Physician
Esparis, Belen
Esparis, Belen was paid $16K by Medicaid between Oct 2020 and Dec 2021, across 2 billing codes. Its largest line is G0399, Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation — 88% of everything it billed.
33Billing provider infoESPARIS, BELEN
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
33aNPI1740215979assigned 07/12/2006
33bProvider typeSleep Medicine (Internal Medicine) Physician
28Total paid$16K
24GClaims190
24DCodes billed2
24AFirst – last monthOct 2020 – Dec 2021
Compared with peers
Next to other Sleep Medicine (Internal Medicine) Physician providers in Pennsylvania
Rank by total paid#12 of 16
Median peer was paid$19K
This provider vs. median0.8×
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 | 31 | $2K | |
| 2021 | 159 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | 88% | 176 | 173 | $14K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 12% | 14 | 14 | $2K |
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.