Physician

Carlos A Lopez, M.D.

According to 2025 Medicare claims, Carlos Lopez, M.D. (NPI: 1669863189) practices internal medicine in the West Palm Beach-Boca Raton-Delray Beach, FL market, with the plurality of this provider's patient population coming from Palm Beach, FL. This provider's primary affiliated billing organization is TRUCARE MEDICAL CENTER LLC (NPI: 1467108142) and primary practice location at 33324-1855. Lopez is affiliated with the PBACO Holding, LLC (ACO ID: A1001) and ilumed, LLC (ACO ID: D0005), participating under both the MSSP and REACH models.

Lopez's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 898 traditional Medicare patients, billed 7,022 HCPCS/CPT codes, and received $1,389,042 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 3,414 prescription claims across 275 beneficiaries totaling $233,948 in drug costs, led by Eliquis (Apixaban). DME data shows 62 claims. No Open Payments records. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved sharply higher in recent years, from $46,909 to $1,389,042. Similarly, Part D prescription costs have risen steadily, from $5,632 to $233,948. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $821 to $19,943.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	160	513	$46,909
2017	345	856	$82,878
2018	367	1,100	$95,177
2019	431	1,398	$115,956
2020	511	2,350	$196,933
2021	688	3,905	$319,348
2022	1,077	6,942	$592,319
2023	824	5,907	$537,109
2024	898	7,022	$1,389,042

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	29	124	$5,632
2016	46	220	$10,502
2017	49	108	$2,426
2018	119	224	$6,617
2019	202	456	$26,569
2020	179	580	$26,400
2021	180	578	$33,661
2022	258	2,731	$169,150
2023	189	2,549	$184,667
2024	275	3,414	$233,948

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	57	$1,247
2020	11	218	$5,735
2021	N/R	179	$5,082
2022	N/R	173	$6,178
2023	N/R	185	$7,028
2024	N/R	62	$3,080

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	302	322	$137
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	394	2,041	$96
99309	Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	335	1,521	$85
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	258	1,513	$63
99497	Advance care planning, first 30 minutes	358	496	$62

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	70	1,648	$29,117
Fycompa	Perampanel	11	309	$13,388
Xarelto	Rivaroxaban	25	819	$12,932
Linzess	Linaclotide	11	390	$7,395
Mesalamine	Mesalamine	12	351	$6,752

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	31	$2,565
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	31	$514

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Carlos A. Lopez, M.D.?

Tedicare shows public-source Medicare data for Carlos A. Lopez, M.D. (NPI 1669863189), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Carlos A. Lopez, M.D. have ACO affiliation data?

Carlos A. Lopez, M.D. is shown with ACO affiliation data for PBACO Holding, LLC (MSSP, ACO ID A1001) and ilumed, LLC (REACH, ACO ID D0005).

What billing organization is linked to Carlos A. Lopez, M.D.?

Carlos A. Lopez, M.D. is linked to TRUCARE MEDICAL CENTER LLC (billing NPI 1467108142) in the available physician profile data.

Does Carlos A. Lopez, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.