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    OpenPayerNPI Medicare & MedicaidHigh Profile Laboratory San Juan LLC
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    High Profile Laboratory San Juan LLC — Billing Profile & Reimbursement Data

    NPI 1508475757 · San Juan, PR · Clinical Medical Laboratory

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    High Profile Laboratory San Juan LLC is a clinical medical laboratory provider located in San Juan, Puerto Rico. This profile covers 9 Medicare and 0 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
    OrganizationHigh Profile Laboratory San Juan LLC
    Address150 Ave De Diego
    CitySan Juan
    StatePR
    ZIP00925
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedJuly 23, 2020

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

    Payer SourceTotal Paid
    Medicare$2.8K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.60$10$590
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…70$10$530
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…10$40$460
    85730The analyst performs the technical lab test using plasma or whole blood to measure partial thromboplastin time, PTT, also called APTT, activated partial thromboplastin time. The PTT assay can help…50$10$290
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.80$1$230
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…10$20$220
    85610Prothrombin time is most commonly measured using the blood plasma. Chemicals like calcium and tissue factor are added to the plasma sample and then the time is noted when the plasma clots. To analyze…50$1$200
    81001Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…60$1$170
    87086Culture, bacterial; quantitative, colony count, urine.10$10$100

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8444331632040$20$1.7K
    8742610011030$30$1.5K
    8005313934050$10$1.4K
    3641518938070$10$1.2K
    8502515636060$10$1.1K
    810015713050$1$530
    87086778030$10$370
    8573076020$10$320
    85610126030$1$260

    Nearby Providers

    Other providers in the same ZIP code as High Profile Laboratory San Juan LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Special Care Pharmacy Services, LLCPRPharmacy$0$12.9M
    Laboratorio Clinico Rio Piedras IPRClinical Medical Laboratory$0$702.3K
    Laboratorio Clinico BorgesPRClinical Medical Laboratory$0$679.7K
    Carmen AmaralPROphthalmology Physician$990$673.3K
    Walgreen CoPRPharmacy$78.2K$0
    Maria ZweigPRSpecialist$26.8K$0
    Brenda Orta RodriguezPRGeriatric Physical Therapist$21.6K$0
    Gloriva PinaPRCounseling Psychologist$0$19.6K
    Ivelisse Sambolin JessurunPRPhysical Medicine & Rehabilitation Physician$19.4K$0
    Ricardo Gago PineroPRRheumatology Physician$13.6K$0

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Puerto Rico Distribution
    High Profile Laboratory San Juan LLC — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico