Physician
Martinez-Lopez, Cristy
Martinez-Lopez, Cristy was paid $218K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 50% of everything it billed.
33Billing provider infoMARTINEZ-LOPEZ, CRISTY
SAN JUAN, PR 00907
SAN JUAN, PR 00907
33aNPI1023262110assigned 11/17/2008
33bProvider typeNephrology Physician
28Total paid$218K
24GClaims2,797
24DCodes billed9
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Nephrology Physician providers in Puerto Rico
Rank by total paid#20 of 81
Median peer was paid$66K
This provider vs. median3.3×
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 | 348 | $20K | |
| 2019 | 175 | $8K | |
| 2020 | 369 | $27K | |
| 2021 | 558 | $40K | |
| 2022 | 423 | $33K | |
| 2023 | 453 | $49K | |
| 2024incomplete | 471 | $42K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 50% | 1,575 | 539 | $110K |
| 90962 | 13% | 491 | 437 | $29K | |
| 90961 | 9.3% | 125 | 124 | $20K | |
| 99222 | Initial hospital care, per day, moderate complexity | 9.2% | 226 | 216 | $20K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 7.6% | 71 | 65 | $17K |
| 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 | 7.5% | 186 | 132 | $16K |
| 99254 | 1.5% | 72 | 66 | $3K | |
| 99223 | Prolong inpt eval add15 m | 1.5% | 20 | 12 | $3K |
| 3077F | 0% | 31 | 12 | $0.00 |
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.