Managed care
April E Lopez Fnp-Bc LLC
April E Lopez Fnp-Bc LLC was paid $104K by Medicaid between Jan 2018 and Sep 2022, across 17 billing codes. Its largest line is 99444, — 82% of everything it billed.
33Billing provider infoAPRIL E LOPEZ FNP-BC LLC
MCALLEN, TX 78501
MCALLEN, TX 78501
33aNPI1194151910assigned 09/25/2013
33bProvider typeExclusive Provider Organization
28Total paid$104K
24GClaims6,430
24DCodes billed17
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers
Next to other Exclusive Provider Organization providers in Texas
Rank by total paid#4 of 5
Median peer was paid$419K
This provider vs. median0.2×
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 | 2,780 | $54K | |
| 2019 | 2,581 | $44K | |
| 2020 | 828 | $4K | |
| 2021 | 177 | $2K | |
| 2022 | 64 | $767.11 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99444 | 82% | 1,632 | 454 | $86K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.6% | 1,406 | 934 | $9K |
| 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 | 6.6% | 917 | 590 | $7K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.0% | 215 | 174 | $1K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 104 | 57 | $425.49 |
| 99490 | Ccm add 20min | <1% | 231 | 223 | $422.59 |
| G2063 | Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 21 or more minutes | <1% | 90 | 29 | $406.98 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 74 | 56 | $222.57 |
| 99205 | Prolong outpt/office vis | <1% | 12 | 12 | $91.06 |
| 82947 | <1% | 625 | 452 | $29.31 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 63 | 55 | $0.80 |
| Q4159 | Affinity, per square centimeter (add-on, list separately in addition to primary procedure) | 0% | 132 | 38 | $0.00 |
5 more codes
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, APRIL (OWNER)
| Provider | Location | Paid |
|---|---|---|
| April Lopez and Associates | Round Rock, TX | $56K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.