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    OpenPayerNPI Medicare & MedicaidJoel Lopez-figueroa
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    Joel Lopez-figueroa — Billing Profile & Reimbursement Data

    NPI 1811271463 · Humacao, PR · Hematology & Oncology Physician

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    Joel Lopez-figueroa is a hematology & oncology physician provider located in Humacao, Puerto Rico. This profile covers 3 Medicare and 4 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)

    FieldValue
    Entity TypeIndividual
    OrganizationJoel Lopez-figueroa
    Address12 Calle Victoria
    CityHumacao
    StatePR
    ZIP00791
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedSeptember 30, 2011

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$36.6K
    Medicare$7.2K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…40$80$3.2K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…30$110$3.2K
    38222The provider takes a scraping or sample of bone marrow tissue, using biopsy and aspiration techniques, for diagnostic purposes. Bone marrow aspiration is typically performed prior to the biopsy when…10$60$840

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    3 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921425847050$80$6.6K
    99215305030$110$6K
    3822221010$50$1K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…390$70$26.7K
    Q0084Chemotherapy administration by infusion technique only, per visit60$100$5.9K
    96367The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose…50$60$2.5K
    96361The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.140$10$1.4K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Puerto Rico providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Puerto Rico median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q0084Chemotherapy administration by infusion technique only, per visit6670900$80$219.9K
    96367The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose…4350520$50$82.4K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…1,5483,230330$10$42.4K
    96361The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.1230100$10$5.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Municipality Of San JuanPRMulti-Specialty Clinic/Center$0$4.5M
    Omayra GonzalezPRHematology & Oncology Physician$2.9K$1.6M
    Laboratorio Clinico Dr. Gualberto RabellPRClinical Medical Laboratory$0$1.5M
    Sherry Santiago-castroPRNeurology with Special Qualifications in Child Neurology Physician$0$1.5M
    Edilberto MartinezPRMaternal & Fetal Medicine Physician$0$1.4M
    Lauren LynchPRMaternal & Fetal Medicine Physician$0$1.4M
    Luis FontPRPediatric Endocrinology Physician$0$836.4K
    Soobin MaengPRGeneral Practice Physician$0$738.9K
    Juan Flores-gonzalezPRPulmonary Disease Physician$8.5K$638.5K
    Laboratorio Clinico Cdt Dr. Jose Lopez AntongiorgiPRClinical Medical Laboratory$0$607.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dr Jose A Nassar & AsociadosPRRadiology Clinic/Center$0$6.3M
    Laboratorio Clinico Roxell IncPRClinical Medical Laboratory$0$1.9M
    Redes De Salud Inc.PRSpecialist$0$1.7M
    Jimergency Medical Transport Inc.PRAmbulance$46.2K$1.5M
    Yamilka Abreu DelgadoPRGastroenterology Physician$0$1.2M
    Eastern Retina Consultants Of Puerto Rico, PscPROphthalmology Physician$0$1.2M
    Instituto De Radioterapia Avanzada Del Este, PscPRRadiation Oncology Clinic/Center$0$1.1M
    Servicios Anatomico Patologicos Oriental, Inc.PRClinical Medical Laboratory$2.6K$1.1M
    Vc Partners LLCPRDiagnostic Radiology Physician$0$1M
    Ivette RodriguezPRPediatric Dentistry$0$936.9K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Puerto Rico Distribution
    Joel Lopez-figueroa — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico
    Medicaid Revenue by Year vs. Puerto Rico Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Puerto Rico Distribution
    Joel Lopez-figueroa — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico