Physician
Esper, Roger
Esper, Roger was paid $403K by Medicaid between Sep 2020 and Jul 2021, across 23 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
33Billing provider infoESPER, ROGER
ERIE, PA 16508
ERIE, PA 16508
33aNPI1568429280assigned 04/27/2006
33bProvider typeAdult Medicine Physician
28Total paid$403K
24GClaims8,686
24DCodes billed23
24AFirst – last monthSep 2020 – Jul 2021
Compared with peers
Next to other Adult Medicine Physician providers in Pennsylvania
Rank by total paid#4 of 27
Median peer was paid$10K
This provider vs. median40×
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 | |
|---|---|---|---|
| 2020 | 1,696 | $89K | |
| 2021 | 6,990 | $314K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 97% | 2,616 | 2,255 | $392K |
| 0012A | 1.3% | 144 | 144 | $5K | |
| 0011A | 1.3% | 183 | 183 | $5K | |
| 3078F | 0% | 398 | 366 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 206 | 204 | $0.00 |
| 96160 | 0% | 167 | 166 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 79 | 79 | $0.00 |
| 3077F | 0% | 33 | 32 | $0.00 | |
| 99173 | 0% | 191 | 191 | $0.00 | |
| 80061 | Lipid panel | 0% | 39 | 39 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 103 | 103 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 92 | 92 | $0.00 |
11 more codes
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 751 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 108 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 12 | $0.00 |
| 3074F | 0% | 511 | $0.00 | |
| 92551 | 0% | 226 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 1,883 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 176 | $0.00 |
| 91301 | 0% | 286 | $0.00 | |
| 3075F | 0% | 66 | $0.00 | |
| 96127 | 0% | 140 | $0.00 | |
| 3079F | 0% | 276 | $0.00 |
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.