO, PR 00623
33aNPI1780628453assigned 06/15/2006
33bProvider typeClinical Medical Laboratory
28Total paid$505K
24GClaims44,964
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Puerto Rico
Rank by total paid#250 of 777
Median peer was paid$278K
This provider vs. median1.8×
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 | 7,250 | $74K | |
| 2019 | 4,720 | $44K | |
| 2020 | 4,323 | $43K | |
| 2021 | 6,132 | $77K | |
| 2022 | 6,435 | $89K | |
| 2023 | 8,264 | $91K | |
| 2024incomplete | 7,840 | $88K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 84443 | Thyroid stimulating hormone (TSH) | 17% | 5,204 | 4,889 | $84K |
| 80061 | Lipid panel | 14% | 5,502 | 5,151 | $71K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 11% | 7,637 | 7,075 | $57K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 8.7% | 1,097 | 992 | $44K |
| 80053 | Comprehensive metabolic panel | 8.1% | 4,013 | 3,779 | $41K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 7.0% | 1,256 | 1,142 | $35K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 5.2% | 1,108 | 1,000 | $27K |
| 83036 | Hemoglobin; glycosylated (A1C) | 4.6% | 2,535 | 2,379 | $23K |
| 82274 | 4.3% | 1,479 | 1,370 | $22K | |
| 81000 | 3.7% | 5,922 | 5,460 | $18K | |
| 80048 | Basic metabolic panel (calcium, ionized) | 3.4% | 2,085 | 1,950 | $17K |
| 84153 | 2.6% | 761 | 686 | $13K |
25 more codes
| 82043 | 2.1% | 1,960 | $11K | |
| 86701 | 1.4% | 784 | $7K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.1% | 115 | $6K |
| 87276 | <1% | 396 | $5K | |
| 87275 | <1% | 396 | $5K | |
| 86328 | <1% | 221 | $4K | |
| 84439 | <1% | 333 | $3K | |
| 86803 | <1% | 150 | $2K | |
| 82570 | <1% | 435 | $2K | |
| 86738 | <1% | 155 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 394 | $2K |
| 82947 | <1% | 483 | $2K | |
| 80076 | <1% | 104 | $829.26 | |
| 86592 | <1% | 137 | $584.04 | |
| 82607 | <1% | 28 | $433.74 | |
| 85651 | <1% | 76 | $256.29 | |
| 82270 | <1% | 53 | $202.68 | |
| 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 | <1% | 19 | $163.08 |
| 87088 | <1% | 19 | $141.96 | |
| 87070 | <1% | 12 | $90.90 | |
| 85610 | <1% | 15 | $56.04 | |
| 3048F | 0% | 35 | $0.00 | |
| 3049F | 0% | 13 | $0.00 | |
| 3044F | 0% | 19 | $0.00 | |
| 3045F | 0% | 13 | $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 officialGARCIA, NIVIA (DIRECTOR)