Arce-Lopez, Emilio

Arce-Lopez, Emilio was paid $102K by Medicaid between Jan 2018 and Sep 2024, across 4 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 73% of everything it billed.

33Billing provider infoARCE-LOPEZ, EMILIO
SAN JUAN, PR 00907

33aNPI1023119831assigned 09/26/2006

33bProvider typeOphthalmology Physician

28Total paid$102K

24GClaims2,821

24DCodes billed4

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Ophthalmology Physician providers in Puerto Rico

Rank by total paid#86 of 141

Median peer was paid$163K

This provider vs. median0.6×

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	820	$15K
2019	383	$10K
2020	408	$16K
2021	562	$25K
2022	287	$15K
2023	222	$13K
2024incomplete	139	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	73%	1,644	1,453	$74K
92015	Determination of refractive state	14%	711	625	$14K
92002		12%	422	345	$12K
92134		1.0%	44	42	$1K

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.