Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Lopez Perez, Hector

Lopez Perez, Hector was paid $40K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is 99284, emergency room visit (serious) — 54% of everything it billed.

33Billing provider infoLOPEZ PEREZ, HECTOR
ARECIBO, PR 00612
33aNPI1821058504assigned 03/25/2006
33bProvider typeSpecialist
28Total paid$40K
24GClaims767
24DCodes billed5
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Specialist providers in Puerto Rico

Rank by total paid#141 of 316
Median peer was paid$26K
This provider vs. median1.6×

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

$0$2.0K$4.0K2018201920202021202220232024
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
2018230$7K
201912$500.00
2021125$10K
202288$5K
202366$4K
2024incomplete246$15K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 54% 438 363 $22K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 35% 173 153 $14K
99222 Initial hospital care, per day, moderate complexity 8.9% 102 96 $4K
99238 Hospital discharge day management, 30 minutes or less 1.3% 28 28 $525.93
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 26 25 $45.08

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.