Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Luz Del Carmen Cespedes MD, PLLC

Luz Del Carmen Cespedes MD, PLLC was paid $659K by Medicaid between Jan 2018 and Sep 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.

33Billing provider infoLUZ DEL CARMEN CESPEDES MD, PLLC
HUNTINGTON STATION, NY 11746
33aNPI1093877219assigned 12/14/2006
28Total paid$659K
24GClaims11,189
24DCodes billed13
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Primary Care Clinic/Center providers in New York

Rank by total paid#57 of 242
Median peer was paid$172K
This provider vs. median3.8×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,277$89K
20191,367$91K
20201,856$111K
20212,003$121K
20222,125$115K
20232,033$102K
2024incomplete528$31K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 48% 4,098 3,886 $318K
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 39% 2,379 2,289 $255K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 6.8% 459 459 $45K
93000 1.7% 718 708 $11K
99401 1.5% 481 474 $10K
90686 1.0% 335 333 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 421 418 $5K
96127 <1% 1,233 1,229 $5K
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 762 758 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 14 14 $993.64
3078F <1% 14 14 $12.50
3008F 0% 260 256 $0.00
1 more codes
99058 0% 15 $0.00

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.

From NPPES

Who's on the registration

Authorized officialCESPEDES, LESLIE (INTERNAL MEDICINE)