Fernandez Lopez, Samuel

Fernandez Lopez, Samuel was paid $479K by Medicaid between Feb 2019 and Dec 2024, across 6 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 55% of everything it billed.

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	2,244	$46K
2020	1,198	$52K
2021	1,638	$75K
2022	1,637	$77K
2023	1,573	$94K
2024incomplete	1,735	$136K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	55%	3,858	3,442	$262K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	33%	3,639	3,138	$160K
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	7.5%	1,092	923	$36K
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	2.6%	796	669	$13K
29705		1.3%	628	524	$6K
25600		<1%	12	12	$2K

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.