Physician
Lopez Torres, Jose
Lopez Torres, Jose was paid $14K by Medicaid between Nov 2018 and Dec 2024, across 19 billing codes. Its largest line is 99441, — 85% of everything it billed.
33Billing provider infoLOPEZ TORRES, JOSE
GUAYANILLA, PR 00656
GUAYANILLA, PR 00656
33aNPI1013175850assigned 05/29/2008
33bProvider typeGeneral Practice Physician
28Total paid$14K
24GClaims13,106
24DCodes billed19
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#378 of 1,195
Median peer was paid$2K
This provider vs. median6.8×
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 | 173 | $62.00 | |
| 2019 | 1,349 | $30.00 | |
| 2020 | 1,482 | $2K | |
| 2021 | 2,994 | $9K | |
| 2022 | 2,311 | $964.87 | |
| 2023 | 2,803 | $1K | |
| 2024incomplete | 1,994 | $57.66 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99441 | 85% | 2,279 | 2,009 | $12K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.1% | 3,558 | 3,004 | $1K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 3.9% | 2,942 | 2,606 | $545.60 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 19 | 18 | $135.00 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 75 | 74 | $92.00 |
| 99442 | <1% | 38 | 37 | $42.00 | |
| 99446 | <1% | 933 | 834 | $14.03 | |
| 3078F | 0% | 881 | 805 | $0.00 | |
| 3077F | 0% | 115 | 110 | $0.00 | |
| 1033F | 0% | 40 | 37 | $0.00 | |
| 99421 | 0% | 69 | 60 | $0.00 | |
| 3008F | 0% | 745 | 657 | $0.00 |
7 more codes
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.