Santos Lopez, Luis Raul

Santos Lopez, Luis Raul was paid $30K by Medicaid between Nov 2018 and Aug 2023, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 95% of everything it billed.

33Billing provider infoSANTOS LOPEZ, LUIS RAUL
GURABO, PR 00778

33aNPI1336207224assigned 12/05/2006

33bProvider typeInternal Medicine Physician

28Total paid$30K

24GClaims1,876

24DCodes billed4

24AFirst – last monthNov 2018 – Aug 2023

Compared with peers

Next to other Internal Medicine Physician providers in Puerto Rico

Rank by total paid#193 of 518

Median peer was paid$5K

This provider vs. median6.0×

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	75	$116.00
2019	461	$297.50
2020	286	$4K
2021	385	$12K
2022	505	$14K
2023	164	$437.51

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	95%	1,620	1,392	$29K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	4.8%	66	66	$1K
3008F		0%	145	143	$0.00
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	0%	45	37	$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.