Lopez, Carlos

Lopez, Carlos was paid $400K by Medicaid between Apr 2021 and Oct 2022, across 25 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 27% of everything it billed.

33Billing provider infoLOPEZ, CARLOS
PHOENIX, AZ 85013

33aNPI1952309320assigned 07/11/2005

33bProvider typePediatrics Physician

28Total paid$400K

24GClaims7,345

24DCodes billed25

24AFirst – last monthApr 2021 – Oct 2022

Compared with peers

Next to other Pediatrics Physician providers in Arizona

Rank by total paid#89 of 235

Median peer was paid$164K

This provider vs. median2.4×

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
2021	4,781	$283K
2022	2,564	$117K

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	27%	391	42	$110K
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	19%	934	844	$76K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	16%	1,160	1,073	$65K
90460	Immunization administration through 18 years of age via any route, first or only component	9.6%	819	809	$38K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	6.8%	322	314	$27K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	6.2%	270	269	$25K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	4.7%	225	220	$19K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	3.1%	153	153	$12K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	3.0%	318	199	$12K
92551		1.0%	598	549	$4K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	<1%	13	13	$3K
95117		<1%	228	102	$2K

13 more codes

81002		<1%	599	$2K
90461		<1%	322	$2K
99173		<1%	599	$993.16
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	32	$790.58
96127		<1%	23	$81.28
94760		<1%	26	$12.76
99000		<1%	14	$10.00
90670		0%	90	$0.00
90648		0%	12	$0.00
90700		0%	26	$0.00
90713		0%	14	$0.00
90649		0%	12	$0.00
90686		0%	145	$0.00

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.