Espinoza, Lori
Espinoza, Lori was paid $94K by Medicaid between Mar 2019 and Jul 2024, across 10 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 60% of everything it billed.
33Billing provider infoESPINOZA, LORI
DORAL, FL 33178
DORAL, FL 33178
33aNPI1932274826assigned 11/24/2006
33bProvider typeOptometrist
28Total paid$94K
24GClaims2,704
24DCodes billed10
24AFirst – last monthMar 2019 – Jul 2024
Compared with peers
Next to other Optometrist providers in Florida
Rank by total paid#247 of 941
Median peer was paid$21K
This provider vs. median4.4×
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 | 46 | $2K | |
| 2020 | 273 | $5K | |
| 2021 | 93 | $4K | |
| 2022 | 927 | $38K | |
| 2023 | 1,070 | $36K | |
| 2024incomplete | 295 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 60% | 1,007 | 939 | $56K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 24% | 599 | 506 | $22K |
| V2020 | Frames, purchases | 6.6% | 122 | 111 | $6K |
| V2025 | Deluxe frame | 6.3% | 324 | 272 | $6K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.5% | 239 | 231 | $1K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.1% | 27 | 27 | $1K |
| 92015 | Determination of refractive state | <1% | 246 | 224 | $817.18 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 32 | 26 | $15.00 |
| V2750 | Anti-reflective coating, per lens | 0% | 65 | 51 | $0.00 |
| 2026F | 0% | 43 | 43 | $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.