Physician
Alfredo Lopez JR MD PA
Alfredo Lopez JR MD PA was paid $520K by Medicaid between Jan 2018 and Dec 2024, across 63 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoALFREDO LOPEZ JR MD PA
MCALLEN, TX 78503
MCALLEN, TX 78503
33aNPI1588732127assigned 12/01/2006
33bProvider typeFamily Medicine Physician
28Total paid$520K
24GClaims30,274
24DCodes billed63
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#173 of 1,204
Median peer was paid$31K
This provider vs. median17×
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 | 8,145 | $106K | |
| 2019 | 5,553 | $69K | |
| 2020 | 3,318 | $53K | |
| 2021 | 3,302 | $73K | |
| 2022 | 3,371 | $84K | |
| 2023 | 3,074 | $76K | |
| 2024incomplete | 3,511 | $60K |
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 | 51% | 11,049 | 7,768 | $267K |
| 99444 | 28% | 2,515 | 817 | $144K | |
| 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 | 8.3% | 2,719 | 2,433 | $43K |
| 99423 | 7.2% | 664 | 234 | $37K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 495 | 435 | $11K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 312 | 289 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 455 | 404 | $3K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 28 | 28 | $2K |
| 99422 | <1% | 72 | 33 | $2K | |
| 99490 | Ccm add 20min | <1% | 771 | 770 | $1K |
| 95923 | <1% | 92 | 82 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | 12 | $1K |
51 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 65 | $807.84 |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 13 | $745.50 |
| 90674 | <1% | 45 | $601.68 | |
| 90656 | <1% | 34 | $351.93 | |
| 90461 | <1% | 86 | $322.04 | |
| 90688 | <1% | 119 | $308.57 | |
| 92250 | <1% | 22 | $234.60 | |
| 90756 | <1% | 55 | $218.96 | |
| 90686 | <1% | 47 | $195.20 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 406 | $88.90 |
| 99497 | <1% | 28 | $79.77 | |
| 93922 | <1% | 16 | $51.80 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 237 | $18.69 |
| 36415 | Collection of venous blood by venipuncture | <1% | 681 | $2.70 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 61 | $0.09 |
| G8482 | Influenza immunization administered or previously received | 0% | 302 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 581 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 2,011 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 206 | $0.00 |
| 3288F | 0% | 463 | $0.00 | |
| 1159F | 0% | 194 | $0.00 | |
| 3078F | 0% | 60 | $0.00 | |
| 81003 | 0% | 12 | $0.00 | |
| 1160F | 0% | 195 | $0.00 | |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 153 | $0.00 |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | 0% | 64 | $0.00 |
| 4019F | 0% | 27 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 69 | $0.00 |
| 4040F | 0% | 28 | $0.00 | |
| 98966 | 0% | 14 | $0.00 | |
| 99406 | 0% | 292 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 203 | $0.00 |
| 1101F | 0% | 222 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 14 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 2,115 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 80 | $0.00 |
| 3074F | 0% | 60 | $0.00 | |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | 0% | 134 | $0.00 |
| 96150 | 0% | 224 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 143 | $0.00 |
| 1126F | 0% | 65 | $0.00 | |
| 1036F | 0% | 273 | $0.00 | |
| 1125F | 0% | 136 | $0.00 | |
| 1111F | 0% | 101 | $0.00 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 205 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 206 | $0.00 |
| 97802 | 0% | 14 | $0.00 | |
| 1170F | 0% | 254 | $0.00 | |
| 1123F | 0% | 18 | $0.00 | |
| 3044F | 0% | 23 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 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, ALFREDO (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Black Coral Gallery INC | Miami, FL | $93K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.