Behavioral
Espiga Health
Espiga Health was paid $1.73M by Medicaid between Jan 2018 and Oct 2022, across 3 billing codes. Its largest line is H2019, therapeutic behavioral services, billed per 15 minutes — 90% of everything it billed.
33Billing provider infoESPIGA HEALTH
CORAL GABLES, FL 33134
CORAL GABLES, FL 33134
33aNPI1831507458assigned 07/28/2014
33bProvider typeClinical Social Worker
28Total paid$1.73M
24GClaims30,386
24DCodes billed3
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers
Next to other Clinical Social Worker providers in Florida
Rank by total paid#9 of 190
Median peer was paid$11K
This provider vs. median152×
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 | 4,118 | $275K | |
| 2019 | 11,955 | $606K | |
| 2020 | 6,129 | $428K | |
| 2021 | 4,127 | $236K | |
| 2022 | 4,057 | $190K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 90% | 25,225 | 6,194 | $1.56M |
| H0032 | Mental health service plan development by non-physician | 7.1% | 2,493 | 1,982 | $124K |
| H0031 | Mental health assessment, by non-physician | 3.1% | 2,668 | 1,624 | $54K |
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 officialALVAREZ, GERARDO (CEO)