Physician
Oscar a Lopez MD
Oscar a Lopez MD was paid $186K by Medicaid between Mar 2018 and Apr 2024, across 9 billing codes. Its largest line is 45378, Colonoscopy, flexible; diagnostic, including collection of specimen(s) — 50% of everything it billed.
33Billing provider infoOSCAR A LOPEZ MD
BRAWLEY, CA 92227
BRAWLEY, CA 92227
33aNPI1689070088assigned 11/12/2014
33bProvider typeGastroenterology Physician
28Total paid$186K
24GClaims1,203
24DCodes billed9
24AFirst – last monthMar 2018 – Apr 2024
Compared with peers
Next to other Gastroenterology Physician providers in California
Rank by total paid#128 of 363
Median peer was paid$55K
This provider vs. median3.4×
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 | 44 | $7K | |
| 2019 | 164 | $18K | |
| 2020 | 222 | $19K | |
| 2021 | 63 | $8K | |
| 2022 | 295 | $60K | |
| 2023 | 368 | $65K | |
| 2024incomplete | 47 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 50% | 382 | 382 | $93K |
| 43235 | 20% | 275 | 268 | $37K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 15% | 175 | 174 | $28K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 5.3% | 37 | 37 | $10K |
| 91110 | 3.2% | 14 | 14 | $6K | |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | 3.2% | 167 | 161 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.1% | 100 | 93 | $4K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 39 | 16 | $1K |
| 99254 | <1% | 14 | 14 | $883.49 |
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.
From NPPES
Who's on the registration
Authorized officialLOPEZ, OSCAR (CEO)