Espeleta, Vidal

Espeleta, Vidal was paid $6K by Medicaid between Mar 2018 and Feb 2023, across 2 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 72% of everything it billed.

33Billing provider infoESPELETA, VIDAL
LAGUNA HILLS, CA 92653

33aNPI1245327808assigned 10/06/2006

33bProvider typePulmonary Disease Physician

28Total paid$6K

24GClaims297

24DCodes billed2

24AFirst – last monthMar 2018 – Feb 2023

Compared with peers

Next to other Pulmonary Disease Physician providers in California

Rank by total paid#165 of 225

Median peer was paid$53K

This provider vs. median0.1×

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
2018	53	$675.54
2020	59	$2K
2021	45	$161.47
2022	97	$3K
2023	43	$229.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	72%	93	37	$5K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	28%	204	89	$2K

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.