Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Lopez, Daisy

Lopez, Daisy was paid $91K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 80% of everything it billed.

33Billing provider infoLOPEZ, DAISY
MAYAGUEZ, PR 00680
33aNPI1386765493assigned 04/03/2007
33bProvider typeSpecialist
28Total paid$91K
24GClaims12,494
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Specialist providers in Puerto Rico

Rank by total paid#103 of 316
Median peer was paid$26K
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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
2018357$2K
20191,344$10K
20201,278$10K
20211,885$9K
20222,036$13K
20232,589$18K
2024incomplete3,005$30K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 80% 7,113 4,662 $73K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 1,560 1,244 $13K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 4.6% 1,398 1,143 $4K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 318 317 $382.20
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 93 92 $108.89
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 0% 158 157 $0.00
88150 0% 1,854 1,547 $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.