Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Lab Clinico Irizarry Guasch INC

Lab Clinico Irizarry Guasch INC was paid $1.11M by Medicaid between Jan 2018 and Dec 2024, across 70 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 16% of everything it billed.

33Billing provider infoLAB CLINICO IRIZARRY GUASCH INC
MAYAGUEZ, PR 00680
33aNPI1861620494assigned 06/22/2009
28Total paid$1.11M
24GClaims90,055
24DCodes billed70
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Puerto Rico

Rank by total paid#109 of 777
Median peer was paid$278K
This provider vs. median4.0×

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

$0$50K$100K2018201920202021202220232024
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
20187,116$66K
20196,163$58K
20207,251$83K
202111,930$201K
202213,493$217K
202315,327$159K
2024incomplete28,775$325K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 16% 4,055 3,678 $172K
84443 Thyroid stimulating hormone (TSH) 11% 7,242 6,687 $123K
80061 Lipid panel 9.0% 7,316 6,731 $99K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 8.8% 4,134 3,698 $97K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 8.6% 12,155 10,964 $95K
80053 Comprehensive metabolic panel 6.9% 7,138 6,551 $77K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 5.7% 2,155 1,958 $64K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 4.6% 2,171 1,934 $51K
83036 Hemoglobin; glycosylated (A1C) 2.9% 3,293 2,976 $32K
81000 2.8% 9,328 8,510 $31K
36415 Collection of venous blood by venipuncture 2.6% 11,655 10,380 $28K
82274 2.5% 1,752 1,579 $28K
58 more codes
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2.4% 528 $27K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2.2% 1,913 $25K
80048 Basic metabolic panel (calcium, ionized) 1.6% 2,164 $18K
86328 1.3% 783 $15K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1.3% 378 $14K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1.2% 360 $14K
86738 1.1% 815 $12K
82043 <1% 1,900 $11K
84153 <1% 578 $10K
80074 <1% 186 $9K
84439 <1% 679 $6K
87086 Culture, bacterial; quantitative colony count, urine <1% 763 $6K
82607 <1% 365 $6K
85651 <1% 1,251 $4K
86592 <1% 1,002 $4K
84436 <1% 565 $4K
86803 <1% 240 $3K
82570 <1% 490 $3K
87088 <1% 283 $2K
82947 <1% 514 $2K
84479 <1% 239 $2K
83970 <1% 33 $1K
85730 <1% 194 $1K
85610 <1% 223 $932.40
86038 <1% 71 $860.03
82746 <1% 49 $744.02
86140 <1% 135 $728.32
83001 <1% 36 $674.49
82728 <1% 47 $654.14
83002 <1% 32 $597.36
84550 <1% 121 $527.24
82951 <1% 33 $384.73
80069 <1% 43 $357.23
83540 <1% 44 $355.59
83655 <1% 25 $329.75
83550 <1% 39 $296.32
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous <1% 18 $289.16
82950 <1% 61 $276.95
84703 <1% 31 $227.26
86701 <1% 22 $197.98
86430 <1% 31 $183.01
86708 <1% 14 $181.71
86706 <1% 14 $157.50
82270 <1% 45 $155.80
84466 <1% 12 $155.42
84460 <1% 35 $133.44
80076 <1% 12 $99.94
84100 <1% 26 $80.58
82565 <1% 14 $72.10
84450 <1% 22 $68.63
86886 <1% 12 $64.46
84156 <1% 16 $62.68
84520 <1% 13 $51.66
86901 <1% 13 $45.07
86900 <1% 13 $45.07
82040 <1% 14 $24.15
3044F 0% 22 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 0% 80 $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)
Same official

Other billing entities under SANCHEZ, JOSE

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