Jose J Lopez Agudo Oftalmologo CSP

Jose J Lopez Agudo Oftalmologo CSP was paid $766K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 47% of everything it billed.

33Billing provider infoJOSE J LOPEZ AGUDO OFTALMOLOGO CSP
FAJARDO, PR 00738

33aNPI1144422858assigned 06/04/2007

33bProvider typeOphthalmology Physician

28Total paid$766K

24GClaims24,577

24DCodes billed15

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in Puerto Rico

Rank by total paid#25 of 141

Median peer was paid$163K

This provider vs. median4.7×

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	3,212	$28K
2019	5,542	$114K
2020	6,237	$167K
2021	3,684	$119K
2022	2,711	$109K
2023	2,198	$155K
2024incomplete	993	$75K

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	47%	5,245	4,112	$358K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	26%	1,744	1,670	$198K
92015	Determination of refractive state	20%	4,500	3,750	$152K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	6.5%	540	464	$50K
92020		<1%	861	624	$2K
92201		<1%	312	229	$2K
76514		<1%	1,064	801	$1K
83861		<1%	4,434	1,614	$1K
92226		<1%	1,523	638	$1K
92202		<1%	1,323	907	$627.00
92225		<1%	268	104	$115.92
2022F		0%	589	441	$0.00

3 more codes

2021F	0%	548	$0.00
3072F	0%	1,282	$0.00
2023F	0%	344	$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, JOSE (PRESIDENT)

Same official

Other billing entities under LOPEZ, JOSE

Full network →

Provider	Location	Paid
Jose L. Lopez, DDS, INC	San Diego, CA	$1.64M
Orleans Medical Clinic,llc	Orleans, IN	$365K
Genesee Family Care PC	Burton, MI	$105K
Prisma Care, a Medical Corporation	Chula Vista, CA	$8K
Jose M Lopez, D.M.D., PA	El Paso, TX	$3K
Jose a Lopez M.D P.A	Oakland, FL	$861.78

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.