Physician
Sanchez-Lopez, Jose
Sanchez-Lopez, Jose was paid $113K by Medicaid between Jan 2018 and Nov 2024, across 35 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 72% of everything it billed.
33Billing provider infoSANCHEZ-LOPEZ, JOSE
HUMACAO, PR 00791
HUMACAO, PR 00791
33aNPI1740446145assigned 08/05/2008
33bProvider typeGeneral Practice Physician
28Total paid$113K
24GClaims10,556
24DCodes billed35
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#166 of 1,195
Median peer was paid$2K
This provider vs. median55×
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 | 136 | $3K | |
| 2019 | 456 | $829.26 | |
| 2020 | 69 | $4K | |
| 2021 | 52 | $5K | |
| 2022 | 155 | $10K | |
| 2023 | 3,889 | $27K | |
| 2024incomplete | 5,799 | $64K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 72% | 1,103 | 380 | $82K |
| 99223 | Prolong inpt eval add15 m | 11% | 108 | 72 | $13K |
| 99238 | Hospital discharge day management, 30 minutes or less | 6.6% | 175 | 139 | $7K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 6.5% | 97 | 96 | $7K |
| 99218 | 1.9% | 88 | 87 | $2K | |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 1.1% | 112 | 106 | $1K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 59 | 42 | $328.72 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 609 | 559 | $69.26 |
| 1158F | 0% | 402 | 368 | $0.00 | |
| 1160F | 0% | 669 | 596 | $0.00 | |
| 3078F | 0% | 640 | 568 | $0.00 | |
| 3028F | 0% | 208 | 188 | $0.00 |
23 more codes
| 1159F | 0% | 672 | $0.00 | |
| 0518F | 0% | 83 | $0.00 | |
| 0521F | 0% | 576 | $0.00 | |
| 96160 | 0% | 61 | $0.00 | |
| 0521T | 0% | 16 | $0.00 | |
| 2000F | 0% | 604 | $0.00 | |
| 2010F | 0% | 611 | $0.00 | |
| 1126F | 0% | 415 | $0.00 | |
| 1170F | 0% | 642 | $0.00 | |
| 3044F | 0% | 241 | $0.00 | |
| 1157F | 0% | 137 | $0.00 | |
| 3074F | 0% | 595 | $0.00 | |
| 1036F | 0% | 322 | $0.00 | |
| 3061F | 0% | 141 | $0.00 | |
| 3011F | 0% | 309 | $0.00 | |
| 3048F | 0% | 130 | $0.00 | |
| 1000F | 0% | 233 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 25 | $0.00 |
| 1125F | 0% | 106 | $0.00 | |
| 3049F | 0% | 12 | $0.00 | |
| 3017F | 0% | 17 | $0.00 | |
| 3008F | 0% | 194 | $0.00 | |
| 2001F | 0% | 144 | $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.