Physician
Lopez, Benigno
Lopez, Benigno was paid $1.27M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 40% of everything it billed.
33Billing provider infoLOPEZ, BENIGNO
CAGUAS, PR 00726
CAGUAS, PR 00726
33aNPI1215017819assigned 10/17/2006
33bProvider typeOrthopaedic Surgery Physician
28Total paid$1.27M
24GClaims39,847
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Puerto Rico
Rank by total paid#2 of 61
Median peer was paid$122K
This provider vs. median10×
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 | 1,500 | $31K | |
| 2019 | 2,831 | $61K | |
| 2020 | 3,139 | $96K | |
| 2021 | 9,079 | $228K | |
| 2022 | 7,518 | $214K | |
| 2023 | 8,622 | $343K | |
| 2024incomplete | 7,158 | $298K |
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 | 40% | 6,013 | 5,138 | $513K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 6,694 | 4,909 | $331K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 10% | 7,113 | 1,022 | $133K |
| 97032 | 7.2% | 7,113 | 1,022 | $91K | |
| 97035 | 7.2% | 7,113 | 1,022 | $91K | |
| 29515 | 1.8% | 424 | 341 | $23K | |
| 29425 | 1.7% | 415 | 341 | $22K | |
| 97010 | 1.5% | 3,200 | 518 | $20K | |
| 29075 | <1% | 164 | 149 | $9K | |
| Q4037 | Cast supplies, short leg cast, adult (11 years +), plaster | <1% | 329 | 279 | $8K |
| Q4045 | Cast supplies, short leg splint, adult (11 years +), plaster | <1% | 353 | 280 | $7K |
| 29505 | <1% | 161 | 129 | $6K |
10 more codes
| 73610 | <1% | 141 | $4K | |
| 73562 | <1% | 124 | $4K | |
| 73130 | <1% | 104 | $3K | |
| 29125 | <1% | 48 | $2K | |
| Q4009 | Cast supplies, short arm cast, adult (11 years +), plaster | <1% | 146 | $2K |
| 73630 | <1% | 57 | $1K | |
| Q4041 | Cast supplies, long leg splint, adult (11 years +), plaster | <1% | 45 | $1K |
| Q4021 | Cast supplies, short arm splint, adult (11 years +), plaster | <1% | 29 | $555.00 |
| Q4038 | Cast supplies, short leg cast, adult (11 years +), fiberglass | <1% | 46 | $315.00 |
| 73110 | <1% | 15 | $135.55 |
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.