Lab
Laboratorio Clinico Anexo Irizarry Guasch INC
Laboratorio Clinico Anexo Irizarry Guasch INC was paid $353K by Medicaid between Jan 2018 and Nov 2024, across 32 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 19% of everything it billed.
33Billing provider infoLABORATORIO CLINICO ANEXO IRIZARRY GUASCH INC
SAN SEBASTIAN, PR 00685
SAN SEBASTIAN, PR 00685
33aNPI1891880951assigned 10/04/2006
33bProvider typeClinical Medical Laboratory
28Total paid$353K
24GClaims34,340
24DCodes billed32
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Puerto Rico
Rank by total paid#340 of 777
Median peer was paid$278K
This provider vs. median1.3×
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
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 | 6,929 | $47K | |
| 2019 | 1,822 | $2K | |
| 2020 | 3,919 | $39K | |
| 2021 | 7,607 | $112K | |
| 2022 | 5,299 | $79K | |
| 2023 | 4,586 | $36K | |
| 2024incomplete | 4,178 | $38K |
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) | 19% | 1,586 | 1,397 | $69K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 13% | 2,029 | 1,755 | $48K |
| 84443 | Thyroid stimulating hormone (TSH) | 13% | 3,111 | 2,799 | $47K |
| 80061 | Lipid panel | 9.9% | 2,911 | 2,627 | $35K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 9.8% | 4,900 | 4,308 | $35K |
| 80053 | Comprehensive metabolic panel | 8.6% | 3,201 | 2,870 | $30K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 4.4% | 557 | 499 | $15K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.7% | 310 | 294 | $13K |
| 83036 | Hemoglobin; glycosylated (A1C) | 3.3% | 1,279 | 1,178 | $12K |
| 81000 | 3.0% | 3,707 | 3,309 | $11K | |
| 86328 | 2.7% | 618 | 556 | $10K | |
| 36415 | Collection of venous blood by venipuncture | 1.9% | 7,250 | 6,094 | $7K |
20 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 365 | $4K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 1.0% | 214 | $4K |
| 82043 | <1% | 516 | $3K | |
| 82274 | <1% | 201 | $2K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 230 | $2K |
| 82607 | <1% | 122 | $2K | |
| 84436 | <1% | 200 | $1K | |
| 84153 | <1% | 67 | $1K | |
| 85651 | <1% | 353 | $1K | |
| 86592 | <1% | 189 | $674.74 | |
| 84439 | <1% | 69 | $622.19 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 68 | $593.74 |
| 87088 | <1% | 61 | $466.23 | |
| G0328 | Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | <1% | 31 | $453.10 |
| 84479 | <1% | 90 | $437.21 | |
| 86738 | <1% | 17 | $245.31 | |
| 85610 | <1% | 36 | $119.06 | |
| 85730 | <1% | 22 | $90.91 | |
| 82570 | <1% | 12 | $65.24 | |
| 82947 | <1% | 18 | $62.73 |
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)
Parent organizationLABORATORIO CLINICO ANEXO IRIZARRY GUASCH INC
| Provider | Location | Paid |
|---|---|---|
| Laboratorio Clinico Irizarry Guasch INC | Lajas, PR | $2.00M |
| Laboratorio Clinico Irizarry Guasch INC | Mayaguez, PR | $1.64M |
| Laboratorio Clinico Irizarry Guasch INC | Lajas, PR | $1.53M |
| Laboratorio Clinico Irizarry Guasch INC | San Sebastian, PR | $1.50M |
| Laboratorio Clinico Irizarry Guasch INC | Mayaguez, PR | $1.24M |
| Lab Clinico Irizarry Guasch INC | Mayaguez, PR | $1.11M |
| Laboratorio Clinico Irizarry Guasch INC | San German, PR | $1.03M |
| Laboratorio Clinico Irizarry Guasch INC | Cabo Rojo, PR | $723K |
| Laboratorio Clinico Irizarry Guaschinc | Aguadilla, PR | $620K |
| Nuevo Smile Dental Care | Nuevo, CA | $546K |
| Laboratorio Clinico Irizarry Guasch INC | Aguadilla, PR | $542K |
| Jose M Sanchez Dental Corporation | Pomona, CA | $59K |
| Grupo Otorrinolaringologico De PR CSP | Bayamon, PR | $21K |
| Jose Manuel Sanchez MD PA | Coral Gables, FL | $62.40 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.