Clinic
Luis R. Lopez M.D., LTD
Luis R. Lopez M.D., LTD was paid $957K by Medicaid between Jan 2018 and Jul 2024, across 25 billing codes. Its largest line is 95144, — 38% of everything it billed.
33Billing provider infoLUIS R. LOPEZ M.D., LTD
PHOENIX, AZ 85012
PHOENIX, AZ 85012
33aNPI1023348604assigned 01/05/2010
33bProvider typePrimary Care Clinic/Center
28Total paid$957K
24GClaims13,563
24DCodes billed25
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Arizona
Rank by total paid#30 of 104
Median peer was paid$181K
This provider vs. median5.3×
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 | 2,324 | $79K | |
| 2019 | 1,701 | $72K | |
| 2020 | 1,502 | $63K | |
| 2021 | 1,574 | $53K | |
| 2022 | 1,871 | $145K | |
| 2023 | 4,216 | $525K | |
| 2024incomplete | 375 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95144 | 38% | 3,117 | 457 | $360K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 23% | 1,052 | 214 | $217K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 2,910 | 2,643 | $121K |
| 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 | 11% | 1,873 | 1,677 | $101K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.3% | 2,829 | 2,488 | $80K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 3.2% | 156 | 155 | $31K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.2% | 473 | 440 | $30K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 53 | 51 | $5K |
| 99397 | <1% | 65 | 63 | $5K | |
| 95912 | <1% | 31 | 28 | $3K | |
| 95923 | <1% | 27 | 24 | $2K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 81 | 74 | $379.56 |
13 more codes
| 99442 | <1% | 42 | $344.56 | |
| 96160 | <1% | 177 | $328.52 | |
| 93000 | <1% | 27 | $274.90 | |
| 96127 | <1% | 57 | $258.49 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 48 | $129.32 |
| 81002 | <1% | 31 | $49.33 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 12 | $14.28 |
| 99499 | <1% | 203 | $0.67 | |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | $0.00 |
| 3008F | 0% | 110 | $0.00 | |
| 3074F | 0% | 70 | $0.00 | |
| 3079F | 0% | 15 | $0.00 | |
| 3078F | 0% | 92 | $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.
From NPPES
Who's on the registration
Authorized officialLOPEZ, LUIS (BUSINESS ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Heartland Pediatric Clinic | Marion, IL | $4.19M |
| Luis Alfonso Lopez, MD, PA | San Antonio, TX | $484K |
| Flagler Dental Care | Miami, FL | $199K |
| Luis J Lopez MD PA | Tampa, FL | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.