NP / PA
Esmail, Lena
Esmail, Lena was paid $124K by Medicaid between Oct 2019 and Apr 2020, across 20 billing codes. Its largest line is 87798, Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism — 28% of everything it billed.
33Billing provider infoESMAIL, LENA
WARREN, OH 44484
WARREN, OH 44484
33aNPI1891017380assigned 02/24/2010
33bProvider typeFamily Nurse Practitioner
28Total paid$124K
24GClaims2,493
24DCodes billed20
24AFirst – last monthOct 2019 – Apr 2020
Compared with peers
Next to other Family Nurse Practitioner providers in Ohio
Rank by total paid#35 of 365
Median peer was paid$4K
This provider vs. median31×
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 | |
|---|---|---|---|
| 2019 | 335 | $13K | |
| 2020 | 2,158 | $111K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 28% | 141 | 119 | $35K |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | 15% | 136 | 119 | $19K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12% | 348 | 335 | $15K |
| 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 | 9.5% | 166 | 155 | $12K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 5.9% | 114 | 99 | $7K |
| 87634 | 4.8% | 114 | 99 | $6K | |
| 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 | 4.0% | 78 | 73 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.9% | 116 | 105 | $5K |
| 87641 | 2.6% | 136 | 119 | $3K | |
| 87640 | 2.6% | 141 | 119 | $3K | |
| 87541 | 2.2% | 114 | 99 | $3K | |
| 87498 | 2.2% | 114 | 99 | $3K |
8 more codes
| 87581 | 2.2% | 115 | $3K | |
| 87486 | 2.2% | 113 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 66 | $781.83 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 65 | $708.82 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 67 | $670.22 |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | <1% | 251 | $336.00 |
| 99051 | <1% | 85 | $66.00 | |
| 81002 | <1% | 13 | $31.32 |
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.