Lopez, Coral

Lopez, Coral was paid $226K by Medicaid between Jul 2022 and Nov 2024, across 9 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 39% of everything it billed.

33Billing provider infoLOPEZ, CORAL
CAGUAS, PR 00775

33aNPI1255771150assigned 06/25/2013

33bProvider typePediatric Endocrinology Physician

28Total paid$226K

24GClaims2,593

24DCodes billed9

24AFirst – last monthJul 2022 – Nov 2024

Compared with peers

Next to other Pediatric Endocrinology Physician providers in Puerto Rico

Rank by total paid#3 of 10

Median peer was paid$118K

This provider vs. median1.9×

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
2022	83	$5K
2023	1,221	$82K
2024incomplete	1,289	$138K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	39%	659	595	$87K
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	23%	507	406	$52K
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	21%	416	382	$48K
99205	Prolong outpt/office vis	9.2%	136	131	$21K
G0108	Diabetes outpatient self-management training services, individual, per 30 minutes	4.1%	335	278	$9K
95251		2.4%	186	160	$5K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	261	245	$2K
99443		<1%	16	14	$2K
99401		<1%	77	67	$118.82

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.