ALFONSO ESPINEL, M.D,
Family Medicine Physician · BRADENTON, FL
Individual Active NPI 1821223595
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,079 | 2,051 | $489,769 | $148,385 | $106,641 |
| 2023 | 189 | 285 | $260,761 | $29,082 | $21,644 |
| 2022 | 346 | 761 | $221,832 | $52,079 | $40,984 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 742 | $109 | $73 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 235 | $88 | $65 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 208 | $0 | $0 |
| 81002 | Urinalysis, manual test | 120 | $3 | $3 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 92 | $16 | $16 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 79 | $35 | $35 |
| 99285 | Emergency department visit with high level of medical decision making | 63 | $176 | $136 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 42 | $162 | $125 |
| 99284 | Emergency department visit with moderate level of medical decision making | 37 | $120 | $93 |
| 71046 | X-ray of chest, 2 views | 34 | $32 | $25 |
| 96372 | Injection of drug or substance under skin or into muscle | 31 | $14 | $10 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 24 | $123 | $94 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | ME114272 | FL |
| Family Medicine Physician | 207Q00000X | 31516 | AL | |
| Family Medicine Physician | 207Q00000X | 25695 | MS |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.