Lopez, Arturo

Lopez, Arturo was paid $598K by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is 99205, Prolong outpt/office vis — 42% of everything it billed.

33Billing provider infoLOPEZ, ARTURO
MAYAGUEZ, PR 00680

33aNPI1407910367assigned 12/21/2006

33bProvider typePediatric Cardiology Physician

28Total paid$598K

24GClaims9,723

24DCodes billed5

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatric Cardiology Physician providers in Puerto Rico

Rank by total paid#3 of 6

Median peer was paid$405K

This provider vs. median1.5×

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	1,670	$39K
2019	1,406	$34K
2020	963	$46K
2021	1,533	$114K
2022	1,472	$108K
2023	1,460	$132K
2024incomplete	1,219	$124K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99205	Prolong outpt/office vis	42%	2,454	2,274	$251K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	34%	2,533	2,318	$202K
93000		18%	4,151	3,854	$106K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	4.7%	360	348	$28K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.0%	225	223	$12K

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.