Physician
Lopez, Carmen
Lopez, Carmen was paid $3K by Medicaid between Apr 2018 and Apr 2022, across 26 billing codes. Its largest line is 99441, — 100% of everything it billed.
33Billing provider infoLOPEZ, CARMEN
RIO GRANDE, PR 00745
RIO GRANDE, PR 00745
33aNPI1255314746assigned 11/29/2005
33bProvider typeGeneral Practice Physician
28Total paid$3K
24GClaims7,651
24DCodes billed26
24AFirst – last monthApr 2018 – Apr 2022
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#576 of 1,195
Median peer was paid$2K
This provider vs. median1.2×
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 | 5,537 | $0.40 | |
| 2019 | 905 | $0.00 | |
| 2020 | 617 | $42.00 | |
| 2022 | 592 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99441 | 100% | 103 | 68 | $3K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 311 | 309 | $0.40 |
| 99401 | 0% | 136 | 136 | $0.00 | |
| 1160F | 0% | 384 | 371 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 381 | 336 | $0.00 |
| 1159F | 0% | 385 | 372 | $0.00 | |
| 3078F | 0% | 1,176 | 1,033 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 671 | 566 | $0.00 |
| 1033F | 0% | 31 | 31 | $0.00 | |
| 99411 | 0% | 99 | 97 | $0.00 | |
| 96160 | 0% | 33 | 32 | $0.00 | |
| 1158F | 0% | 19 | 15 | $0.00 |
14 more codes
| 99497 | 0% | 20 | $0.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 35 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 1,360 | $0.00 |
| 96161 | 0% | 242 | $0.00 | |
| 2001F | 0% | 167 | $0.00 | |
| 2000F | 0% | 169 | $0.00 | |
| 1036F | 0% | 88 | $0.00 | |
| 1170F | 0% | 20 | $0.00 | |
| 3074F | 0% | 1,165 | $0.00 | |
| 2010F | 0% | 163 | $0.00 | |
| 3008F | 0% | 151 | $0.00 | |
| 1157F | 0% | 311 | $0.00 | |
| 1126F | 0% | 15 | $0.00 | |
| 1031F | 0% | 16 | $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.