Bugarin, Lopito

Bugarin, Lopito was paid $197K by Medicaid between Jan 2018 and Sep 2020, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 94% of everything it billed.

33Billing provider infoBUGARIN, LOPITO
CHESAPEAKE, VA 23320

33aNPI1609825553assigned 05/09/2006

33bProvider typePediatrics Physician

28Total paid$197K

24GClaims3,238

24DCodes billed10

24AFirst – last monthJan 2018 – Sep 2020

Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#183 of 817

Median peer was paid$29K

This provider vs. median6.7×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

OIG exclusionListed on the federal exclusion list (05/19/2022).

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	2,428	$149K
2019	722	$43K
2020	88	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	94%	2,848	2,339	$185K
99205	Prolong outpt/office vis	4.1%	61	59	$8K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	16	14	$1K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	16	16	$1K
86580		<1%	54	50	$352.13
92551		<1%	54	49	$348.46
92081		<1%	52	48	$310.57
36415	Collection of venous blood by venipuncture	<1%	101	92	$219.98
90658		<1%	17	17	$167.84
81002		<1%	19	19	$50.62

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.