Physician
Espinoza, Rocio
Espinoza, Rocio was paid $180K by Medicaid between Jan 2018 and Feb 2020, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoESPINOZA, ROCIO
TULLAHOMA, TN 37388
TULLAHOMA, TN 37388
33aNPI1659459394assigned 11/01/2006
33bProvider typePediatrics Physician
28Total paid$180K
24GClaims6,064
24DCodes billed18
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#158 of 333
Median peer was paid$139K
This provider vs. median1.3×
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 | 2,538 | $74K | |
| 2019 | 3,204 | $96K | |
| 2020 | 322 | $10K |
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 | 54% | 2,124 | 1,441 | $98K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 573 | 501 | $22K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 12% | 308 | 234 | $21K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.1% | 223 | 200 | $15K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.4% | 94 | 85 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.3% | 318 | 266 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.1% | 594 | 500 | $6K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 367 | 317 | $2K |
| 96127 | 1.1% | 565 | 495 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 15 | 12 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 18 | 12 | $939.75 |
| 92587 | <1% | 278 | 245 | $838.40 |
6 more codes
| 99173 | <1% | 175 | $301.08 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 20 | $292.70 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 18 | $18.25 |
| 90461 | 0% | 164 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 56 | $0.00 |
| 90686 | 0% | 154 | $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.