Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Lopez, Edward

Lopez, Edward was paid $200K by Medicaid between Mar 2018 and Jul 2024, across 7 billing codes. Its largest line is V2020, Frames, purchases — 36% of everything it billed.

33Billing provider infoLOPEZ, EDWARD
CLEARFIELD, PA 16830
33aNPI1629086871assigned 08/04/2006
33bProvider typeOptometrist
28Total paid$200K
24GClaims6,305
24DCodes billed7
24AFirst – last monthMar 2018 – Jul 2024
Compared with peers

Next to other Optometrist providers in Pennsylvania

Rank by total paid#132 of 983
Median peer was paid$20K
This provider vs. median9.9×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
201833$117.50
201957$201.00
2020311$10K
20211,804$56K
20221,769$56K
20231,550$52K
2024incomplete781$25K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2020 Frames, purchases 36% 2,040 2,028 $72K
S0621 Routine ophthalmological examination including refraction; established patient 32% 2,114 2,101 $65K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 27% 1,648 1,638 $54K
S0620 Routine ophthalmological examination including refraction; new patient 3.4% 223 222 $7K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1.3% 76 74 $3K
92015 Determination of refractive state <1% 186 182 $731.45
V2784 Lens, polycarbonate or equal, any index, per lens <1% 18 18 $112.00

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.