Lopez-Claros, Marcelo

Lopez-Claros, Marcelo was paid $1.14M by Medicaid between Jan 2018 and Jul 2023, across 4 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 66% of everything it billed.

33Billing provider infoLOPEZ-CLAROS, MARCELO
RALEIGH, NC 27610

33aNPI1962578047assigned 11/28/2006

33bProvider typeAddiction Medicine (Family Medicine) Physician

28Total paid$1.14M

24GClaims18,023

24DCodes billed4

24AFirst – last monthJan 2018 – Jul 2023

Compared with peers

Next to other Addiction Medicine (Family Medicine) Physician providers in North Carolina

Rank by total paid#1 of 7

Median peer was paid$26K

This provider vs. median45×

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	3,877	$179K
2019	3,496	$206K
2020	2,906	$215K
2021	2,314	$180K
2022	3,584	$247K
2023	1,846	$109K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	66%	11,043	2,563	$749K
99222	Initial hospital care, per day, moderate complexity	20%	2,705	2,496	$230K
99238	Hospital discharge day management, 30 minutes or less	12%	2,645	2,442	$141K
99231	Subsequent hospital care, per day, straightforward or low complexity	1.4%	1,630	599	$16K

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.