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

Lopez, Christopher was paid $27K by Medicaid between Jan 2020 and Aug 2020, across 9 billing codes. Its largest line is 92015, Determination of refractive state — 24% of everything it billed.

33Billing provider infoLOPEZ, CHRISTOPHER
CLINTONVILLE, WI 54929
33aNPI1922514447assigned 12/20/2017
33bProvider typeOptometrist
28Total paid$27K
24GClaims1,080
24DCodes billed9
24AFirst – last monthJan 2020 – Aug 2020
Compared with peers

Next to other Optometrist providers in Wisconsin

Rank by total paid#146 of 412
Median peer was paid$7K
This provider vs. median4.1×

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$4.0K$6.0K2018201920202021202220232024
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
20201,080$27K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 24% 307 231 $6K
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 24% 126 125 $6K
V2020 Frames, purchases 15% 165 130 $4K
92370 8.9% 209 167 $2K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 8.6% 54 43 $2K
92340 Fitting of spectacles, except for aphakia; monofocal 7.1% 122 111 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 4.4% 34 26 $1K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.1% 21 14 $1K
S0580 Polycarbonate lens (list this code in addition to the basic code for the lens) 3.7% 42 42 $996.00

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.