Espinosa, Carlos

Espinosa, Carlos was paid $12K by Medicaid between Jan 2018 and Sep 2024, across 6 billing codes. Its largest line is 90961, — 50% of everything it billed.

33Billing provider infoESPINOSA, CARLOS
LAREDO, TX 78041

33aNPI1194798967assigned 02/10/2006

33bProvider typeNephrology Physician

28Total paid$12K

24GClaims2,065

24DCodes billed6

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Nephrology Physician providers in Texas

Rank by total paid#98 of 172

Median peer was paid$18K

This provider vs. median0.6×

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	580	$1K
2019	566	$3K
2020	407	$3K
2021	320	$2K
2022	153	$2K
2023	25	$173.32
2024incomplete	14	$51.59

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90961		50%	1,083	1,083	$6K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	41%	518	512	$5K
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	8.0%	319	319	$937.86
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	92	49	$89.14
99223	Prolong inpt eval add15 m	0%	14	13	$0.00
90962		0%	39	39	$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.