Lab
Vega Alta Community Health
Vega Alta Community Health was paid $918K by Medicaid between Jan 2018 and Oct 2024, across 35 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 30% of everything it billed.
33Billing provider infoVEGA ALTA COMMUNITY HEALTH
VEGA ALTA, PR 00692
VEGA ALTA, PR 00692
33aNPI1952338154assigned 06/26/2006
33bProvider typeClinical Medical Laboratory
28Total paid$918K
24GClaims60,566
24DCodes billed35
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Puerto Rico
Rank by total paid#135 of 777
Median peer was paid$278K
This provider vs. median3.3×
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.
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 | 4,550 | $47K | |
| 2019 | 4,109 | $30K | |
| 2020 | 9,370 | $97K | |
| 2021 | 13,667 | $248K | |
| 2022 | 12,512 | $252K | |
| 2023 | 10,040 | $152K | |
| 2024incomplete | 6,318 | $93K |
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) | 30% | 6,629 | 6,180 | $272K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 14% | 5,397 | 4,923 | $126K |
| 84443 | Thyroid stimulating hormone (TSH) | 8.2% | 4,620 | 4,401 | $76K |
| 80061 | Lipid panel | 6.6% | 4,650 | 4,432 | $61K |
| 80053 | Comprehensive metabolic panel | 5.7% | 4,933 | 4,699 | $52K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 5.2% | 6,203 | 5,862 | $48K |
| 86328 | 3.7% | 1,860 | 1,766 | $34K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 3.7% | 1,226 | 1,150 | $34K |
| 83036 | Hemoglobin; glycosylated (A1C) | 2.7% | 2,608 | 2,480 | $25K |
| 84436 | 2.4% | 3,180 | 3,029 | $22K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.3% | 425 | 421 | $21K |
| 84479 | 2.3% | 3,244 | 3,094 | $21K |
23 more codes
| 81001 | 1.8% | 5,172 | $17K | |
| 36415 | Collection of venous blood by venipuncture | 1.6% | 1,991 | $15K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 970 | $10K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 1.1% | 281 | $10K |
| 86803 | 1.1% | 666 | $10K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 1.1% | 277 | $10K |
| 84153 | <1% | 486 | $9K | |
| 86738 | <1% | 573 | $8K | |
| 82043 | <1% | 1,262 | $7K | |
| 82274 | <1% | 279 | $5K | |
| 86701 | <1% | 532 | $5K | |
| 82270 | <1% | 1,322 | $4K | |
| 86704 | <1% | 324 | $4K | |
| 86708 | <1% | 333 | $4K | |
| 86706 | <1% | 380 | $4K | |
| 87340 | <1% | 354 | $4K | |
| 86592 | <1% | 128 | $579.97 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 52 | $453.45 |
| 82570 | <1% | 51 | $273.32 | |
| 87070 | <1% | 18 | $134.20 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 19 | $128.96 |
| 84100 | <1% | 12 | $42.77 | |
| 87899 | <1% | 109 | $38.29 |
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 BERMUDEZ, LUIS (DIRECTOR MEDICO)
| Provider | Location | Paid |
|---|---|---|
| Vega Alta Community Health | Vega Alta, PR | $383K |
| Dorado Community Health INC | Dorado, PR | $298K |
| Dorado Community Health INC | Dorado, PR | $162K |
| First Medical Center INC | Comerio, PR | $31K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.