Physician
Arturo E Espinal MD PA
Arturo E Espinal MD PA was paid $224K by Medicaid between Dec 2018 and Sep 2024, across 3 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 96% of everything it billed.
33Billing provider infoARTURO E ESPINAL MD PA
MIAMI, FL 33174
MIAMI, FL 33174
33aNPI1316275456assigned 12/01/2009
33bProvider typeFamily Medicine Physician
28Total paid$224K
24GClaims2,219
24DCodes billed3
24AFirst – last monthDec 2018 – Sep 2024
Compared with peers
Next to other Family Medicine Physician providers in Florida
Rank by total paid#145 of 996
Median peer was paid$13K
This provider vs. median17×
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 | 36 | $2K | |
| 2019 | 993 | $50K | |
| 2020 | 407 | $45K | |
| 2021 | 255 | $45K | |
| 2022 | 324 | $47K | |
| 2023 | 188 | $32K | |
| 2024incomplete | 16 | $3K |
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 | 96% | 2,147 | 1,552 | $215K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.2% | 57 | 54 | $7K |
| 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 | <1% | 15 | 14 | $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.
From NPPES
Who's on the registration
Authorized officialSANCHEZ MESA, NOSLEN (PRACTICE ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Celen Medical Group, Corp | Doral, FL | $3.93M |
| Superior Healthcare & Research LLC | Doral, FL | $904K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.