Lopez, Lourdes

Lopez, Lourdes was paid $338K by Medicaid between Mar 2019 and Jun 2024, across 4 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 58% of everything it billed.

33Billing provider infoLOPEZ, LOURDES
SAN JUAN, PR 00909

33aNPI1235242942assigned 08/16/2006

33bProvider typePediatrics Physician

28Total paid$338K

24GClaims2,733

24DCodes billed4

24AFirst – last monthMar 2019 – Jun 2024

Compared with peers

Next to other Pediatrics Physician providers in Puerto Rico

Rank by total paid#28 of 194

Median peer was paid$7K

This provider vs. median50×

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	804	$39K
2020	211	$23K
2021	169	$37K
2022	604	$76K
2023	733	$129K
2024incomplete	212	$36K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	58%	882	814	$195K
99223	Prolong inpt eval add15 m	28%	946	880	$94K
99239	Hospital discharge day management, more than 30 minutes	14%	892	822	$49K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	<1%	13	13	$170.82

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.