Lopez, Fermin

Lopez, Fermin was paid $206K by Medicaid between Oct 2019 and Apr 2024, across 15 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 29% of everything it billed.

33Billing provider infoLOPEZ, FERMIN
HUMACAO, PR 00791

33aNPI1356572556assigned 08/05/2009

33bProvider typeInternal Medicine Physician

28Total paid$206K

24GClaims2,814

24DCodes billed15

24AFirst – last monthOct 2019 – Apr 2024

Compared with peers

Next to other Internal Medicine Physician providers in Puerto Rico

Rank by total paid#73 of 518

Median peer was paid$5K

This provider vs. median41×

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
2019	190	$14K
2020	202	$15K
2021	356	$25K
2022	375	$18K
2023	1,343	$95K
2024incomplete	348	$39K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	29%	300	254	$59K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	28%	1,034	293	$57K
99219		13%	296	254	$28K
99222	Initial hospital care, per day, moderate complexity	7.7%	184	172	$16K
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	5.2%	81	79	$11K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.2%	125	116	$9K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.2%	93	93	$7K
99238	Hospital discharge day management, 30 minutes or less	3.2%	159	148	$7K
93000		2.1%	211	199	$4K
93224		1.7%	28	25	$4K
99252		1.5%	59	54	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	43	42	$2K

3 more codes

93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	172	$1K
99217		<1%	13	$533.78
99283	Emergency room visit (moderate)	<1%	16	$255.42

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.