Lopez, Ernesto

Lopez, Ernesto was paid $163K by Medicaid between Jan 2018 and Sep 2021, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 78% of everything it billed.

33Billing provider infoLOPEZ, ERNESTO
LAWRENCE, MA 01840

33aNPI1962437020assigned 07/11/2006

33bProvider typeUrology Physician

28Total paid$163K

24GClaims5,108

24DCodes billed3

24AFirst – last monthJan 2018 – Sep 2021

Compared with peers

Next to other Urology Physician providers in Massachusetts

Rank by total paid#8 of 65

Median peer was paid$4K

This provider vs. median44×

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	2,356	$81K
2019	1,776	$54K
2020	460	$14K
2021	516	$14K

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	78%	3,075	2,583	$126K
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	22%	403	401	$35K
81002		<1%	1,630	1,400	$1K

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.