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NPI 1205034733 · Brawley, CA · Gastroenterology Physician
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Oscar Lopez is a gastroenterology physician provider located in Brawley, California. This profile covers 8 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Oscar Lopez |
| Address | 751 W Legion Rd Ste 103 |
| City | Brawley |
| State | CA |
| ZIP | 92227 |
| Taxonomy | Gastroenterology Physician |
| NPI Enumerated | July 5, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $50.6K |
| Medicaid | $0 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 43235 | The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing. | 150 | $90 | $13K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 50 | $180 | $9.4K |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 60 | $140 | $8.8K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 50 | $140 | $7K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 60 | $100 | $6.1K |
| 43231 | The provider inserts a flexible endoscope through the mouth and down into the esophagus; he also inserts an ultrasound transducer through the escope and performs endoscopic ultrasound (EUS). | 20 | $100 | $2.5K |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 10 | $190 | $2.4K |
| 43264 | The provider performs a diagnostic procedure that combines upper endoscopy and retrograde (reverse) injection of contrast material, a type of dye, into the biliary ducts to obtain fluoroscopic images… | 20 | $100 | $1.5K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 30 | $0 | $0 |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence… | 80 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 408 | 530 | 140 | $240 | $158.4K |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence… | 108 | 160 | 210 | $30 | $28K |
Other providers in the same ZIP code as Oscar Lopez, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Reach Air Medical Services LLC | CA | Air Ambulance | $19.3M | $79.1M |
| Pioneers Memorial Healthcare District | CA | General Acute Care Hospital | $0 | $46.4M |
| Clinicas De Salud Del Pueblo, Inc. | CA | Federally Qualified Health Center (FQHC) | $0 | $34.8M |
| Pioneers Memorial Healthcare District | CA | Rural Health Clinic/Center | $0 | $28M |
| Lorenzo Suarez | CA | Family Medicine Physician | $1.1M | $0 |
| Christopher Lai | CA | Orthopaedic Surgery Physician | $440.8K | $0 |
| Michael Krutzik | CA | Internal Medicine Physician | $291.4K | $0 |
| Juan Velazquez | CA | Family Medicine Physician | $275.4K | $0 |
| William Creighton | CA | Specialist | $72.2K | $3.9K |
| Vincent Chiu | CA | Anesthesiology Physician | $61.2K | $0 |
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