Physician
Lopez, Ulises
Lopez, Ulises was paid $65K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 91% of everything it billed.
33Billing provider infoLOPEZ, ULISES
VEGA ALTA, PR 00692
VEGA ALTA, PR 00692
33aNPI1831289982assigned 10/12/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$65K
24GClaims1,205
24DCodes billed5
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Puerto Rico
Rank by total paid#84 of 185
Median peer was paid$53K
This provider vs. median1.2×
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 | 99 | $2K | |
| 2019 | 227 | $3K | |
| 2020 | 30 | $488.08 | |
| 2021 | 308 | $17K | |
| 2022 | 214 | $15K | |
| 2023 | 255 | $20K | |
| 2024incomplete | 72 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 91% | 1,055 | 919 | $59K |
| 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 | 4.8% | 48 | 43 | $3K |
| 99070 | 2.5% | 60 | 58 | $2K | |
| 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% | 12 | 12 | $530.90 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 30 | 26 | $488.08 |
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.