Jordan Lopez, Octavio
Jordan Lopez, Octavio was paid $540K by Medicaid between Jan 2018 and Mar 2023, across 9 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 42% of everything it billed.
33Billing provider infoJORDAN LOPEZ, OCTAVIO
BAYAMON, PR 00961
BAYAMON, PR 00961
33aNPI1760475024assigned 08/23/2005
33bProvider typeSpecialist
28Total paid$540K
24GClaims6,647
24DCodes billed9
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Specialist providers in Puerto Rico
Rank by total paid#40 of 316
Median peer was paid$26K
This provider vs. median21×
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 | 3,163 | $213K | |
| 2019 | 1,565 | $144K | |
| 2020 | 504 | $46K | |
| 2021 | 925 | $94K | |
| 2022 | 462 | $43K | |
| 2023 | 28 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 42% | 890 | 764 | $229K |
| 99070 | 20% | 1,943 | 1,474 | $107K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 18% | 540 | 405 | $100K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 2,017 | 1,721 | $60K |
| 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 | 7.0% | 1,032 | 861 | $38K |
| 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 | <1% | 127 | 124 | $5K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 64 | 62 | $1K |
| 83014 | 0% | 17 | 12 | $0.00 | |
| 83013 | 0% | 17 | 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.