Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Lopez, Josh

Lopez, Josh was paid $171K by Medicaid between Dec 2020 and Dec 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 77% of everything it billed.

33Billing provider infoLOPEZ, JOSH
ELGIN, IL 60123
33aNPI1184166001assigned 11/09/2016
28Total paid$171K
24GClaims2,940
24DCodes billed5
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers

Next to other Family Nurse Practitioner providers in Illinois

Rank by total paid#426 of 3,353
Median peer was paid$25K
This provider vs. median6.9×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
202016$1K
2021921$44K
2022869$49K
2023590$36K
2024incomplete544$41K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 77% 1,867 1,640 $132K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22% 856 725 $37K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 33 33 $1K
90756 <1% 23 13 $518.66
36415 Collection of venous blood by venipuncture <1% 161 131 $5.92

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.