Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Hawaii for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Hawaii only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Hawaii (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Holly Espinueva (NPI 1003074337)

Field	Value
Entity Type	Individual
Organization	Holly Espinueva
Address	2740 Liholani St
City	Makawao
State	HI
ZIP	96768
Taxonomy	Marriage & Family Therapist
NPI Enumerated	May 22, 2008

Payer Source	Total Paid
Medicaid	$248.2K
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	2,990	$80	$248.2K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Hawaii providers billing the same CPT/HCPCS codes.

Claims Volume vs. Hawaii Distribution

Holly Espinueva — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Hawaii

Full comparison — all codes billed, vs. Hawaii median

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	53	440	500	$90	$116.1K

Nearby Providers

Other providers in the same ZIP code as Holly Espinueva, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Karl Jacobs	HI	Psychologist	$0	$277.5K
Robert Mastroianni Md Inc	HI	Family Medicine Physician	$0	$244.7K
Pukalani Family Practice, LLC	HI	Primary Care Clinic/Center	$0	$216.9K
Brian Peternell	HI	Neuromusculoskeletal Medicine & OMM Physician	$196.6K	$0
Akamai Recovery Maui LLC	HI	Community/Behavioral Health Agency	$0	$192.7K
Longs Drug Stores California LLC	HI	Pharmacy	$188.3K	$4.4K
Robert Mastroianni	HI	Family Medicine Physician	$155.8K	$0
Aloha House, Inc.	HI	Substance Abuse Rehabilitation Facility	$0	$145.9K
Bodhi Wellness And Psychotherapy LLC	HI	Mental Health Counselor	$0	$139K
Lydee Ritchie Lmft LLC	HI	Marriage & Family Therapist	$0	$118.8K

Holly Espinueva — Billing Profile & Reimbursement Data

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Holly Espinueva — Billing Profile & Reimbursement Data

Sign up for Holly Espinueva — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References