Physician
Espinosa, Carmen
Espinosa, Carmen was paid $627K by Medicaid between Feb 2018 and Nov 2024, across 7 billing codes. Its largest line is 99222, Initial hospital care, per day, moderate complexity — 60% of everything it billed.
33Billing provider infoESPINOSA, CARMEN
MIAMI, FL 33186
MIAMI, FL 33186
33aNPI1154426955assigned 09/14/2006
33bProvider typePsychiatry Physician
28Total paid$627K
24GClaims14,587
24DCodes billed7
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Psychiatry Physician providers in Florida
Rank by total paid#35 of 267
Median peer was paid$28K
This provider vs. median23×
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 | 235 | $8K | |
| 2019 | 3,003 | $86K | |
| 2020 | 1,987 | $68K | |
| 2021 | 2,025 | $123K | |
| 2022 | 2,265 | $98K | |
| 2023 | 2,999 | $149K | |
| 2024incomplete | 2,073 | $96K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99222 | Initial hospital care, per day, moderate complexity | 60% | 2,918 | 2,063 | $377K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 22% | 8,244 | 1,609 | $135K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 11% | 1,230 | 1,199 | $70K |
| 99238 | Hospital discharge day management, 30 minutes or less | 5.6% | 1,632 | 1,318 | $35K |
| H2000 | Comprehensive multidisciplinary evaluation | 1.7% | 58 | 58 | $10K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 30 | 27 | $722.46 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 475 | 364 | $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.