Physician
Rene L. Lopez-Guerrero, M.D., P.A.
Rene L. Lopez-Guerrero, M.D., P.A. was paid $55K by Medicaid between Dec 2018 and Mar 2019, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoRENE L. LOPEZ-GUERRERO, M.D., P.A.
MIAMI, FL 33125
MIAMI, FL 33125
33aNPI1457632085assigned 09/09/2011
33bProvider typePediatrics Physician
28Total paid$55K
24GClaims3,705
24DCodes billed36
24AFirst – last monthDec 2018 – Mar 2019
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#652 of 971
Median peer was paid$238K
This provider vs. median0.2×
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 | 981 | $15K | |
| 2019 | 2,724 | $40K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 414 | 368 | $20K |
| 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 | 22% | 157 | 140 | $12K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 94 | 91 | $9K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 61 | 59 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 10% | 57 | 57 | $6K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.3% | 15 | 13 | $1K |
| 90686 | <1% | 148 | 147 | $82.46 | |
| 95076 | <1% | 12 | 12 | $81.67 | |
| 86580 | <1% | 192 | 187 | $5.28 | |
| 92567 | 0% | 211 | 196 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 214 | 207 | $0.00 |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 163 | 161 | $0.00 |
24 more codes
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | 0% | 61 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 186 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 159 | $0.00 |
| 90620 | 0% | 46 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 154 | $0.00 |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 141 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 76 | $0.00 |
| 90716 | 0% | 14 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 67 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 72 | $0.00 |
| A4208 | Syringe with needle, sterile 3 cc, each | 0% | 316 | $0.00 |
| 90685 | 0% | 33 | $0.00 | |
| 90649 | 0% | 26 | $0.00 | |
| 90670 | 0% | 40 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 92 | $0.00 |
| 69210 | 0% | 108 | $0.00 | |
| 90461 | 0% | 54 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 24 | $0.00 |
| 81003 | 0% | 159 | $0.00 | |
| 90700 | 0% | 54 | $0.00 | |
| 90713 | 0% | 45 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 13 | $0.00 |
| 90734 | 0% | 14 | $0.00 | |
| 90707 | 0% | 13 | $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.
From NPPES
Who's on the registration
Authorized officialLOPEZ-GUERRERO, RENE (PHYSICIAN OWNER)