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 Wisconsin for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Wisconsin 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. Wisconsin (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.

Hector Lopez (NPI 1952389876)

Field	Value
Entity Type	Individual
Organization	Hector Lopez
Address	4931 S 27th St
City	Greenfield
State	WI
ZIP	53221
Taxonomy	Family Medicine Physician
NPI Enumerated	January 3, 2006

Payer Source	Total Paid
Medicare	$24K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The 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…	170	$70	$11.3K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	40	$120	$4.4K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	40	$70	$2.7K
99213	The 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…	50	$50	$2.5K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	50	$20	$1.2K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	30	$40	$1.1K
G0444	Annual depression screening, 5 to 15 minutes	30	$20	$540
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	10	$20	$250

Medicare: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wisconsin Distribution

Hector Lopez — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,422	9,800	80	$70	$9.2K
G0439	1,490	2,350	50	$120	$9.1K
99490	84	100	110	$40	$8.5K
99213	5,179	9,380	60	$50	$4.7K
99497	93	190	40	$60	$3.5K
92250	253	280	40	$20	$1.7K
G0447	10	30	40	$20	$1.1K
G0444	40	80	30	$20	$980

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Independent Physicians Of Wisconsin, LLC	WI	Internal Medicine Physician	$0	$6.9M
Brett Rhode	WI	Ophthalmology Physician	$796.4K	$0
Kamal Amin	WI	Nephrology Physician	$246.2K	$1.4K
Awais Siddique	WI	Vascular & Interventional Radiology Physician	$175.9K	$0
Waleed Najeeb	WI	Pulmonary Disease Physician	$107.3K	$0
NPI 1134129380	—	—	$91.5K	$0
Brian Wolter	WI	Family Medicine Physician	$34.7K	$0
Timothy Allen	WI	Family Medicine Physician	$24.2K	$0
Maqbool Arshad	WI	Pulmonary Disease Physician	$22.5K	$0
Julie Waisbren	WI	Internal Medicine Physician	$13.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Milwaukee Health Services System, LLC	WI	Methadone Clinic	$0	$11.1M
Fresenius Medical Care Midwest Dialysis, LLC	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$6.6M
Dva Renal Healthcare Inc	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.2M
Sixteenth Street Community Health Centers, Inc.	WI	Federally Qualified Health Center (FQHC)	$0	$3.9M
Advanced Pain Management Sc	WI	Pain Medicine Physician	$0	$3.8M
Best Care Pediatrics LLC	WI	Pediatrics Physician	$0	$2.4M
Informe Healthcare In, LLC	WI	Internal Medicine Physician	$0	$1.4M
Charles Mccanna	WI	Ophthalmology Physician	$1.1M	$0
Ryan Vogel	WI	Retina Specialist (Ophthalmology) Physician	$915.5K	$70.2K
Joshua Agranat	WI	Retina Specialist (Ophthalmology) Physician	$740.9K	$0

Hector Lopez — Billing Profile & Reimbursement Data

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Hector 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