Lopez, Horacio
Lopez, Horacio was paid $607K by Medicaid between Jan 2018 and Nov 2024, across 54 billing codes. Its largest line is 99460, — 15% of everything it billed.
33Billing provider infoLOPEZ, HORACIO
LOS ANGELES, CA 90057
LOS ANGELES, CA 90057
33aNPI1659430460assigned 12/07/2006
33bProvider typeSpecialist
28Total paid$607K
24GClaims46,601
24DCodes billed54
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#252 of 1,230
Median peer was paid$51K
This provider vs. median12×
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 | 9,477 | $106K | |
| 2019 | 10,162 | $73K | |
| 2020 | 5,227 | $50K | |
| 2021 | 5,815 | $92K | |
| 2022 | 7,128 | $138K | |
| 2023 | 7,151 | $113K | |
| 2024incomplete | 1,641 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99460 | 15% | 2,151 | 2,139 | $92K | |
| G9920 | Screening performed and negative | 10% | 2,692 | 2,683 | $63K |
| 99238 | Hospital discharge day management, 30 minutes or less | 10% | 2,142 | 2,134 | $62K |
| 99462 | 8.3% | 2,556 | 1,904 | $50K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.3% | 633 | 603 | $44K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.3% | 8,393 | 4,229 | $44K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.7% | 1,633 | 1,630 | $41K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.4% | 1,337 | 1,336 | $39K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.8% | 1,156 | 1,151 | $29K |
| 96156 | 4.2% | 1,091 | 1,084 | $26K | |
| 99381 | 3.7% | 228 | 203 | $22K | |
| 92552 | 3.5% | 3,084 | 3,076 | $21K |
42 more codes
| 99213 | Doctor's office visit, returning patient (routine) | 2.2% | 5,547 | $13K |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 1.6% | 335 | $10K |
| 0001A | <1% | 144 | $6K | |
| 0002A | <1% | 127 | $5K | |
| 99173 | <1% | 1,743 | $4K | |
| 96151 | <1% | 511 | $4K | |
| 90700 | <1% | 591 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 186 | $3K |
| 92551 | <1% | 433 | $3K | |
| 90648 | <1% | 434 | $3K | |
| 90670 | <1% | 438 | $3K | |
| 90713 | <1% | 393 | $2K | |
| 90680 | <1% | 241 | $2K | |
| 90744 | <1% | 184 | $2K | |
| 90688 | <1% | 979 | $2K | |
| 92081 | <1% | 1,369 | $1K | |
| 97803 | <1% | 1,817 | $1K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 1,328 | $1K |
| 90685 | <1% | 185 | $548.09 | |
| 96150 | <1% | 58 | $539.70 | |
| 0004A | <1% | 12 | $480.00 | |
| 90633 | <1% | 127 | $450.50 | |
| 90649 | <1% | 204 | $433.00 | |
| 90707 | <1% | 123 | $424.50 | |
| 81000 | <1% | 227 | $417.90 | |
| 90716 | <1% | 124 | $405.50 | |
| 83026 | <1% | 146 | $393.37 | |
| 90734 | <1% | 120 | $357.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $313.60 |
| 85018 | <1% | 202 | $280.65 | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 22 | $253.11 |
| 97802 | <1% | 179 | $240.40 | |
| 81003 | <1% | 40 | $105.30 | |
| 96127 | <1% | 417 | $57.75 | |
| 90620 | <1% | 43 | $27.00 | |
| 90461 | <1% | 215 | $22.99 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 45 | $0.00 |
| 90715 | 0% | 13 | $0.00 | |
| 99401 | 0% | 24 | $0.00 | |
| 98966 | 0% | 87 | $0.00 | |
| 99442 | 0% | 68 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 12 | $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.