Physician
Cecilia G. Lopez, MD,PC
Cecilia G. Lopez, MD,PC was paid $186K by Medicaid between Jan 2018 and Dec 2020, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoCECILIA G. LOPEZ, MD,PC
BURTON, MI 48519
BURTON, MI 48519
33aNPI1992972079assigned 05/08/2008
33bProvider typePediatrics Physician
28Total paid$186K
24GClaims9,012
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#202 of 349
Median peer was paid$321K
This provider vs. median0.6×
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 | 4,245 | $87K | |
| 2019 | 2,998 | $58K | |
| 2020 | 1,769 | $42K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 891 | 863 | $49K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 18% | 411 | 408 | $34K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 17% | 384 | 384 | $32K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 364 | 356 | $24K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.7% | 1,238 | 1,211 | $18K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.5% | 528 | 502 | $18K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.8% | 86 | 86 | $7K |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | <1% | 784 | 784 | $1K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 753 | 753 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 62 | 55 | $829.38 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 436 | 436 | $570.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 200 | 200 | $265.00 |
11 more codes
| 96127 | <1% | 31 | $92.17 | |
| G9002 | Coordinated care fee, maintenance rate | <1% | 360 | $0.18 |
| G9007 | Coordinated care fee, scheduled team conference | <1% | 43 | $0.02 |
| 90670 | 0% | 105 | $0.00 | |
| 90633 | 0% | 40 | $0.00 | |
| 90686 | 0% | 86 | $0.00 | |
| 90698 | 0% | 60 | $0.00 | |
| 1111F | 0% | 2,082 | $0.00 | |
| 4037F | 0% | 41 | $0.00 | |
| 90651 | 0% | 12 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 15 | $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.
From NPPES
Who's on the registration
Authorized officialLUZ, OSIE (OFFICE MANAGER)
Parent organizationCECILIA G. LOPEZ, MD PC