DR Raphael Lopez LLC

DR Raphael Lopez LLC was paid $30K by Medicaid between Jan 2019 and Sep 2021, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 96% of everything it billed.

33Billing provider infoDR RAPHAEL LOPEZ LLC
DAVENPORT, FL 33837

33aNPI1962674234assigned 03/27/2008

33bProvider typeInternal Medicine Physician

28Total paid$30K

24GClaims722

24DCodes billed3

24AFirst – last monthJan 2019 – Sep 2021

Compared with peers

Next to other Internal Medicine Physician providers in Florida

Rank by total paid#408 of 1,247

Median peer was paid$9K

This provider vs. median3.4×

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
2019	306	$11K
2020	185	$8K
2021	231	$11K

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	96%	697	614	$29K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	2.4%	12	12	$723.90
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.4%	13	12	$406.46

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.

From NPPES

Who's on the registration

Authorized officialLOPEZ, RAPHAEL (OWNER/PRESIDENT)