Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › VA › Mechanicsville › NPI 1962462432

Espinosa, Bialines

Espinosa, Bialines was paid $8K by Medicaid between Jan 2018 and Aug 2018, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 90% of everything it billed.

33Billing provider infoESPINOSA, BIALINES
MECHANICSVILLE, VA 23116
33aNPI1962462432assigned 03/27/2006
33bProvider typeSpecialist
28Total paid$8K
24GClaims643
24DCodes billed4
24AFirst – last monthJan 2018 – Aug 2018
Compared with peers

Next to other Specialist providers in Virginia

Rank by total paid#162 of 231
Median peer was paid$47K
This provider vs. median0.2×

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

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
2018643$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 90% 163 145 $7K
81002 8.2% 305 182 $653.92
81025 1.5% 20 14 $122.72
99000 <1% 155 144 $26.25

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.