Espinosa, James
Espinosa, James was paid $118K by Medicaid between Jan 2018 and Jul 2019, across 9 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 22% of everything it billed.
33Billing provider infoESPINOSA, JAMES
HIGHLAND, CA 92346
HIGHLAND, CA 92346
33aNPI1396800231assigned 12/22/2006
33bProvider typeOptometrist
28Total paid$118K
24GClaims5,679
24DCodes billed9
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#480 of 1,899
Median peer was paid$23K
This provider vs. median5.2×
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 | 3,498 | $72K | |
| 2019 | 2,181 | $47K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 22% | 739 | 719 | $26K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 21% | 702 | 695 | $25K |
| V2020 | Frames, purchases | 21% | 1,271 | 1,239 | $25K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 18% | 1,079 | 1,048 | $21K |
| 92015 | Determination of refractive state | 9.4% | 1,479 | 1,446 | $11K |
| 92083 | 4.2% | 240 | 233 | $5K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.8% | 88 | 72 | $2K |
| 92133 | 1.3% | 41 | 40 | $2K | |
| 92134 | 1.2% | 40 | 40 | $1K |
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.