MANUEL LOPEZ DIEZ, M.D.

Pain Medicine (Physical Medicine & Rehabilitation) Physician · PALM COAST, FL

Individual Active NPI 1144458100

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	1,156	12,765	$2,953,737	$884,497	$710,055
2023	937	10,401.5	$2,823,873	$846,415	$661,735
2022	853	11,325.5	$2,697,666	$878,401	$677,235

HCPCS	Description	Services	Avg allowed	Avg paid
J1100	Injection, dexamethasone sodium phosphate, 1 mg	5,236	$0	$0
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,508	$124	$96
80307	Testing for presence of drug, by chemistry analyzers	1,251	$61	$61
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	776	$88	$69
Q9966	Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	560	$0	$0
64483	Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	187	$283	$224
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	186	$163	$126
64493	Injection of lower or sacral spine facet joint using imaging guidance, single level	154	$240	$191
64494	Injection of lower or sacral spine facet joint using imaging guidance, second level	150	$124	$99
J1885	Injection, ketorolac tromethamine, per 15 mg	130	$1	$1
Q9960	High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml	110	$0	$0
27096	Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	102	$185	$147

Specialty	Code	Primary	License	State
Pain Medicine (Physical Medicine & Rehabilitation) Physician	2081P2900X	✓	ME 107153	FL
Pain Medicine (Physical Medicine & Rehabilitation) Physician	2081P2900X		15704	PR
Pain Medicine (Physical Medicine & Rehabilitation) Physician	2081P2900X		4301087534	MI

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.