Physician
Espinoza, Juan
Espinoza, Juan was paid $1.66M by Medicaid between Jan 2018 and Dec 2024, across 62 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 19% of everything it billed.
33Billing provider infoESPINOZA, JUAN
BRENTWOOD, NY 11717
BRENTWOOD, NY 11717
33aNPI1114097607assigned 11/09/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$1.66M
24GClaims141,157
24DCodes billed62
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in New York
Rank by total paid#25 of 161
Median peer was paid$100K
This provider vs. median17×
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 | 13,869 | $369K | |
| 2019 | 27,726 | $453K | |
| 2020 | 23,263 | $89K | |
| 2021 | 25,099 | $162K | |
| 2022 | 10,725 | $150K | |
| 2023 | 23,717 | $215K | |
| 2024incomplete | 16,758 | $220K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 19% | 11,865 | 11,833 | $319K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 8,945 | 8,596 | $262K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 3,655 | 3,655 | $196K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.7% | 9,031 | 8,843 | $145K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.0% | 4,116 | 4,114 | $133K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.2% | 1,767 | 1,752 | $120K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.2% | 3,898 | 3,896 | $103K |
| 92551 | 5.3% | 8,444 | 8,435 | $88K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 4.1% | 11,897 | 11,891 | $68K |
| 90461 | 3.3% | 2,317 | 2,295 | $55K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.8% | 5,028 | 4,381 | $47K |
| 92587 | 1.7% | 3,268 | 3,253 | $27K |
50 more codes
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.2% | 2,230 | $19K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 158 | $16K |
| 81000 | <1% | 4,015 | $14K | |
| 98960 | <1% | 1,624 | $13K | |
| 99442 | <1% | 115 | $7K | |
| 99051 | <1% | 2,019 | $4K | |
| 83655 | <1% | 315 | $4K | |
| 0072A | <1% | 93 | $3K | |
| 0071A | <1% | 85 | $3K | |
| 96127 | <1% | 4,029 | $3K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 351 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 519 | $2K |
| 95012 | <1% | 115 | $1K | |
| 99381 | <1% | 14 | $1K | |
| 90670 | <1% | 674 | $1K | |
| 90633 | <1% | 608 | $660.45 | |
| 90697 | <1% | 453 | $300.41 | |
| 99173 | <1% | 10,763 | $276.88 | |
| 90651 | <1% | 1,348 | $273.37 | |
| 81003 | <1% | 708 | $228.71 | |
| 90686 | <1% | 4,862 | $196.35 | |
| 97802 | <1% | 11,659 | $183.85 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 48 | $84.32 |
| 96160 | <1% | 1,419 | $38.76 | |
| 90661 | <1% | 163 | $36.85 | |
| 90698 | <1% | 132 | $35.70 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 53 | $28.92 |
| 90710 | <1% | 147 | $17.85 | |
| 99177 | <1% | 1,038 | $6.35 | |
| 91307 | <1% | 184 | $0.01 | |
| 90620 | 0% | 1,082 | $0.00 | |
| 99000 | 0% | 4,011 | $0.00 | |
| 1031F | 0% | 3,313 | $0.00 | |
| 90723 | 0% | 250 | $0.00 | |
| 90619 | 0% | 309 | $0.00 | |
| 90716 | 0% | 161 | $0.00 | |
| 90674 | 0% | 269 | $0.00 | |
| 90647 | 0% | 159 | $0.00 | |
| 36416 | 0% | 237 | $0.00 | |
| 90696 | 0% | 143 | $0.00 | |
| 90677 | 0% | 199 | $0.00 | |
| 90715 | 0% | 132 | $0.00 | |
| 90734 | 0% | 652 | $0.00 | |
| 90681 | 0% | 431 | $0.00 | |
| 99080 | 0% | 4,995 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 200 | $0.00 |
| 90671 | 0% | 273 | $0.00 | |
| 90707 | 0% | 120 | $0.00 | |
| 90621 | 0% | 34 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 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.