Physician
Lopez, Tanya
Lopez, Tanya was paid $6K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 98% of everything it billed.
33Billing provider infoLOPEZ, TANYA
SAN SEBASTIAN, PR 00685
SAN SEBASTIAN, PR 00685
33aNPI1760423222assigned 06/08/2006
33bProvider typeGeneral Practice Physician
28Total paid$6K
24GClaims15,609
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#472 of 1,195
Median peer was paid$2K
This provider vs. median2.9×
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 | 3,439 | $4K | |
| 2019 | 2,115 | $214.50 | |
| 2020 | 1,449 | $42.00 | |
| 2021 | 2,104 | $0.00 | |
| 2022 | 2,214 | $21.00 | |
| 2023 | 2,250 | $2K | |
| 2024incomplete | 2,038 | $0.00 |
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 | 98% | 13,481 | 11,831 | $6K |
| 99441 | 1.1% | 1,143 | 1,034 | $63.00 | |
| 3044F | <1% | 52 | 51 | $19.61 | |
| 3048F | <1% | 151 | 143 | $9.82 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | 12 | $0.01 |
| 99387 | 0% | 34 | 30 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 112 | 110 | $0.00 |
| 3078F | 0% | 43 | 43 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 0% | 12 | 12 | $0.00 |
| 99386 | 0% | 251 | 237 | $0.00 | |
| 3074F | 0% | 45 | 45 | $0.00 | |
| 99385 | 0% | 111 | 101 | $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.