Garcia - Lopez, Luis

Garcia - Lopez, Luis was paid $1.01M by Medicaid between Jan 2018 and Dec 2024, across 4 billing codes. Its largest line is 95886, — 51% of everything it billed.

33Billing provider infoGARCIA - LOPEZ, LUIS
CAYEY, PR 00736

33aNPI1780679282assigned 09/12/2005

33bProvider typePhysical Medicine & Rehabilitation Physician

28Total paid$1.01M

24GClaims8,380

24DCodes billed4

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Physical Medicine & Rehabilitation Physician providers in Puerto Rico

Rank by total paid#5 of 88

Median peer was paid$135K

This provider vs. median7.5×

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	1,261	$133K
2019	1,356	$150K
2020	1,125	$157K
2021	1,830	$199K
2022	1,388	$145K
2023	865	$110K
2024incomplete	555	$112K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
95886		51%	2,293	2,101	$509K
95911		30%	2,068	1,953	$302K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	14%	2,779	2,417	$143K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.3%	1,240	1,078	$53K

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.