Lopez Hernandez, Wilfredo

Lopez Hernandez, Wilfredo was paid $109K by Medicaid between Jan 2018 and Oct 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.

33Billing provider infoLOPEZ HERNANDEZ, WILFREDO
CAGUAS, PR 00725

33aNPI1487643417assigned 10/21/2005

33bProvider typeUrology Physician

28Total paid$109K

24GClaims2,086

24DCodes billed3

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Urology Physician providers in Puerto Rico

Rank by total paid#20 of 62

Median peer was paid$25K

This provider vs. median4.4×

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	546	$22K
2019	739	$28K
2020	157	$7K
2021	172	$13K
2022	201	$16K
2023	173	$16K
2024incomplete	98	$8K

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	61%	1,432	1,170	$66K
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	23%	225	217	$26K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	16%	429	381	$18K

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.