Physician
Lopez, Marcos
Lopez, Marcos was paid $643K by Medicaid between Jan 2018 and Oct 2024, across 32 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 25% of everything it billed.
33Billing provider infoLOPEZ, MARCOS
NORTH RIVERSIDE, IL 60546
NORTH RIVERSIDE, IL 60546
33aNPI1417967308assigned 08/09/2006
33bProvider typeOphthalmology Physician
28Total paid$643K
24GClaims33,160
24DCodes billed32
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Ophthalmology Physician providers in Illinois
Rank by total paid#44 of 431
Median peer was paid$34K
This provider vs. median19×
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 | 7,617 | $155K | |
| 2019 | 12,619 | $338K | |
| 2020 | 6,728 | $72K | |
| 2021 | 1,661 | $17K | |
| 2022 | 1,593 | $20K | |
| 2023 | 1,750 | $26K | |
| 2024incomplete | 1,192 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 67028 | Intravitreal injection of a pharmacologic agent | 25% | 1,695 | 1,232 | $160K |
| 92250 | 16% | 4,445 | 3,976 | $103K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 12% | 3,192 | 2,973 | $77K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 11% | 145 | 112 | $72K |
| 92285 | 10.0% | 4,691 | 4,252 | $64K | |
| J9035 | Injection, bevacizumab, 10 mg | 8.5% | 1,780 | 1,301 | $55K |
| 92083 | 6.6% | 2,497 | 2,362 | $42K | |
| 92133 | 3.5% | 2,016 | 1,894 | $22K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.6% | 851 | 776 | $10K |
| 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 | 1.2% | 181 | 155 | $8K |
| 92134 | 1.1% | 803 | 765 | $7K | |
| 92020 | <1% | 428 | 381 | $6K |
20 more codes
| 76514 | <1% | 1,170 | $5K | |
| 99243 | <1% | 54 | $4K | |
| 92015 | Determination of refractive state | <1% | 201 | $4K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 47 | $2K |
| 92136 | <1% | 89 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 13 | $311.85 |
| 0517F | <1% | 438 | $18.45 | |
| 2022F | 0% | 393 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 853 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 864 | $0.00 |
| 2024F | 0% | 306 | $0.00 | |
| 2026F | 0% | 305 | $0.00 | |
| 2027F | 0% | 134 | $0.00 | |
| 5010F | 0% | 41 | $0.00 | |
| 2021F | 0% | 19 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 1,357 | $0.00 |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 850 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 1,771 | $0.00 |
| 1036F | 0% | 1,490 | $0.00 | |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 41 | $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.