ESPERANZA GROUP LLC
NPI: 1386269496
· MIAMI, FL 33186
· Clinic/Center
· NPI assigned 06/15/2020
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1017 with only 2 total codes billed. Highly concentrated billing profile.
$4.06M
Total Medicaid Paid
Provider Details
| Authorized Official | AVILA, YURINIA (PRESIDENT) |
| NPI Enumeration Date | 06/15/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,092 |
$58K |
| 2022 |
2,062 |
$107K |
| 2023 |
25,824 |
$1.94M |
| 2024 |
34,052 |
$1.96M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management, each 15 minutes |
63,005 |
5,833 |
$4.06M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
25 |
25 |
$2K |