Physician
Luis Alfonso Lopez, MD, PA
Luis Alfonso Lopez, MD, PA was paid $484K by Medicaid between Nov 2018 and May 2022, across 42 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.
33Billing provider infoLUIS ALFONSO LOPEZ, MD, PA
SAN ANTONIO, TX 78258
SAN ANTONIO, TX 78258
33aNPI1508050238assigned 09/06/2007
33bProvider typePediatrics Physician
28Total paid$484K
24GClaims22,852
24DCodes billed42
24AFirst – last monthNov 2018 – May 2022
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#512 of 1,136
Median peer was paid$329K
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 | 25 | $196.00 | |
| 2020 | 2,961 | $54K | |
| 2021 | 15,467 | $323K | |
| 2022 | 4,399 | $107K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 26% | 2,558 | 2,286 | $127K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 858 | 821 | $61K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 755 | 728 | $59K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 1,610 | 1,502 | $56K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 11% | 640 | 599 | $53K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.8% | 537 | 515 | $38K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.6% | 5,186 | 2,513 | $37K |
| 92551 | 2.2% | 1,478 | 1,410 | $11K | |
| 90461 | 1.9% | 1,178 | 968 | $9K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.5% | 1,000 | 928 | $7K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 266 | 243 | $4K |
| 99000 | <1% | 322 | 311 | $3K |
30 more codes
| 83655 | <1% | 301 | $3K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 69 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 199 | $3K |
| 99381 | <1% | 38 | $3K | |
| 36410 | <1% | 151 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 112 | $1K |
| 96160 | <1% | 483 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 49 | $1K |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 133 | $785.40 |
| 85018 | <1% | 257 | $486.12 | |
| 99173 | <1% | 854 | $138.72 | |
| 90734 | <1% | 245 | $0.05 | |
| 90670 | <1% | 519 | $0.04 | |
| 90633 | <1% | 325 | $0.03 | |
| 90686 | <1% | 1,147 | $0.02 | |
| 90620 | <1% | 136 | $0.02 | |
| 90648 | <1% | 173 | $0.01 | |
| 90680 | <1% | 262 | $0.01 | |
| 90715 | 0% | 65 | $0.00 | |
| 90710 | 0% | 51 | $0.00 | |
| 99177 | 0% | 114 | $0.00 | |
| 90707 | 0% | 57 | $0.00 | |
| 90700 | 0% | 25 | $0.00 | |
| 90651 | 0% | 265 | $0.00 | |
| 90698 | 0% | 195 | $0.00 | |
| 90744 | 0% | 34 | $0.00 | |
| 96127 | 0% | 73 | $0.00 | |
| 90716 | 0% | 30 | $0.00 | |
| 90696 | 0% | 44 | $0.00 | |
| 90723 | 0% | 58 | $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, LUIS (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Heartland Pediatric Clinic | Marion, IL | $4.19M |
| Luis R. Lopez M.D., LTD | Phoenix, AZ | $957K |
| Flagler Dental Care | Miami, FL | $199K |
| Luis J Lopez MD PA | Tampa, FL | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.