Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DR RAPHAEL LOPEZ LLC

NPI: 1962674234 · DAVENPORT, FL 33837 · Internal Medicine Physician · NPI assigned 03/27/2008

$30K
Total Medicaid Paid
722
Total Claims
638
Beneficiaries
3
Codes Billed
2019-01
First Month
2021-09
Last Month

Provider Details

Authorized OfficialLOPEZ, RAPHAEL (OWNER/PRESIDENT)
NPI Enumeration Date03/27/2008

Monthly Spending Trend

Yearly Breakdown

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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 697 614 $29K
99215 Prolong outpt/office vis 12 12 $723.90
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13 12 $406.46