Lopes, Nelsy

Lopes, Nelsy was paid $186K by Medicaid between Jan 2020 and Dec 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.

33Billing provider infoLOPES, NELSY
NEWPORT, RI 02840

33aNPI1003249178assigned 08/13/2013

33bProvider typePhysician Assistant

28Total paid$186K

24GClaims4,567

24DCodes billed10

24AFirst – last monthJan 2020 – Dec 2024

Compared with peers

Next to other Physician Assistant providers in Rhode Island

Rank by total paid#19 of 215

Median peer was paid$17K

This provider vs. median11×

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
2020	808	$38K
2021	849	$29K
2022	1,051	$40K
2023	1,007	$42K
2024incomplete	852	$37K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	60%	2,840	2,586	$111K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	24%	842	804	$44K
G0467	Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit	9.6%	102	54	$18K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	4.6%	334	304	$9K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	195	185	$1K
T1017	Case management, billed per 15 minutesTargeted case management, each 15 minutes	<1%	48	31	$1K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	156	152	$1K
99443		<1%	14	14	$504.00
83036	Hemoglobin; glycosylated (A1C)	<1%	12	12	$58.51
82962		<1%	24	24	$33.06

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.