Physician
Aguilar Lopez, Edwin
Aguilar Lopez, Edwin was paid $1.22M by Medicaid between Jan 2020 and Feb 2024, across 54 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoAGUILAR LOPEZ, EDWIN
BALTIMORE, MD 21237
BALTIMORE, MD 21237
33aNPI1073619375assigned 09/15/2006
33bProvider typePediatrics Physician
28Total paid$1.22M
24GClaims32,571
24DCodes billed54
24AFirst – last monthJan 2020 – Feb 2024
Compared with peers
Next to other Pediatrics Physician providers in Maryland
Rank by total paid#80 of 306
Median peer was paid$206K
This provider vs. median5.9×
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 | 24,454 | $848K | |
| 2021 | 2,908 | $120K | |
| 2022 | 4,670 | $216K | |
| 2023 | 509 | $36K | |
| 2024incomplete | 30 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 30% | 3,337 | 2,901 | $366K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 4,179 | 3,756 | $335K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.7% | 779 | 767 | $82K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.9% | 588 | 571 | $60K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.3% | 460 | 454 | $53K |
| 92552 | 3.5% | 1,745 | 1,714 | $43K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 2.9% | 250 | 243 | $35K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.8% | 381 | 338 | $34K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.2% | 194 | 179 | $27K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.5% | 1,132 | 674 | $19K |
| 94760 | 1.3% | 7,495 | 6,273 | $16K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 301 | 297 | $15K |
42 more codes
| 90686 | 1.2% | 619 | $14K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 820 | $11K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 701 | $9K |
| 99383 | <1% | 66 | $8K | |
| 90670 | <1% | 301 | $7K | |
| 90698 | <1% | 302 | $7K | |
| 96127 | <1% | 741 | $6K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 765 | $6K |
| 99177 | <1% | 983 | $5K | |
| 99051 | <1% | 581 | $5K | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 455 | $4K |
| 90651 | <1% | 171 | $4K | |
| 90680 | <1% | 189 | $4K | |
| 90633 | <1% | 197 | $4K | |
| 99384 | <1% | 31 | $4K | |
| 99382 | <1% | 38 | $4K | |
| 90744 | <1% | 138 | $3K | |
| 90710 | <1% | 137 | $3K | |
| 90734 | <1% | 132 | $3K | |
| 99381 | <1% | 30 | $3K | |
| 2015F | <1% | 142 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 17 | $3K |
| 99173 | <1% | 970 | $2K | |
| 87807 | <1% | 161 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 16 | $2K |
| 81002 | <1% | 619 | $2K | |
| 90620 | <1% | 73 | $2K | |
| 0071A | <1% | 39 | $2K | |
| 90715 | <1% | 60 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $1K |
| 99401 | <1% | 22 | $933.02 | |
| 96160 | <1% | 268 | $805.77 | |
| 99050 | <1% | 50 | $750.00 | |
| 92551 | <1% | 55 | $534.60 | |
| 90696 | <1% | 13 | $302.64 | |
| W7000 | <1% | 57 | $277.56 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $163.35 |
| 3008F | <1% | 719 | $140.00 | |
| 96161 | <1% | 42 | $131.63 | |
| 3011F | <1% | 12 | $120.00 | |
| 36416 | <1% | 864 | $80.00 | |
| 99000 | <1% | 108 | $3.00 |
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.