Lab
Laboratorio Clinico Bethania INC.
Laboratorio Clinico Bethania INC. was paid $318K by Medicaid between Jan 2018 and Nov 2024, across 28 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 BETHANIA INC.
CABO ROJO, PR 00623
CABO ROJO, PR 00623
33aNPI1922378975assigned 01/09/2012
33bProvider typeClinical Medical Laboratory
28Total paid$318K
24GClaims26,693
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Puerto Rico
Rank by total paid#362 of 777
Median peer was paid$278K
This provider vs. median1.1×
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 | 3,267 | $34K | |
| 2019 | 2,687 | $16K | |
| 2020 | 1,322 | $11K | |
| 2021 | 2,753 | $34K | |
| 2022 | 2,576 | $37K | |
| 2023 | 6,094 | $76K | |
| 2024incomplete | 7,994 | $109K |
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% | 1,600 | 1,285 | $62K |
| 84443 | Thyroid stimulating hormone (TSH) | 12% | 2,817 | 2,709 | $39K |
| 80061 | Lipid panel | 11% | 2,950 | 2,831 | $36K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 10% | 4,991 | 4,515 | $33K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 7.9% | 1,972 | 780 | $25K |
| 80053 | Comprehensive metabolic panel | 6.6% | 2,451 | 2,321 | $21K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 6.5% | 869 | 741 | $21K |
| 83036 | Hemoglobin; glycosylated (A1C) | 3.5% | 1,262 | 1,205 | $11K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 3.1% | 347 | 329 | $10K |
| 86738 | 2.9% | 547 | 467 | $9K | |
| 82274 | 2.8% | 578 | 554 | $9K | |
| 81001 | 2.7% | 2,948 | 2,807 | $8K |
16 more codes
| 80048 | Basic metabolic panel (calcium, ionized) | 1.6% | 604 | $5K |
| 86803 | 1.5% | 318 | $5K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.3% | 82 | $4K |
| 82043 | 1.2% | 747 | $4K | |
| 86328 | 1.1% | 188 | $3K | |
| 86701 | 1.0% | 378 | $3K | |
| 84153 | <1% | 143 | $3K | |
| 80050 | General health panel | <1% | 198 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 192 | $2K |
| 84439 | <1% | 111 | $1K | |
| 82570 | <1% | 161 | $850.32 | |
| 82607 | <1% | 47 | $719.16 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 57 | $471.23 |
| 86592 | <1% | 83 | $369.36 | |
| 82947 | <1% | 39 | $155.06 | |
| 87088 | <1% | 13 | $110.28 |
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 officialMERCADO, FRANCIS (LABORATORY DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Empresas Jerico INC. | Cabo Rojo, PR | $543K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.