Clinic
Horacio G. Lopez, M.D., INC.
Horacio G. Lopez, M.D., INC. was paid $133K by Medicaid between Sep 2019 and Nov 2024, across 39 billing codes. Its largest line is G9920, Screening performed and negative — 17% of everything it billed.
33Billing provider infoHORACIO G. LOPEZ, M.D., INC.
LOS ANGELES, CA 90057
LOS ANGELES, CA 90057
33aNPI1164696811assigned 04/14/2008
33bProvider typePrimary Care Clinic/Center
28Total paid$133K
24GClaims11,373
24DCodes billed39
24AFirst – last monthSep 2019 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in California
Rank by total paid#138 of 422
Median peer was paid$25K
This provider vs. median5.4×
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 | |
|---|---|---|---|
| 2019 | 491 | $3K | |
| 2020 | 1,367 | $19K | |
| 2021 | 953 | $8K | |
| 2022 | 519 | $7K | |
| 2023 | 1,851 | $34K | |
| 2024incomplete | 6,192 | $64K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9920 | Screening performed and negative | 17% | 1,040 | 1,031 | $22K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.2% | 193 | 192 | $12K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.9% | 1,514 | 1,415 | $12K |
| 99460 | 8.8% | 338 | 336 | $12K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.2% | 321 | 319 | $10K |
| 99238 | Hospital discharge day management, 30 minutes or less | 7.0% | 340 | 338 | $9K |
| 92552 | 6.7% | 1,090 | 1,086 | $9K | |
| 96156 | 6.1% | 408 | 402 | $8K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.5% | 268 | 265 | $7K |
| 99462 | 4.5% | 313 | 234 | $6K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.0% | 251 | 250 | $5K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.8% | 1,879 | 1,164 | $5K |
27 more codes
| 97803 | 3.1% | 301 | $4K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 1.7% | 96 | $2K |
| 90688 | 1.4% | 370 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 95 | $1K |
| 92551 | 1.1% | 204 | $1K | |
| 99188 | <1% | 349 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 15 | $881.27 |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 254 | $416.76 |
| 99173 | <1% | 545 | $351.31 | |
| 90744 | <1% | 52 | $333.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 62 | $325.66 |
| 90670 | <1% | 40 | $246.00 | |
| 90698 | <1% | 40 | $153.00 | |
| 90700 | <1% | 12 | $108.00 | |
| 90680 | <1% | 28 | $108.00 | |
| 92081 | <1% | 154 | $98.00 | |
| 90648 | <1% | 31 | $90.00 | |
| 96127 | <1% | 258 | $71.70 | |
| 90671 | <1% | 17 | $36.00 | |
| 90677 | <1% | 13 | $36.00 | |
| 90633 | <1% | 12 | $27.00 | |
| 90619 | <1% | 13 | $9.00 | |
| 90650 | <1% | 12 | $9.00 | |
| 90461 | 0% | 166 | $0.00 | |
| 99442 | 0% | 152 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 36 | $0.00 |
| 97802 | 0% | 91 | $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, HORACIO (PRESIDENT)