CARMEN LOPEZ, M.D.
Gastroenterology Physician · MOBILE, AL
Individual Active NPI 1023549839
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 282 | 568 | $195,012 | $65,121 | $49,650 |
| 2023 | 125 | 389 | $86,580 | $31,818 | $25,506 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 74 | $150 | $99 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 57 | $221 | $177 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 56 | $69 | $54 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 50 | $113 | $86 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 48 | $76 | $57 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 38 | $116 | $92 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 32 | $159 | $127 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 22 | $101 | $54 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 22 | $100 | $82 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 17 | $145 | $116 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 16 | $82 | $53 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 46259 | AL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.