Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Edward M. Lopez

Edward M. Lopez was paid $17K by Medicaid between Aug 2024 and Dec 2024, across 4 billing codes. Its largest line is V2020, Frames, purchases — 39% of everything it billed.

33Billing provider infoEDWARD M. LOPEZ
CLEARFIELD, PA 16830
33aNPI1760587455assigned 09/14/2006
33bProvider typeOptometrist
28Total paid$17K
24GClaims507
24DCodes billed4
24AFirst – last monthAug 2024 – Dec 2024
Compared with peers

Next to other Optometrist providers in Pennsylvania

Rank by total paid#516 of 983
Median peer was paid$20K
This provider vs. median0.9×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2024incomplete507$17K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2020 Frames, purchases 39% 168 168 $7K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 30% 156 155 $5K
S0621 Routine ophthalmological examination including refraction; established patient 29% 167 166 $5K
S0620 Routine ophthalmological examination including refraction; new patient 2.8% 16 16 $480.00

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.

From NPPES

Who's on the registration

Authorized officialLOPEZ, EDWARD (SOLE PROPRIETOR)