Lopez, Edwin

Lopez, Edwin was paid $158K by Medicaid between Sep 2018 and Dec 2024, across 6 billing codes. Its largest line is 99283, emergency room visit (moderate) — 47% of everything it billed.

33Billing provider infoLOPEZ, EDWIN
GUAYAMA, PR 00784

33aNPI1164920807assigned 01/29/2018

33bProvider typeGeneral Practice Physician

28Total paid$158K

24GClaims2,943

24DCodes billed6

24AFirst – last monthSep 2018 – Dec 2024

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#139 of 1,195

Median peer was paid$2K

This provider vs. median77×

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	202	$9K
2019	650	$33K
2020	451	$19K
2021	152	$10K
2022	308	$12K
2023	456	$28K
2024incomplete	724	$47K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	47%	1,299	921	$74K
99218		26%	725	602	$40K
99234		12%	273	270	$19K
99219		8.7%	165	145	$14K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	5.0%	93	68	$8K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	1.9%	388	354	$3K

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.