Active NPI 1326159385 Individual Practitioner Female Practitioner

Dr. Rossana Lopez , MD

Internal Medicine • Hialeah, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Rossana Lopez, MD is a certified Internal Medicine practicing in Hialeah, FL. With approximately 41 years of clinical experience since completing medical education in 1985, Dr. Lopez delivers high-quality medical care to the local community at 600 E 25TH ST STE A.

Dr. Lopez is affiliated with First Docs Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

600 E 25th St Ste A

Hialeah, FL 330133801

Telephone 3058361696

Fax 3053972255

Associated Practice Facility / Clinic

🏢 Rossana Lopez Md Pa Facility NPI 1013262377

Medicare Profile & Education

Medical School

Other

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Hialeah, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +17.5 yrs vs City Avg

City Avg: 23.5 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

146 Specialists

Practicing in Hialeah, FL (10650 Statewide)

Telehealth Adoption Rate

13.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lopez (41 Years) 41 Yrs

Hialeah Specialty Average (23.5 Years) 23.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,213	185	$209.10	$82.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	156	129	$217.88	$138.76
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	151	36	$266.82	$124.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	142	46	$107.75	$59.59
99213 Established patient office or other outpatient visit, typically 15 minutes	72	38	$197.92	$95.56
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	58	54	$473.98	$180.61
99239 Hospital discharge day management, more than 30 minutes	53	50	$260.89	$118.68
99238 Hospital discharge day management, 30 minutes or less	29	28	$242.69	$85.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	891	178	$230.00	$127.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	729	144	$152.55	$84.81
99213 Established patient office or other outpatient visit, typically 15 minutes	435	78	$125.00	$95.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	200	160	$250.00	$185.82
99239 Hospital discharge day management, more than 30 minutes	164	139	$175.64	$122.79
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	98	16	$200.00	$79.28
90833 Psychotherapy with evaluation and management visit, 30 minutes	56	24	$120.00	$71.99
99234 Hospital observation or inpatient care low severity, 40 minutes per day	49	29	$250.00	$107.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	15	$146.25	$59.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$200.00	$140.71
90792 Psychiatric diagnostic evaluation with medical services	13	11	$350.00	$179.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,547	201	$150.00	$76.71
99213 Established patient office or other outpatient visit, typically 15 minutes	386	101	$125.00	$97.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	287	220	$250.00	$213.93
99239 Hospital discharge day management, more than 30 minutes	238	186	$175.00	$111.70
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	186	70	$230.00	$109.46
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	132	23	$200.00	$73.85
90833 Psychotherapy with evaluation and management visit, 30 minutes	39	18	$120.00	$75.03
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	20	14	$200.00	$43.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	11	$225.00	$136.40
99217 Hospital observation care on day of discharge	11	11	$200.00	$76.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,223	182	$150.00	$78.02
99213 Established patient office or other outpatient visit, typically 15 minutes	598	129	$125.00	$98.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	268	204	$250.00	$217.49
99239 Hospital discharge day management, more than 30 minutes	191	150	$175.00	$114.63
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	190	30	$200.00	$74.79
90833 Psychotherapy with evaluation and management visit, 30 minutes	66	28	$120.00	$74.42
99220 Hospital observation care, typically 70 minutes	19	18	$211.00	$197.13
99217 Hospital observation care on day of discharge	19	18	$200.00	$77.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,277	182	$150.00	$75.69
99213 Established patient office or other outpatient visit, typically 15 minutes	738	138	$125.00	$73.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	232	187	$250.00	$213.96
99239 Hospital discharge day management, more than 30 minutes	190	153	$175.00	$111.47
90833 Psychotherapy with evaluation and management visit, 30 minutes	109	30	$120.00	$72.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	63	$225.00	$114.63
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	82	27	$200.00	$72.53
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	67	15	$230.00	$109.32
99234 Hospital observation or inpatient care low severity, 40 minutes per day	13	13	$250.00	$141.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,615	230	$150.00	$78.83
99213 Established patient office or other outpatient visit, typically 15 minutes	717	159	$124.84	$79.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	285	222	$249.74	$219.16
99239 Hospital discharge day management, more than 30 minutes	237	186	$175.00	$114.80
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	215	65	$200.00	$74.17
90833 Psychotherapy with evaluation and management visit, 30 minutes	134	52	$120.45	$74.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	37	$225.00	$115.57
90834 Psychotherapy, 45 minutes	16	11	$151.88	$94.08
99217 Hospital observation care on day of discharge	14	14	$200.00	$78.76
99220 Hospital observation care, typically 70 minutes	14	14	$211.00	$200.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,130	201	$150.07	$74.61
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	676	124	$230.00	$106.66
99239 Hospital discharge day management, more than 30 minutes	338	236	$175.00	$109.17
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	317	223	$249.57	$208.51
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	277	75	$200.00	$70.46
99213 Established patient office or other outpatient visit, typically 15 minutes	145	77	$125.34	$73.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	47	$255.65	$108.55
90833 Psychotherapy with evaluation and management visit, 30 minutes	51	38	$112.84	$68.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$125.00	$44.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	398	77	$244.25	$105.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	385	142	$275.00	$107.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	343	78	$187.70	$72.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	133	102	$365.61	$205.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	121	55	$125.00	$43.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	104	91	$369.95	$139.87
99239 Hospital discharge day management, more than 30 minutes	96	79	$237.45	$107.53
90833 Psychotherapy with evaluation and management visit, 30 minutes	58	37	$78.81	$65.14
99231 Follow-up hospital inpatient care per day, typically 15 minutes	45	22	$110.00	$40.00
99238 Hospital discharge day management, 30 minutes or less	22	22	$250.00	$72.47
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	22	13	$200.00	$69.19

Medical Specialties & State Licenses

CMS Verified: 2020-10-29

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME64156

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine - Geriatric Medicine

NUCC Taxonomy Code: 207RG0300X

State License FL ME64156

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Psychiatry & Neurology - Psychiatry

NUCC Taxonomy Code: 2084P0800X

State License FL ME64156

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

374037400 (FL)

Hospital & Practice Group Affiliations

First Docs Pc

651 E 25 St, Hialeah, FL 330133814

Phone: 6095851122

Secondary Practice Locations

777 E 25th St, Suite 516

Hialeah, FL 330133825

Phone: 3058361696

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location October 29, 2020

Registered at 600 E 25TH ST STE A, HIALEAH, FL 330133801 (Tel: 3058361696)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2020

Internal Medicine (License #ME64156 in FL)

✅

NPI Profile Active May 02, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location May 02, 2012

Registered at 777 E 25TH ST, SUITE 516, HIALEAH, FL 330133825 (Tel: 3058361696)

📍

Updated Business Mailing Address May 02, 2012

Registered at 3511 SW 100TH AVE, MIAMI, FL 331653846 (Tel: 3058361696)

👤

Provider Name / Credentials Updated May 02, 2012

Recorded as ROSSANA LOPEZ, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2012

Internal Medicine (License #ME64156 in FL)

🟢

Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1326159385

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 31, 2006

Last Update: October 29, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3511 Sw 100th Ave

Miami, FL 331653846

Phone: 3058361696

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.