Physician
Michael a Esparza MD INC
Michael a Esparza MD INC was paid $7K by Medicaid between May 2021 and Sep 2022, across 3 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 69% of everything it billed.
33Billing provider infoMICHAEL A ESPARZA MD INC
WALNUT CREEK, CA 94598
WALNUT CREEK, CA 94598
33aNPI1417568916assigned 08/10/2020
33bProvider typeTrauma Surgery Physician
28Total paid$7K
24GClaims131
24DCodes billed3
24AFirst – last monthMay 2021 – Sep 2022
Compared with peers
Next to other Trauma Surgery Physician providers in California
Rank by total paid#18 of 28
Median peer was paid$16K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2021 | 36 | $1K | |
| 2022 | 95 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 69% | 54 | 29 | $5K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 23% | 60 | 39 | $2K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.4% | 17 | 12 | $550.82 |
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 officialESPARZA, MICHAEL (OWNER)