Physician
Pena Lopez, Omar
Pena Lopez, Omar was paid $2.37M by Medicaid between Jan 2018 and Dec 2024, across 74 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 16% of everything it billed.
33Billing provider infoPENA LOPEZ, OMAR
ELSA, TX 78543
ELSA, TX 78543
33aNPI1619149762assigned 03/28/2008
33bProvider typePediatrics Physician
28Total paid$2.37M
24GClaims124,768
24DCodes billed74
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#201 of 1,136
Median peer was paid$329K
This provider vs. median7.2×
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 | 76 | $1K | |
| 2019 | 614 | $11K | |
| 2020 | 12,948 | $267K | |
| 2021 | 33,557 | $626K | |
| 2022 | 37,790 | $691K | |
| 2023 | 24,802 | $469K | |
| 2024incomplete | 14,981 | $308K |
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 | 16% | 11,447 | 9,493 | $382K |
| S8301 | Infection control supplies, not otherwise specified | 15% | 14,017 | 11,144 | $359K |
| 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 | 12% | 6,734 | 6,058 | $292K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 7.0% | 4,723 | 4,291 | $167K |
| S9470 | Nutritional counseling, dietitian visit | 6.7% | 4,672 | 4,536 | $159K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.0% | 2,101 | 2,060 | $143K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.7% | 1,719 | 1,675 | $112K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.6% | 1,567 | 1,534 | $109K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.3% | 4,770 | 4,360 | $102K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.8% | 9,923 | 4,965 | $90K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.0% | 6,443 | 5,875 | $71K |
| 99000 | 2.8% | 8,101 | 6,699 | $66K |
62 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.7% | 938 | $63K |
| 99429 | 1.7% | 1,405 | $40K | |
| 92552 | 1.3% | 3,498 | $30K | |
| 99215 | Doctor's office visit, returning patient (complex) | 1.2% | 458 | $28K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 1,306 | $27K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 3,773 | $27K |
| 36410 | <1% | 1,393 | $16K | |
| 87070 | <1% | 2,494 | $13K | |
| 90461 | <1% | 2,152 | $9K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 515 | $9K |
| 87807 | <1% | 1,063 | $8K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,063 | $7K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 884 | $5K |
| 80061 | Lipid panel | <1% | 559 | $4K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 56 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 324 | $3K |
| 90651 | <1% | 486 | $3K | |
| 96160 | <1% | 1,769 | $3K | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 455 | $3K |
| 99050 | <1% | 217 | $2K | |
| 36406 | <1% | 221 | $2K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 430 | $2K |
| 90686 | <1% | 2,027 | $2K | |
| 83525 | <1% | 284 | $2K | |
| 81003 | <1% | 972 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 271 | $1K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 4,666 | $840.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $786.46 |
| 82947 | <1% | 281 | $745.80 | |
| 99051 | <1% | 261 | $507.96 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 14 | $425.75 |
| 86738 | <1% | 51 | $411.44 | |
| 83540 | <1% | 108 | $363.81 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 230 | $271.41 |
| 90677 | <1% | 93 | $253.93 | |
| 82728 | <1% | 35 | $251.90 | |
| 90688 | <1% | 585 | $50.40 | |
| 97802 | <1% | 1,285 | $30.31 | |
| 90674 | <1% | 20 | $26.50 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 81 | $0.60 |
| 99188 | 0% | 240 | $0.00 | |
| 99173 | 0% | 3,630 | $0.00 | |
| 90633 | 0% | 253 | $0.00 | |
| 90685 | 0% | 298 | $0.00 | |
| 90670 | 0% | 699 | $0.00 | |
| 90681 | 0% | 91 | $0.00 | |
| 90715 | 0% | 107 | $0.00 | |
| 90734 | 0% | 399 | $0.00 | |
| 90672 | 0% | 41 | $0.00 | |
| 90707 | 0% | 26 | $0.00 | |
| 90700 | 0% | 58 | $0.00 | |
| 90710 | 0% | 37 | $0.00 | |
| 3008F | 0% | 5,032 | $0.00 | |
| 90647 | 0% | 263 | $0.00 | |
| 90723 | 0% | 166 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 308 | $0.00 |
| 90620 | 0% | 61 | $0.00 | |
| 90716 | 0% | 26 | $0.00 | |
| 90697 | 0% | 37 | $0.00 | |
| 90696 | 0% | 15 | $0.00 | |
| 36416 | 0% | 15 | $0.00 | |
| 90698 | 0% | 13 | $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.