Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Lab

Puerto Rico Clinical Reference Laboratory

Puerto Rico Clinical Reference Laboratory was paid $380K by Medicaid between Nov 2019 and Nov 2024, across 19 billing codes. Its largest line is 87635, Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe — 41% of everything it billed.

33Billing provider infoPUERTO RICO CLINICAL REFERENCE LABORATORY
MANATI, PR 00674
33aNPI1801364880assigned 11/07/2018
28Total paid$380K
24GClaims15,729
24DCodes billed19
24AFirst – last monthNov 2019 – Nov 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Puerto Rico

Rank by total paid#319 of 777
Median peer was paid$278K
This provider vs. median1.4×

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
201930$202.69
20202,801$80K
20215,972$171K
20223,840$98K
20231,707$18K
2024incomplete1,379$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 41% 3,090 2,802 $155K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 28% 4,436 3,818 $106K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 15% 1,380 1,152 $57K
86328 3.1% 513 478 $12K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2.3% 1,218 1,096 $9K
80053 Comprehensive metabolic panel 2.1% 811 744 $8K
84443 Thyroid stimulating hormone (TSH) 2.0% 493 468 $8K
36415 Collection of venous blood by venipuncture 1.8% 1,612 1,446 $7K
80061 Lipid panel 1.2% 389 376 $5K
86738 1.1% 323 317 $4K
87276 <1% 285 278 $4K
87275 <1% 285 278 $4K
7 more codes
81000 <1% 611 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 39 $1K
83036 Hemoglobin; glycosylated (A1C) <1% 77 $654.81
85730 <1% 72 $372.61
85610 <1% 70 $230.09
86787 <1% 13 $166.98
80048 Basic metabolic panel (calcium, ionized) <1% 12 $87.28

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, CARLOS (PRESIDENT)
Parent organizationLLC
Same official

Other billing entities under GONZALEZ, CARLOS

Full network →
ProviderLocationPaid
P.R. Clinical Reference Laboratory INCVega Baja, PR$3.66M
Stars Speech INC.Chula Vista, CA$2.30M
ST. Thomas Clinical Reference LaboratorySt Thomas, VI$708K
Broadway Internal Medicine P.CElmhurts, NY$31K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.