Esparza, Nereida

Esparza, Nereida was paid $246K by Medicaid between Jan 2018 and Oct 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.

33Billing provider infoESPARZA, NEREIDA
BERWYN, IL 60402

33aNPI1013233006assigned 04/15/2010

33bProvider typeFamily Medicine Physician

28Total paid$246K

24GClaims5,064

24DCodes billed7

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#465 of 2,947

Median peer was paid$43K

This provider vs. median5.8×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	1,010	$37K
2019	862	$40K
2020	721	$33K
2021	696	$36K
2022	563	$29K
2023	595	$31K
2024incomplete	617	$40K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	63%	3,462	2,783	$155K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	33%	1,159	1,014	$80K
90686		2.0%	334	230	$5K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	1.5%	54	50	$4K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	14	14	$1K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	27	12	$1K
90656		<1%	14	12	$159.20

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.