HERNANDEZ LOPEZ, ILLIAD
NPI: 1326218223
· MOCA, PR 00676
· 246QM0706X
$108K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,582 |
$45K |
| 2019 |
2,638 |
$27K |
| 2020 |
2,252 |
$24K |
| 2021 |
1,117 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 84443 |
|
1,315 |
1,271 |
$24K |
| 80061 |
|
1,585 |
1,520 |
$22K |
| 85025 |
|
2,363 |
2,220 |
$19K |
| 80053 |
|
1,298 |
1,250 |
$15K |
| 81000 |
|
1,771 |
1,678 |
$6K |
| 83036 |
|
562 |
543 |
$6K |
| 80048 |
|
519 |
496 |
$5K |
| 82306 |
|
96 |
95 |
$3K |
| 84153 |
|
103 |
98 |
$2K |
| 82274 |
|
111 |
111 |
$2K |
| 82043 |
|
207 |
203 |
$1K |
| 82270 |
|
217 |
206 |
$754.02 |
| 86701 |
|
77 |
67 |
$746.13 |
| 87275 |
|
53 |
46 |
$545.56 |
| 87276 |
|
53 |
46 |
$545.56 |
| 82947 |
|
108 |
107 |
$440.50 |
| 87088 |
|
40 |
40 |
$352.80 |
| 85651 |
|
86 |
86 |
$311.37 |
| 82570 |
|
12 |
12 |
$66.18 |
| 86592 |
|
13 |
12 |
$55.24 |