Lopez, Joaquin

Lopez, Joaquin was paid $201K by Medicaid between Jan 2018 and Mar 2023, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.

33Billing provider infoLOPEZ, JOAQUIN
BERWYN, IL 60402

33aNPI1295858694assigned 04/09/2007

33bProvider typePediatrics Physician

28Total paid$201K

24GClaims4,105

24DCodes billed11

24AFirst – last monthJan 2018 – Mar 2023

Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#554 of 1,805

Median peer was paid$55K

This provider vs. median3.6×

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	1,063	$53K
2019	1,251	$63K
2020	1,159	$54K
2021	303	$15K
2022	271	$13K
2023	58	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	56%	2,446	2,096	$112K
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	25%	683	559	$49K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	8.3%	229	207	$17K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	8.3%	210	191	$17K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	86	68	$1K
90686		<1%	191	171	$1K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	16	13	$1K
90688		<1%	129	120	$907.20
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	39	36	$501.99
90672		<1%	63	56	$403.20
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	13	13	$333.45

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.