Lopez Ramirez, Elsa

Lopez Ramirez, Elsa was paid $7K by Medicaid between Mar 2018 and Nov 2018, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.

33Billing provider infoLOPEZ RAMIREZ, ELSA
HUMACAO, PR 00791

33aNPI1538148937assigned 01/13/2006

33bProvider typeSurgery Physician

28Total paid$7K

24GClaims686

24DCodes billed3

24AFirst – last monthMar 2018 – Nov 2018

Compared with peers

Next to other Surgery Physician providers in Puerto Rico

Rank by total paid#76 of 111

Median peer was paid$28K

This provider vs. median0.3×

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	686	$7K

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	60%	435	188	$4K
97597		37%	239	119	$3K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.9%	12	12	$217.35

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.