Niceto Lopez, M.D., A.P.C.

Niceto Lopez, M.D., A.P.C. was paid $351K by Medicaid between Feb 2020 and Nov 2024, across 7 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 83% of everything it billed.

33Billing provider infoNICETO LOPEZ, M.D., A.P.C.
SANTA MONICA, CA 90404

33aNPI1710518881assigned 01/28/2020

33bProvider typeInternal Medicine Physician

28Total paid$351K

24GClaims14,066

24DCodes billed7

24AFirst – last monthFeb 2020 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in California

Rank by total paid#301 of 2,679

Median peer was paid$13K

This provider vs. median28×

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
2020	909	$30K
2021	2,803	$94K
2022	2,427	$85K
2023	2,031	$65K
2024incomplete	5,896	$77K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	83%	10,496	4,501	$291K
99308	Subsequent nursing facility care, per day, straightforward	8.2%	2,881	985	$29K
99306	Prolong nursin fac eval 15m	6.9%	428	416	$24K
99358	Prolong nursin fac eval 15m	1.3%	192	179	$4K
99316		<1%	43	42	$1K
99315		<1%	13	12	$457.38
99310	Prolong nursin fac eval 15m	<1%	13	12	$360.36

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, NICETO (M.D.)