Lab
Montemar Clinical Labs., INC.
Montemar Clinical Labs., INC. was paid $1.51M by Medicaid between Jan 2018 and Dec 2024, across 63 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 15% of everything it billed.
33Billing provider infoMONTEMAR CLINICAL LABS., INC.
BARCELONETA, PR 00674
BARCELONETA, PR 00674
33aNPI1821101403assigned 08/16/2006
33bProvider typeClinical Medical Laboratory
28Total paid$1.51M
24GClaims137,504
24DCodes billed63
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Puerto Rico
Rank by total paid#77 of 777
Median peer was paid$278K
This provider vs. median5.4×
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
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 | 14,582 | $110K | |
| 2019 | 10,922 | $77K | |
| 2020 | 12,761 | $106K | |
| 2021 | 27,692 | $366K | |
| 2022 | 27,073 | $389K | |
| 2023 | 23,575 | $245K | |
| 2024incomplete | 20,899 | $213K |
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) | 15% | 5,627 | 5,066 | $225K |
| 84443 | Thyroid stimulating hormone (TSH) | 10% | 10,876 | 10,602 | $158K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 9.3% | 5,862 | 5,139 | $140K |
| 80061 | Lipid panel | 8.3% | 10,390 | 10,130 | $126K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 7.7% | 4,368 | 4,253 | $115K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 7.3% | 16,269 | 15,366 | $110K |
| 80053 | Comprehensive metabolic panel | 7.0% | 11,655 | 11,172 | $106K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.8% | 1,507 | 1,395 | $73K |
| 83036 | Hemoglobin; glycosylated (A1C) | 4.1% | 7,166 | 6,985 | $62K |
| 36415 | Collection of venous blood by venipuncture | 3.9% | 20,331 | 18,586 | $60K |
| 82274 | 2.4% | 2,543 | 2,468 | $36K | |
| 81001 | 2.3% | 11,350 | 11,051 | $35K |
51 more codes
| 86738 | 2.1% | 2,601 | $32K | |
| 84153 | 1.6% | 1,536 | $25K | |
| 87276 | 1.6% | 1,834 | $24K | |
| 82043 | 1.2% | 3,238 | $18K | |
| 86701 | 1.0% | 1,690 | $15K | |
| 86790 | <1% | 1,235 | $15K | |
| 82607 | <1% | 1,026 | $14K | |
| 87088 | <1% | 1,900 | $14K | |
| 84436 | <1% | 1,901 | $12K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 389 | $11K |
| 84439 | <1% | 1,140 | $11K | |
| 84479 | <1% | 1,886 | $11K | |
| 80074 | <1% | 211 | $9K | |
| 86592 | <1% | 1,900 | $7K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 874 | $7K |
| 85651 | <1% | 1,511 | $5K | |
| 86328 | <1% | 250 | $4K | |
| 80050 | General health panel | <1% | 436 | $4K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 460 | $3K |
| 82378 | <1% | 177 | $3K | |
| 82570 | <1% | 604 | $3K | |
| 83970 | <1% | 72 | $3K | |
| 81000 | <1% | 831 | $3K | |
| 86038 | <1% | 202 | $2K | |
| 86140 | <1% | 317 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 123 | $865.78 |
| 85730 | <1% | 145 | $818.30 | |
| 82575 | <1% | 93 | $796.50 | |
| 85610 | <1% | 215 | $766.46 | |
| 87177 | <1% | 83 | $647.46 | |
| 84481 | <1% | 27 | $447.05 | |
| 86803 | <1% | 33 | $437.60 | |
| 80069 | <1% | 76 | $373.50 | |
| 82950 | <1% | 86 | $371.79 | |
| 82951 | <1% | 25 | $312.65 | |
| 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% | 32 | $285.68 |
| 84156 | <1% | 85 | $260.46 | |
| 86430 | <1% | 55 | $250.10 | |
| 83550 | <1% | 26 | $212.47 | |
| 83001 | <1% | 12 | $208.53 | |
| 86710 | <1% | 15 | $174.65 | |
| 86376 | <1% | 12 | $165.92 | |
| 82728 | <1% | 13 | $157.86 | |
| 83540 | <1% | 25 | $157.22 | |
| 82947 | <1% | 41 | $144.22 | |
| 84703 | <1% | 14 | $100.41 | |
| 82270 | <1% | 26 | $82.05 | |
| 84550 | <1% | 18 | $71.61 | |
| 83735 | <1% | 13 | $71.56 | |
| 85007 | <1% | 17 | $49.35 | |
| 87899 | 0% | 29 | $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 officialHERMINA, LUZ (OWNER)