Pupo, Louis
Pupo, Louis was paid $1.99M by Medicaid between Jan 2018 and Nov 2024, across 54 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoPUPO, LOUIS
NEWTON, NJ 07860
NEWTON, NJ 07860
33aNPI1699751917assigned 12/19/2005
33bProvider typeSpecialist
28Total paid$1.99M
24GClaims73,172
24DCodes billed54
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#30 of 378
Median peer was paid$63K
This provider vs. median32×
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 | 12,942 | $410K | |
| 2019 | 11,307 | $341K | |
| 2020 | 8,867 | $237K | |
| 2021 | 8,252 | $240K | |
| 2022 | 12,294 | $263K | |
| 2023 | 12,188 | $280K | |
| 2024incomplete | 7,322 | $219K |
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 | 35% | 17,249 | 14,835 | $701K |
| 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 | 23% | 8,608 | 7,670 | $449K |
| 94060 | 6.0% | 2,716 | 2,696 | $119K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.6% | 1,674 | 1,637 | $91K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.4% | 2,814 | 2,740 | $87K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.1% | 1,652 | 1,544 | $82K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.6% | 1,400 | 1,366 | $71K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.5% | 1,245 | 1,230 | $69K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.4% | 5,668 | 5,494 | $67K |
| 92552 | 2.3% | 3,700 | 3,659 | $45K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.2% | 2,378 | 2,343 | $43K |
| 90677 | 1.7% | 158 | 146 | $33K |
42 more codes
| 99401 | 1.5% | 2,663 | $29K | |
| 90619 | 1.0% | 146 | $20K | |
| 92587 | <1% | 400 | $9K | |
| 99058 | <1% | 3,578 | $9K | |
| 99205 | Prolong outpt/office vis | <1% | 76 | $6K |
| 90686 | <1% | 1,155 | $6K | |
| 99173 | <1% | 2,087 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 169 | $6K |
| 96127 | <1% | 2,414 | $5K | |
| 99050 | <1% | 854 | $4K | |
| 90670 | <1% | 402 | $4K | |
| 86403 | <1% | 1,525 | $3K | |
| 92567 | <1% | 347 | $3K | |
| 90700 | <1% | 913 | $2K | |
| 90707 | <1% | 155 | $2K | |
| 87081 | <1% | 450 | $2K | |
| 90713 | <1% | 738 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 84 | $2K |
| 90715 | <1% | 112 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 77 | $1K |
| 90716 | <1% | 111 | $1K | |
| 36416 | <1% | 134 | $1K | |
| 0001A | <1% | 40 | $1K | |
| 90651 | <1% | 40 | $1K | |
| 0002A | <1% | 27 | $1K | |
| 90680 | <1% | 372 | $839.37 | |
| 92568 | <1% | 112 | $789.99 | |
| 99383 | <1% | 12 | $655.51 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $514.60 |
| 90648 | <1% | 680 | $491.86 | |
| 90473 | <1% | 30 | $367.50 | |
| 90744 | <1% | 200 | $316.64 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 30 | $300.36 |
| 90633 | <1% | 57 | $223.59 | |
| 90685 | <1% | 138 | $143.01 | |
| 99441 | <1% | 15 | $79.34 | |
| 99072 | <1% | 1,011 | $14.00 | |
| 91300 | <1% | 117 | $11.00 | |
| 99000 | 0% | 2,375 | $0.00 | |
| 0011A | 0% | 14 | $0.00 | |
| 91301 | 0% | 25 | $0.00 | |
| 90734 | 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.