Lopez, Harry
Lopez, Harry was paid $180.00 by Medicaid between Jul 2020 and Dec 2024, across 4 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 100% of everything it billed.
33Billing provider infoLOPEZ, HARRY
AGUADILLA, PR 00603
AGUADILLA, PR 00603
33aNPI1215912324assigned 12/12/2005
33bProvider typeSpecialist
28Total paid$180.00
24GClaims5,236
24DCodes billed4
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Specialist providers in Puerto Rico
Rank by total paid#275 of 316
Median peer was paid$26K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2020 | 152 | $0.00 | |
| 2021 | 660 | $0.00 | |
| 2022 | 865 | $180.00 | |
| 2023 | 1,437 | $0.00 | |
| 2024incomplete | 2,122 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 100% | 12 | 12 | $180.00 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 0% | 5,114 | 3,288 | $0.00 |
| 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 | 0% | 82 | 82 | $0.00 |
| 99442 | 0% | 28 | 26 | $0.00 |
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.