Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Guam for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Guam only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Guam (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Virgilio Lopez (NPI 1255438347)

Field	Value
Entity Type	Individual
Organization	Virgilio Lopez
Address	133 Route 3
City	Dededo
State	GU
ZIP	96929
Taxonomy	Anesthesiology Physician
NPI Enumerated	September 20, 2006

Payer Source	Total Paid
Medicare	$10.5K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00142	The provider performs anesthesia services for a patient undergoing an eye lens procedure.	80	$90	$6.6K
00140	The provider performs anesthesia services for a patient undergoing an eye procedure.	40	$100	$4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Guam Distribution

Virgilio Lopez — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Guam

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00142	2	10	80	$100	$11.9K
00140	1	10	30	$110	$2.9K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Virgilio Lopez, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Optum Medical Group Ii Rhodes P C	NV	Internal Medicine Physician	$0	$6.8M
Optum Medical Group Rhodes P C	NV	Specialist	$0	$4.4M
Optum Medical Group Rhodes P C	NV	Anesthesiology Physician	$0	$1.8M
Russell Gollard	NV	Hematology & Oncology Physician	$680.6K	$790
Michael Becker	NV	Radiation Oncology Physician	$562.6K	$0
Jeanette Foronda	MD	Physician Assistant	$411.6K	$1.5K
Okwuchukwu Obi	NV	Pain Medicine (Anesthesiology) Physician	$243.8K	$0
Jason Zommick	NV	Specialist	$227.6K	$1
Simhean Lee	NV	Allergy Physician	$222.6K	$2.1K
Fred Francis	NV	Radiation Oncology Physician	$194.9K	$0

Nearby Providers

Other providers in the same ZIP code as Virgilio Lopez, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Guam Healthcare Development Incorporated	GU	Clinic/Center	$0	$30.8M
C V Alegria Dds Inc	GU	General Practice Dentistry	$0	$11.3M
Albert Huang	GU	Dentist	$0	$5.4M
Usrc Finegayan, LLC	GU	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.5M
Renal Centers Of Guam, LLC	GU	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.1M
Government Of Guam Department Of Administration	GU	Federally Qualified Health Center (FQHC)	$0	$2.4M
Maria Chela Mariano	GU	Family Medicine Physician	$0	$1.8M
Scott Shay	GU	Vascular & Interventional Radiology Physician	$1.2M	$0
Anthony Bekkerman	GU	Emergency Medicine Physician	$49.5K	$623.9K
Blue Ocean Medical Group LLC	GU	Family Medicine Physician	$0	$665.1K

Virgilio Lopez — Billing Profile & Reimbursement Data

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Virgilio Lopez — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References