Lab
Nilsa Ivette Sanchez Shumate/Laboratorio Clinico Modelo
Nilsa Ivette Sanchez Shumate/Laboratorio Clinico Modelo was paid $678K by Medicaid between Jan 2018 and Dec 2024, across 52 billing codes. Its largest line is 84443, Thyroid stimulating hormone (TSH) — 14% of everything it billed.
33Billing provider infoNILSA IVETTE SANCHEZ SHUMATE/LABORATORIO CLINICO MODELO
CATANO, PR 00962
CATANO, PR 00962
33aNPI1932186855assigned 12/30/2005
33bProvider typeClinical Medical Laboratory
28Total paid$678K
24GClaims61,675
24DCodes billed52
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Puerto Rico
Rank by total paid#191 of 777
Median peer was paid$278K
This provider vs. median2.4×
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 | 7,976 | $80K | |
| 2019 | 8,950 | $86K | |
| 2020 | 7,999 | $82K | |
| 2021 | 11,723 | $135K | |
| 2022 | 9,992 | $130K | |
| 2023 | 8,189 | $91K | |
| 2024incomplete | 6,846 | $74K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 84443 | Thyroid stimulating hormone (TSH) | 14% | 5,763 | 5,652 | $94K |
| 80061 | Lipid panel | 11% | 5,676 | 5,557 | $76K |
| 80053 | Comprehensive metabolic panel | 9.9% | 6,519 | 6,345 | $67K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 9.2% | 8,164 | 7,802 | $62K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 8.8% | 1,435 | 1,329 | $60K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 6.6% | 1,887 | 1,846 | $45K |
| 83036 | Hemoglobin; glycosylated (A1C) | 4.6% | 3,250 | 3,193 | $31K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 4.1% | 1,196 | 1,100 | $28K |
| 81001 | 3.3% | 6,837 | 6,631 | $22K | |
| 86769 | 2.4% | 660 | 632 | $16K | |
| 86803 | 2.4% | 1,218 | 1,204 | $16K | |
| 86701 | 2.3% | 1,770 | 1,752 | $16K |
40 more codes
| 84439 | 1.7% | 1,231 | $11K | |
| 86328 | 1.6% | 588 | $11K | |
| 82043 | 1.5% | 1,672 | $10K | |
| 36415 | Collection of venous blood by venipuncture | 1.4% | 1,320 | $10K |
| 87340 | 1.3% | 949 | $9K | |
| 87088 | 1.3% | 1,119 | $9K | |
| 84436 | 1.3% | 1,318 | $9K | |
| 87590 | 1.3% | 454 | $9K | |
| 86705 | 1.3% | 775 | $8K | |
| 86709 | 1.2% | 774 | $8K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 820 | $8K |
| 87270 | <1% | 634 | $7K | |
| 84153 | <1% | 317 | $6K | |
| 86738 | <1% | 286 | $4K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 445 | $4K |
| 86592 | <1% | 893 | $4K | |
| 82270 | <1% | 994 | $3K | |
| 82570 | <1% | 489 | $2K | |
| 85651 | <1% | 674 | $2K | |
| 86140 | <1% | 346 | $2K | |
| 86301 | <1% | 79 | $2K | |
| 84479 | <1% | 146 | $846.74 | |
| 86430 | <1% | 153 | $786.21 | |
| 82607 | <1% | 41 | $627.45 | |
| 85730 | <1% | 107 | $616.44 | |
| 86304 | <1% | 30 | $563.15 | |
| 85610 | <1% | 125 | $471.60 | |
| 86696 | <1% | 25 | $464.20 | |
| 82378 | <1% | 24 | $413.40 | |
| 82274 | <1% | 25 | $404.71 | |
| 87177 | <1% | 61 | $403.14 | |
| 83655 | <1% | 29 | $382.51 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 39 | $330.13 |
| 86695 | <1% | 26 | $316.36 | |
| 86694 | <1% | 26 | $262.85 | |
| 80050 | General health panel | <1% | 24 | $230.18 |
| 84481 | <1% | 12 | $221.52 | |
| 82950 | <1% | 27 | $72.52 | |
| 3044F | 0% | 175 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 28 | $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 SHUMATE, NILSA (OWNER)