Estalilla, Francis

Estalilla, Francis was paid $7K by Medicaid between Jan 2018 and Feb 2024, across 4 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 59% of everything it billed.

33Billing provider infoESTALILLA, FRANCIS
ABERDEEN, WA 98520

33aNPI1811051881assigned 12/21/2006

33bProvider typeOphthalmology Physician

28Total paid$7K

24GClaims378

24DCodes billed4

24AFirst – last monthJan 2018 – Feb 2024

Compared with peers

Next to other Ophthalmology Physician providers in Washington

Rank by total paid#37 of 69

Median peer was paid$8K

This provider vs. median0.9×

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	131	$3K
2019	167	$3K
2022	17	$417.69
2023	47	$499.43
2024incomplete	16	$143.33

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	59%	248	214	$4K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	21%	39	37	$1K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	18%	75	68	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.4%	16	12	$167.75

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.