Physician
Maria Del Carmen Espinoza M.D., P.A.
Maria Del Carmen Espinoza M.D., P.A. was paid $940K by Medicaid between Oct 2020 and Dec 2024, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoMARIA DEL CARMEN ESPINOZA M.D., P.A.
HOUSTON, TX 77034
HOUSTON, TX 77034
33aNPI1164067674assigned 11/08/2019
33bProvider typePediatrics Physician
28Total paid$940K
24GClaims40,594
24DCodes billed29
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#379 of 1,136
Median peer was paid$329K
This provider vs. median2.9×
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 | |
|---|---|---|---|
| 2020 | 1,504 | $35K | |
| 2021 | 9,428 | $233K | |
| 2022 | 13,699 | $241K | |
| 2023 | 9,043 | $221K | |
| 2024incomplete | 6,920 | $211K |
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 | 55% | 15,384 | 10,870 | $518K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 11% | 1,303 | 1,163 | $108K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.8% | 853 | 755 | $64K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.4% | 6,000 | 2,794 | $60K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.2% | 766 | 713 | $59K |
| 99000 | 4.9% | 5,005 | 4,152 | $46K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.9% | 4,884 | 4,056 | $46K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.4% | 287 | 236 | $13K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.0% | 1,280 | 1,062 | $10K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 132 | 118 | $9K |
| 90461 | <1% | 638 | 468 | $3K | |
| 96160 | <1% | 1,340 | 1,195 | $2K |
17 more codes
| 97169 | <1% | 103 | $2K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 16 | $859.88 |
| 90734 | <1% | 198 | $0.19 | |
| 90620 | <1% | 225 | $0.17 | |
| 90686 | <1% | 1,258 | $0.16 | |
| 90651 | <1% | 263 | $0.13 | |
| 90715 | <1% | 44 | $0.10 | |
| 90647 | 0% | 25 | $0.00 | |
| 90698 | 0% | 31 | $0.00 | |
| 90656 | 0% | 167 | $0.00 | |
| 90697 | 0% | 14 | $0.00 | |
| 90619 | 0% | 30 | $0.00 | |
| 1170F | 0% | 12 | $0.00 | |
| 90670 | 0% | 172 | $0.00 | |
| 90671 | 0% | 46 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 106 | $0.00 |
| 3288F | 0% | 12 | $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 officialESPINOZA, MARIA DEL CARMEN (PRESIDENT)