Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › Guayama › NPI 1588751317
Physician

Lopez Lopez, Pedro

Lopez Lopez, Pedro was paid $329.00 by Medicaid between Jan 2018 and Jun 2018, across 16 billing codes. Its largest line is 3078F, — 79% of everything it billed.

33Billing provider infoLOPEZ LOPEZ, PEDRO
GUAYAMA, PR 00784
33aNPI1588751317assigned 10/05/2006
28Total paid$329.00
24GClaims1,753
24DCodes billed16
24AFirst – last monthJan 2018 – Jun 2018
Compared with peers

Next to other Internal Medicine Physician providers in Puerto Rico

Rank by total paid#385 of 518
Median peer was paid$5K
This provider vs. median0.1×

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$50$100$1502018201920202021202220232024
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
20181,753$329.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
3078F 79% 223 201 $260.00
3074F 18% 124 117 $60.00
3075F 1.8% 31 29 $6.00
3077F <1% 65 62 $3.00
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 0% 274 248 $0.00
1125F 0% 27 26 $0.00
1126F 0% 197 178 $0.00
3079F 0% 45 44 $0.00
1170F 0% 249 228 $0.00
4010F 0% 22 22 $0.00
3044F 0% 13 13 $0.00
1160F 0% 117 115 $0.00
4 more codes
96160 0% 64 $0.00
1159F 0% 269 $0.00
1158F 0% 15 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 0% 18 $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.