Lab
Laboratorio Clinico Plaza Caparra
Laboratorio Clinico Plaza Caparra was paid $50K by Medicaid between Aug 2020 and Aug 2024, across 7 billing codes. Its largest line is 87635, Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe — 41% of everything it billed.
33Billing provider infoLABORATORIO CLINICO PLAZA CAPARRA
GUAYNABO, PR 00968
GUAYNABO, PR 00968
33aNPI1912335563assigned 10/17/2013
33bProvider typeClinical Medical Laboratory
28Total paid$50K
24GClaims1,578
24DCodes billed7
24AFirst – last monthAug 2020 – Aug 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Puerto Rico
Rank by total paid#616 of 777
Median peer was paid$278K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2020 | 231 | $8K | |
| 2021 | 1,070 | $37K | |
| 2022 | 193 | $5K | |
| 2023 | 12 | $93.41 | |
| 2024incomplete | 72 | $519.92 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 41% | 410 | 366 | $20K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 35% | 734 | 626 | $17K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 22% | 265 | 215 | $11K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.0% | 130 | 127 | $1K |
| 86328 | <1% | 14 | 14 | $266.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 13 | 13 | $108.00 |
| 81000 | <1% | 12 | 12 | $42.94 |
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 officialGONZALEZ, EFRAIN (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Efrain H Gonzalez MD PA | Miami, FL | $13K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.