Integrate Community Health System, INC.
Integrate Community Health System, INC. was paid $18K by Medicaid between Jan 2020 and Oct 2024, across 7 billing codes. Its largest line is 84443, Thyroid stimulating hormone (TSH) — 25% of everything it billed.
AGUADILLA, PR 00603
Next to other Clinical Medical Laboratory providers in Puerto Rico
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 115 | $1K | |
| 2021 | 289 | $3K | |
| 2022 | 138 | $899.44 | |
| 2023 | 699 | $5K | |
| 2024incomplete | 1,216 | $8K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 84443 | Thyroid stimulating hormone (TSH) | 25% | 287 | 272 | $4K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 23% | 578 | 533 | $4K |
| 80061 | Lipid panel | 18% | 263 | 249 | $3K |
| 80053 | Comprehensive metabolic panel | 17% | 311 | 292 | $3K |
| 81001 | 7.0% | 390 | 371 | $1K | |
| 36415 | Collection of venous blood by venipuncture | 6.4% | 561 | 495 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | 3.4% | 67 | 60 | $606.59 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Metro Pavia Healthcare Centers | Arecibo, PR | $1.17M |
| Integrate Community Health System | Guayama, PR | $525K |
| Metro Pavia Healthcare Centers INC | Carolina, PR | $179K |
| Integrate Community Health System | Aguadilla, PR | $115K |
| Integrate Community Health System | San Juan, PR | $95K |
| Integrate Community Health System | Humacao, PR | $67K |
| Integrate Community Health System | Caguas, PR | $49K |
| Integrate Community Health System | Carolina, PR | $40K |
| Integrate Community Health System | Bayamon, PR | $25K |
| Metro Pavia Healthcare Centers | Ponce, PR | $11K |
| Integrate Community Health System | Bayamon, PR | $5K |
| Metro Pavia Healthcare Center | Arecibo, PR | $3K |
| Integrate Community Health System, INC | Bayamon, PR | $866.58 |
| Integrate Community Health System | Bayamon, PR | $365.40 |
| Integrate Community Health System | Guayama, PR | $209.20 |
| Integrate Community Health System | Hato Rey, PR | $99.00 |
| Metro Pavia Healthcare Centers INC | Carolina, PR | $54.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.