Physician
Lopez, Jose
Lopez, Jose was paid $36K by Medicaid between Jan 2018 and Sep 2024, across 19 billing codes. Its largest line is 96160, — 67% of everything it billed.
33Billing provider infoLOPEZ, JOSE
ISABELA, PR 00662
ISABELA, PR 00662
33aNPI1578549424assigned 12/21/2005
33bProvider typePediatrics Physician
28Total paid$36K
24GClaims27,554
24DCodes billed19
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Pediatrics Physician providers in Puerto Rico
Rank by total paid#65 of 194
Median peer was paid$7K
This provider vs. median5.3×
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 | 2,627 | $22.00 | |
| 2019 | 4,727 | $2K | |
| 2020 | 2,059 | $9K | |
| 2021 | 4,259 | $8K | |
| 2022 | 5,052 | $4K | |
| 2023 | 5,171 | $6K | |
| 2024incomplete | 3,659 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96160 | 67% | 5,842 | 5,489 | $24K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 31% | 2,351 | 2,140 | $11K |
| 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 | 1.1% | 9,076 | 8,096 | $377.62 |
| 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 | <1% | 165 | 139 | $234.60 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 2,547 | 2,337 | $121.77 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 631 | 578 | $90.82 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,005 | 975 | $23.69 |
| 99201 | <1% | 95 | 95 | $22.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 146 | 141 | $0.00 |
| 96156 | 0% | 1,005 | 972 | $0.00 | |
| 3008F | 0% | 639 | 605 | $0.00 | |
| 96150 | 0% | 190 | 187 | $0.00 |
7 more codes
| 96127 | 0% | 53 | $0.00 | |
| 92556 | 0% | 489 | $0.00 | |
| 3512F | 0% | 12 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 2,540 | $0.00 |
| 99173 | 0% | 621 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 135 | $0.00 |
| 3511F | 0% | 12 | $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.