Lab
Laboratorio Clinico Sebastian INC
Laboratorio Clinico Sebastian INC was paid $825K by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 15% of everything it billed.
33Billing provider infoLABORATORIO CLINICO SEBASTIAN INC
AIBONITO, PR 00705
AIBONITO, PR 00705
33aNPI1891743522assigned 05/05/2006
33bProvider typeClinical Medical Laboratory
28Total paid$825K
24GClaims88,280
24DCodes billed47
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Puerto Rico
Rank by total paid#156 of 777
Median peer was paid$278K
This provider vs. median3.0×
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.
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 | 9,166 | $75K | |
| 2019 | 10,026 | $64K | |
| 2020 | 9,327 | $79K | |
| 2021 | 14,522 | $191K | |
| 2022 | 13,518 | $175K | |
| 2023 | 18,335 | $156K | |
| 2024incomplete | 13,386 | $85K |
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% | 3,677 | 3,300 | $122K |
| 84443 | Thyroid stimulating hormone (TSH) | 12% | 7,196 | 6,616 | $101K |
| 80061 | Lipid panel | 12% | 8,748 | 8,043 | $99K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 10% | 3,470 | 3,108 | $86K |
| 36415 | Collection of venous blood by venipuncture | 9.9% | 15,536 | 13,654 | $82K |
| 80053 | Comprehensive metabolic panel | 7.6% | 7,152 | 6,467 | $63K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 5.2% | 6,725 | 6,139 | $43K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 3.8% | 1,549 | 1,328 | $32K |
| 86328 | 3.3% | 1,447 | 1,382 | $27K | |
| 85027 | 3.2% | 5,111 | 4,699 | $26K | |
| 80048 | Basic metabolic panel (calcium, ionized) | 3.0% | 3,332 | 3,087 | $24K |
| 81000 | 2.9% | 8,698 | 7,811 | $24K |
35 more codes
| 83036 | Hemoglobin; glycosylated (A1C) | 2.1% | 2,688 | $17K |
| 82274 | 1.1% | 691 | $9K | |
| 84439 | 1.1% | 1,174 | $9K | |
| 86703 | <1% | 662 | $7K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 813 | $5K |
| 82607 | <1% | 658 | $5K | |
| 84153 | <1% | 326 | $5K | |
| 87088 | <1% | 699 | $5K | |
| 86592 | <1% | 1,323 | $5K | |
| 82043 | <1% | 1,048 | $4K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 120 | $3K |
| G0328 | Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | <1% | 291 | $3K |
| 84436 | <1% | 527 | $3K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 106 | $3K |
| 84460 | <1% | 452 | $2K | |
| 84450 | <1% | 451 | $2K | |
| 82570 | <1% | 478 | $1K | |
| 86687 | <1% | 122 | $958.00 | |
| 84479 | <1% | 192 | $931.97 | |
| 82947 | <1% | 173 | $596.20 | |
| 85651 | <1% | 188 | $558.28 | |
| 80076 | <1% | 80 | $536.55 | |
| 80074 | <1% | 12 | $505.22 | |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | <1% | 31 | $485.20 |
| 83655 | <1% | 42 | $484.68 | |
| 80050 | General health panel | <1% | 44 | $434.58 |
| 82270 | <1% | 92 | $283.01 | |
| 85610 | <1% | 67 | $228.94 | |
| 84550 | <1% | 63 | $152.84 | |
| 87177 | <1% | 13 | $109.04 | |
| 87070 | <1% | 14 | $101.57 | |
| 85014 | <1% | 12 | $27.12 | |
| 85018 | <1% | 12 | $27.12 | |
| 3044F | 0% | 1,369 | $0.00 | |
| 3061F | 0% | 606 | $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 officialDEJESUS, SANDRA (MT(ASCP)/OWNER)