Carlos J Esparza MD PC

Carlos J Esparza MD PC was paid $155K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 88% of everything it billed.

33Billing provider infoCARLOS J ESPARZA MD PC
ALBUQUERQUE, NM 87109

33aNPI1366469314assigned 07/16/2006

33bProvider typePhysical Medicine & Rehabilitation Physician

28Total paid$155K

24GClaims4,132

24DCodes billed8

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Physical Medicine & Rehabilitation Physician providers in New Mexico

Rank by total paid#9 of 20

Median peer was paid$104K

This provider vs. median1.5×

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	326	$8K
2019	588	$18K
2020	559	$22K
2021	763	$25K
2022	755	$26K
2023	693	$31K
2024incomplete	448	$26K

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	88%	3,279	2,998	$136K
20553		8.3%	356	335	$13K
99358	Prolong nursin fac eval 15m	3.3%	130	127	$5K
J2920	Injection, methylprednisolone sodium succinate, up to 40 mg	<1%	24	24	$486.51
Q9965	Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml	<1%	230	221	$417.63
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	25	24	$99.35
80305		<1%	13	13	$98.31
Q9966	Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	<1%	75	70	$53.87

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 officialMONTANEZ, LORI (CHIEF ADMIN OFFICER)