Physician
Lopez, Michael
Lopez, Michael was paid $360K by Medicaid between Jun 2019 and Nov 2024, across 7 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 43% of everything it billed.
33Billing provider infoLOPEZ, MICHAEL
DAYTON, OH 45404
DAYTON, OH 45404
33aNPI1205192135assigned 04/04/2012
33bProvider typeOphthalmology Physician
28Total paid$360K
24GClaims8,615
24DCodes billed7
24AFirst – last monthJun 2019 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in Ohio
Rank by total paid#18 of 155
Median peer was paid$10K
This provider vs. median35×
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 | 103 | $0.00 | |
| 2020 | 318 | $10K | |
| 2021 | 536 | $21K | |
| 2022 | 2,718 | $116K | |
| 2023 | 2,421 | $116K | |
| 2024incomplete | 2,519 | $98K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 43% | 1,340 | 1,018 | $156K |
| 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 | 22% | 1,398 | 952 | $78K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 16% | 524 | 446 | $56K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 8.9% | 243 | 232 | $32K |
| 92060 | 4.6% | 1,691 | 1,238 | $17K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 3.3% | 197 | 159 | $12K |
| 92015 | Determination of refractive state | 2.6% | 3,222 | 2,513 | $9K |
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.