Esparaz, Benjamin

Esparaz, Benjamin was paid $63K by Medicaid between Jan 2018 and Aug 2024, across 9 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 60% of everything it billed.

33Billing provider infoESPARAZ, BENJAMIN
DECATUR, IL 62526

33aNPI1275502940assigned 03/15/2006

33bProvider typeHematology & Oncology Physician

28Total paid$63K

24GClaims2,220

24DCodes billed9

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Hematology & Oncology Physician providers in Illinois

Rank by total paid#90 of 285

Median peer was paid$31K

This provider vs. median2.0×

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	251	$6K
2019	556	$14K
2020	161	$4K
2021	257	$9K
2022	771	$21K
2023	211	$7K
2024incomplete	13	$420.24

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	60%	1,134	754	$38K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	20%	203	89	$13K
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	14%	298	269	$9K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.1%	101	99	$2K
85027		<1%	104	72	$584.87
80053	Comprehensive metabolic panel	<1%	49	41	$500.40
96375	Therapeutic injection; each additional sequential IV push	<1%	20	13	$388.78
85007		<1%	104	72	$339.15
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	207	86	$186.03

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.