Lopez, Richard

Lopez, Richard was paid $101K by Medicaid between Jan 2018 and Sep 2023, across 11 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 35% of everything it billed.

33Billing provider infoLOPEZ, RICHARD
EVERGREEN PARK, IL 60805

33aNPI1801870977assigned 12/02/2005

33bProvider typeEmergency Medical Services (Emergency Medicine) Physician

28Total paid$101K

24GClaims2,371

24DCodes billed11

24AFirst – last monthJan 2018 – Sep 2023

Compared with peers

Next to other Emergency Medical Services (Emergency Medicine) Physician providers in Illinois

Rank by total paid#39 of 68

Median peer was paid$165K

This provider vs. median0.6×

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	133	$4K
2019	86	$2K
2020	164	$6K
2021	334	$15K
2022	1,065	$50K
2023	589	$25K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	35%	807	754	$35K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	31%	710	677	$32K
87428		8.8%	140	134	$9K
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	7.8%	110	107	$8K
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	5.0%	65	62	$5K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	4.5%	197	172	$5K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	2.3%	65	63	$2K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	2.0%	132	126	$2K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	1.9%	60	59	$2K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.4%	56	52	$1K
81003		<1%	29	28	$63.22

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.