Physician
Espinosa, Edwin
Espinosa, Edwin was paid $62K by Medicaid between May 2021 and Sep 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoESPINOSA, EDWIN
BARTLETT, IL 60103
BARTLETT, IL 60103
33aNPI1205801354assigned 02/22/2006
33bProvider typePediatrics Physician
28Total paid$62K
24GClaims969
24DCodes billed6
24AFirst – last monthMay 2021 – Sep 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#868 of 1,805
Median peer was paid$55K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2021 | 14 | $906.61 | |
| 2022 | 133 | $6K | |
| 2023 | 50 | $3K | |
| 2024incomplete | 772 | $53K |
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 | 40% | 489 | 422 | $25K |
| 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 | 31% | 248 | 202 | $19K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 10.0% | 73 | 73 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.6% | 63 | 60 | $5K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.1% | 57 | 56 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.4% | 39 | 38 | $3K |
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.