Eppsteiner, Robert

Eppsteiner, Robert was paid $68K by Medicaid between Jan 2018 and Feb 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.

33Billing provider infoEPPSTEINER, ROBERT
SPINGFIELD, MA 01107

33aNPI1053547646assigned 06/09/2009

33bProvider typeOtolaryngology Physician

28Total paid$68K

24GClaims1,364

24DCodes billed6

24AFirst – last monthJan 2018 – Feb 2024

Compared with peers

Next to other Otolaryngology Physician providers in Massachusetts

Rank by total paid#24 of 90

Median peer was paid$14K

This provider vs. median4.9×

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	321	$18K
2019	297	$15K
2020	365	$17K
2021	215	$9K
2022	100	$5K
2023	52	$3K
2024incomplete	14	$813.14

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	70%	855	843	$48K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	22%	177	177	$15K
95117		2.5%	184	138	$2K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	2.4%	13	13	$2K
92567		1.9%	113	113	$1K
99072		<1%	22	22	$616.00

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.