Physician
Lopez, Joel
Lopez, Joel was paid $6K by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 79% of everything it billed.
33Billing provider infoLOPEZ, JOEL
LAS MARIAS, PR 00670
LAS MARIAS, PR 00670
33aNPI1376762179assigned 04/24/2007
33bProvider typeGeneral Practice Physician
28Total paid$6K
24GClaims24,246
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#464 of 1,195
Median peer was paid$2K
This provider vs. median3.1×
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 | 1,341 | $0.00 | |
| 2019 | 945 | $0.00 | |
| 2020 | 1,744 | $1K | |
| 2021 | 3,398 | $2K | |
| 2022 | 3,070 | $720.00 | |
| 2023 | 5,920 | $1K | |
| 2024incomplete | 7,828 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 79% | 174 | 144 | $5K |
| 96160 | 20% | 42 | 42 | $1K | |
| 99442 | <1% | 3,663 | 3,021 | $53.49 | |
| 1126F | 0% | 241 | 234 | $0.00 | |
| 3074F | 0% | 2,657 | 2,342 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 4,131 | 3,543 | $0.00 |
| 3048F | 0% | 197 | 152 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 397 | 328 | $0.00 |
| 99441 | 0% | 347 | 330 | $0.00 | |
| 3079F | 0% | 440 | 384 | $0.00 | |
| 3008F | 0% | 1,448 | 1,260 | $0.00 | |
| 2000F | 0% | 953 | 748 | $0.00 |
21 more codes
| 3017F | 0% | 98 | $0.00 | |
| 1125F | 0% | 901 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 526 | $0.00 |
| 96127 | 0% | 811 | $0.00 | |
| 1030F | 0% | 206 | $0.00 | |
| 3049F | 0% | 13 | $0.00 | |
| 1022F | 0% | 208 | $0.00 | |
| 1036F | 0% | 192 | $0.00 | |
| 4305F | 0% | 41 | $0.00 | |
| 3061F | 0% | 18 | $0.00 | |
| 3075F | 0% | 16 | $0.00 | |
| 3078F | 0% | 2,287 | $0.00 | |
| 0521F | 0% | 871 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 188 | $0.00 |
| 3725F | 0% | 1,486 | $0.00 | |
| 4035F | 0% | 202 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 176 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 933 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 324 | $0.00 |
| 2028F | 0% | 39 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 20 | $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.