Lopez, Juan

Lopez, Juan was paid $506K by Medicaid between Jan 2018 and Jan 2020, across 16 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 57% of everything it billed.

33Billing provider infoLOPEZ, JUAN
NEW YORK, NY 10040

33aNPI1801974241assigned 11/02/2006

33bProvider typeGynecology Physician

28Total paid$506K

24GClaims4,816

24DCodes billed16

24AFirst – last monthJan 2018 – Jan 2020

Compared with peers

Next to other Gynecology Physician providers in New York

Rank by total paid#10 of 93

Median peer was paid$10K

This provider vs. median48×

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	3,114	$433K
2019	1,558	$67K
2020	144	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	57%	665	189	$290K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	12%	178	177	$61K
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%	907	792	$53K
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	8.7%	477	472	$44K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	5.5%	290	290	$28K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	1.1%	296	296	$6K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	1.1%	291	291	$5K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	<1%	61	59	$5K
76830	Ultrasound, transvaginal	<1%	48	46	$4K
88150		<1%	356	356	$4K
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	<1%	13	13	$2K
82270		<1%	358	358	$1K

4 more codes

81002	<1%	505	$1K
99401	<1%	68	$1K
83986	<1%	227	$473.35
82120	<1%	76	$246.91

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.