LEONARDO ESPINEL, M.D.
Surgery Physician · CULPEPER, VA
Individual Active NPI 1871555995
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 215 | 401 | $291,168 | $79,858 | $63,063 |
| 2023 | 243 | 449 | $334,964 | $88,518 | $70,880 |
| 2022 | 81 | 156 | $143,191 | $29,195 | $23,645 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 44 | $47 | $38 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 42 | $63 | $47 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 27 | $78 | $60 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 26 | $88 | $69 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 24 | $93 | $65 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 22 | $169 | $112 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 21 | $174 | $174 |
| 49650 | Repair of groin hernia using an endoscope | 20 | $548 | $435 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 20 | $79 | $56 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 20 | $239 | $194 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 19 | $128 | $84 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 16 | $34 | $25 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | 0101259360 | VA |
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.