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    OpenPayerNPI Medicare & MedicaidLaboratorio De Patologia Dr Noy
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    Laboratorio De Patologia Dr Noy — Billing Profile & Reimbursement Data

    NPI 1225016140 · San Juan, PR · Anatomic Pathology Physician

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    Laboratorio De Patologia Dr Noy is a anatomic pathology physician provider located in San Juan, Puerto Rico. This profile covers 0 Medicare and 29 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationLaboratorio De Patologia Dr Noy
    Address239 Arterial Hostos
    CitySan Juan
    StatePR
    ZIP00918
    TaxonomyAnatomic Pathology Physician
    NPI EnumeratedJanuary 3, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$45.7M
    Medicare$0

    Key Findings

    This provider effectively operates as a Medicaid-focused laboratory: there is no Medicare billing on file and the listed lifetime Medicaid revenue is $45.7M, indicating a single-payer concentration dominated by Medicaid activity. Analysts should treat Medicare-related comparisons as inapplicable for this entity given the absence of Medicare claims.

    Revenue is highly concentrated in a small set of Medicaid codes: the precomputed top three Medicaid codes account for 48.5% of this provider's total Medicaid revenue, led by 87624 ($9.9M, 21.7%), 88142 ($7M, 15.4%), and 88305 ($5.2M, 11.4%). This concentration means changes in reimbursement or utilization for those three codes would materially affect overall revenue.

    The CPT/HCPCS mix signals a high-throughput anatomic pathology and diagnostic lab with a strong emphasis on women’s health screening and infectious disease testing: 87624 (HPV testing) has 248.1K claims, 88142 (thin layer cytology) has 334.2K claims, and Chlamydia/Gonorrhea NAATs 87490/87590 each have 161.7K claims, reflecting large-scale sample processing and automated cytology workflows. Ancillary complex pathology services are also present (e.g., 88365 in situ hybridization and multiple flow cytometry codes such as 88182 and 88184), indicating capability for both molecular and immunohistochemical testing.

    State-level competitive standing is dominant for several high-volume tests: 87624 ranks #1 of 29 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), 88142 ranks #1 of 52 providers (100th percentile; extreme outlier), and 87490 and 87590 each rank #1 in large provider pools (100th percentile; extreme outlier). These rank and percentile signals identify the lab as a leading statewide provider for HPV screening, cytology, and NAAT-based STI testing.

    For several specialized codes the provider appears to be the sole or uniquely captured in-state reporter: 88182 and 88187 each rank #1 of 1 providers in-state (0th percentile; no state peer volume comparison available), and 88344 ranks #1 of 1 providers in-state (0th percentile; no state peer volume comparison available). These entries suggest either unique service offerings or limited peer reporting for these specialized assays, and analysts should treat peer comparisons cautiously for those codes.

    Operational scale is substantial in absolute claim volume for certain diagnostics, underscoring centralized high-throughput processing: examples include 88142 with 334.2K claims, 87624 with 248.1K claims, and 87490/87590 with 161.7K claims each. Those claim volumes, combined with the dollar revenues reported, point to a business model built on volume-driven laboratory testing rather than predominantly low-volume surgical pathology.

    The provider’s NPI has been enumerated since 2006-01-03 (~20 years ago), indicating long tenure and likely established referral relationships and operational infrastructure in Puerto Rico. Longevity combined with the high-volume testing footprint supports interpretation of this entity as an established regional laboratory.

    Because nearly half of Medicaid revenue is concentrated in three codes (48.5% from the top three) and the practice shows outsized state-level dominance on several high-volume tests, the provider’s revenue profile is sensitive to policy or reimbursement changes affecting those specific codes. Payers and network managers should consider the impact of contracting or price changes for HPV, cytology, and key surgical pathology codes when assessing fiscal risk and negotiating terms.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    87624The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result.248,090$40$9.9M
    88142The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…334,150$20$7M
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…53,580$100$5.2M
    87490The lab analyst performs a test for Chlamydia trachomatis using direct nucleic acid probe technique. Chlamydia trachomatis causes a common sexually transmitted disease and certain eye infections.161,720$20$3.7M
    87590The lab analyst performs a test for Neisseria gonorrhoeae, a bacteria, using direct nucleic acid probe technique.161,710$20$3.7M
    88365The lab analyst applies an initial in situ hybridization single probe stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a…37,160$90$3.5M
    88182The lab analyst performs a flow cytometry procedure to analyze the cell cycle or DNA of a patient’s specimen, such as tumor tissue, body fluid, blood, bone marrow, or urine. The analysis may provide…36,300$80$2.8M
    88187The clinician, typically a pathologist, interprets flow cytometry results of two to eight markers.37,240$50$1.7M
    88184The lab analyst performs the technical component of a flow cytometry procedure using a cell surface, cytoplasmic, or nuclear marker to characterize cells and aid clinicians in diagnosing patients…37,600$30$1.2M
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…11,690$100$1.2M

    Showing 1–10 of 29

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Puerto Rico providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Puerto Rico median

    29 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88182The lab analyst performs a flow cytometry procedure to analyze the cell cycle or DNA of a patient’s specimen, such as tumor tissue, body fluid, blood, bone marrow, or urine. The analysis may provide…11036,300$80$2.8M
    88187The clinician, typically a pathologist, interprets flow cytometry results of two to eight markers.11037,240$50$1.7M
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…3304,250$80$1.3M
    88185The lab analyst performs the technical component of a flow cytometry procedure using cell surface, cytoplasmic, or nuclear markers to characterize cells and aid clinicians in diagnosing patients with…1107,100$80$1.2M
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…4101,420$300$1.2M
    88365The lab analyst applies an initial in situ hybridization single probe stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a…110290$90$871K
    87661The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.8104,190$30$655.7K
    87624The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result.130910$40$638.8K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…13201,210$190$535.5K
    88312The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…21301,210$150$530.3K

    Showing 1–10 of 29

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Laboratorio De Patologia Dr Noy, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Belkiss Murati AmadorPRAnatomic Pathology & Clinical Pathology Physician$31.3K$0
    Miguel NoyPRAnatomic Pathology & Clinical Pathology Physician$18.7K$0
    Linette Mejias BadilloOHAnatomic Pathology & Clinical Pathology Physician$5.8K$0

    Nearby Providers

    Other providers in the same ZIP code as Laboratorio De Patologia Dr Noy, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hato Rey Pathology Associates IncPRClinical Medical Laboratory$58.5K$42M
    Home Orthopedics CorpPRProsthetic/Orthotic Supplier$0$20.7M
    Orthobone, IncPRCustomized Equipment (DME)$0$15.5M
    Smith & Nephew Inc.PRProsthetic/Orthotic Supplier$0$12M
    Laboratorio Clinico Noy IncPRClinical Medical Laboratory$76.1K$9.9M
    Servicios Radiologicos Asociados Jorge Perez BraisPRDiagnostic Radiology Physician$0$2.9M
    Luis Torres VeraPRAllergy Physician$21.5K$2.7M
    Inspira Psychiatric Services PscPRAdult Mental Health Clinic/Center$0$2.5M
    Frankie AlvaradoPRPulmonary Disease Physician$7.3K$2.4M
    Boston Scientific Del Caribe, IncPRDurable Medical Equipment & Medical Supplies$0$2.2M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Puerto Rico Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Puerto Rico Distribution
    Laboratorio De Patologia Dr Noy — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico