Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › FL › Miami › NPI 1508829581
Physician

Isidro a Lopez MD PA

Isidro a Lopez MD PA was paid $5.09M by Medicaid between Apr 2019 and Dec 2024, across 82 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.

33Billing provider infoISIDRO A LOPEZ MD PA
MIAMI, FL 33142
33aNPI1508829581assigned 04/10/2006
33bProvider typePediatrics Physician
28Total paid$5.09M
24GClaims307,954
24DCodes billed82
24AFirst – last monthApr 2019 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Florida

Rank by total paid#69 of 971
Median peer was paid$238K
This provider vs. median21×

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

$0$100K$200K2018201920202021202220232024
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
YearClaimsPaid
201937,724$741K
202037,502$917K
202140,806$1.16M
2022138,449$497K
202341,064$1.36M
2024incomplete12,409$415K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27% 34,935 21,580 $1.37M
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% 22,374 13,977 $1.32M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 9.0% 6,883 4,739 $460K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7.9% 6,112 3,768 $402K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 7.4% 5,753 3,687 $378K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6.6% 13,298 7,740 $336K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3.8% 3,171 1,817 $191K
99442 2.5% 6,294 3,794 $128K
99490 Ccm add 20min 2.3% 5,287 3,774 $119K
90460 Immunization administration through 18 years of age via any route, first or only component 2.2% 17,944 11,175 $110K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 10,046 6,176 $35K
97802 <1% 14,748 9,588 $34K
70 more codes
99401 <1% 2,031 $28K
90461 <1% 5,267 $21K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 4,004 $18K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 22,499 $17K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 6,456 $13K
99215 Doctor's office visit, returning patient (complex) <1% 97 $13K
94664 <1% 1,702 $10K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 5,600 $9K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 304 $9K
69210 <1% 680 $9K
87807 <1% 1,236 $8K
99491 Ccm add 20min <1% 286 $8K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 775 $7K
96127 <1% 4,464 $6K
99443 <1% 64 $6K
99243 <1% 159 $3K
90686 <1% 6,214 $3K
99050 <1% 2,472 $3K
94667 <1% 498 $3K
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 5,707 $2K
99188 <1% 822 $2K
99203 Doctor's office visit, new patient (routine) <1% 65 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 136 $2K
A7015 Aerosol mask, used with dme nebulizer <1% 5,595 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 442 $789.78
90651 <1% 2,503 $488.07
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 2,313 $475.66
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 14 $345.66
90472 Immunization administration, each additional vaccine (list separately) <1% 36 $311.09
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 13 $291.58
99058 <1% 20,535 $279.18
Q3014 Telehealth originating site facility fee <1% 5,142 $277.55
S9451 Exercise classes, non-physician provider, per session <1% 17,875 $266.85
0001A <1% 42 $249.96
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) <1% 437 $223.40
90670 <1% 2,639 $204.06
90680 <1% 1,166 $199.08
90734 <1% 709 $178.02
99421 <1% 19 $165.00
90698 <1% 1,422 $159.54
99406 <1% 30 $147.24
90633 <1% 1,469 $132.03
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 1,194 $102.07
99173 <1% 13,747 $78.76
96160 <1% 3,083 $74.49
90700 <1% 241 $68.01
99174 <1% 3,222 $53.02
90685 <1% 123 $34.01
90744 <1% 478 $34.01
94761 <1% 1,041 $4.26
90707 0% 134 $0.00
90672 0% 146 $0.00
90710 0% 184 $0.00
S9441 Asthma education, non-physician provider, per session 0% 271 $0.00
90715 0% 575 $0.00
91300 0% 94 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 0% 45 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 0% 26 $0.00
90648 0% 24 $0.00
G9920 Screening performed and negative 0% 67 $0.00
81002 0% 24 $0.00
90713 0% 17 $0.00
90621 0% 13 $0.00
90620 0% 469 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 1,347 $0.00
90716 0% 89 $0.00
90696 0% 60 $0.00
90697 0% 12 $0.00
90619 0% 430 $0.00
90677 0% 14 $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, ISIDRO (PRESIDENT)