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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAllan Espinosa Morazan
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    Allan Espinosa Morazan — Billing Profile & Reimbursement Data

    NPI 1225350788 · Prescott, AZ · Medical Oncology Physician

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    Allan Espinosa Morazan is a medical oncology physician provider located in Prescott, Arizona. This profile covers 68 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAllan Espinosa Morazan
    Address5430 Landmark Ln
    CityPrescott
    StateAZ
    ZIP86301
    TaxonomyMedical Oncology Physician
    NPI EnumeratedFebruary 24, 2010

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$2.2M
    Medicaid$0

    Key Findings

    Practice appears to be an infusion-centric oncology practice driven by high-volume immunotherapy and chemotherapy administration: J9271 (Injection, pembrolizumab) alone accounts for $1.2M in Medicare revenue across 29K claims and represents 56.5% of the provider's Medicare revenue, and procedural chemotherapy codes such as 96413 (646 claims, $64K) and add-on/infusion codes 96411 and 96417 also appear throughout the top codes. The mix of high-volume drug administration codes and multiple chemotherapy administration add-ons indicates daily infusion services are a core operational focus rather than a primarily consultative or procedural surgery practice.

    Revenue is highly concentrated: the top 3 Medicare codes by revenue account for 68.1% of this provider's total Medicare revenue. Those top contributors are J9271 ($1.2M, 56.5%), 78815 ($142.7K, 6.6%), and 99215 ($105.8K, 4.9%), signaling reliance on a small set of high-value services for the majority of Medicare income.

    On several injectable/infusible products this provider ranks well above peers nationally, consistent with a regional or niche specialty role. For example, J9271 ranks #135 of 1841 providers nationally (93th percentile; notably above typical national volume for this code), J9305 (pemetrexed) ranks #1 of 33 providers nationally (100th percentile; notably above typical national volume for this code), and 96523 (irrigation of venous access device) ranks #1 of 1643 providers nationally (100th percentile; extreme outlier), which together point to unusually high procedural throughput for drug administration and vascular access maintenance.

    Office visit volume is also elevated, suggesting substantial ongoing management of complex patients rather than sporadic consultations. 99215 shows 808 claims and $105.8K revenue (4.9%) and ranks #517 of 145531 providers nationally (100th percentile; extreme outlier), while 99214 has 931 claims and $83.8K revenue (3.9%) and ranks #13676 of 479517 providers nationally (97th percentile; notably above typical national volume for this code), consistent with frequent high-complexity follow-up visits.

    Imaging and staging services are a meaningful secondary revenue stream, supporting active cancer management and longitudinal monitoring. 78815 (PET/CT) contributes $142.7K (6.6%) with 128 claims and ranks #1595 of 6566 providers nationally (75th percentile; typical, unremarkable volume for this code), and A9552 appears with 150 claims and $18K (0.8%) and ranks #441 of 2411 providers nationally (82th percentile; typical, unremarkable volume), indicating regular use of PET imaging in the care pathway.

    This provider's payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $2.2M and there is no Medicaid billing on file (none). The absence of Medicaid activity concentrates payer exposure and suggests that contracting, reimbursement policy changes, or Medicare payment volatility would disproportionately affect this practice's revenue.

    Tenure is long enough to have established referral and treatment patterns: the NPI was enumerated 2010-02-24 (~16 years ago). This longevity, coupled with sustained high volumes in infusion and complex evaluation-and-management codes, supports the interpretation of a stable, mature oncology practice.

    The provider also records meaningful use of supportive care agents and biosimilars, reflecting comprehensive oncology throughput beyond primary anti-cancer drugs. Examples include J0185 (aprepitant) with 22.8K claims and $22.8K revenue ranking #48 of 819 providers nationally (94th percentile; notably above typical national volume for this code), Q5118 (bevacizumab-bvzr) with $68.8K (3.2%) ranking mid-range among peers, and J0897 (denosumab) with $73.4K (3.4%) at a typical-to-modest percentile, indicating integrated supportive-care services and biosimilar utilization within the infusion suite.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    68 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg29,000$40$1.2M
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…130$1,120$142.7K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…810$130$105.8K
    J9305Injection, pemetrexed, not otherwise specified, 10 mg8,260$10$90.9K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…930$90$83.8K
    J0897Injection, denosumab, 1 mg4,080$20$73.4K
    Q5118Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg2,990$20$68.8K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…650$100$64K
    J1437Injection, ferric derisomaltose, 10 mg2,000$20$32K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg220$130$29.9K

    Showing 1–10 of 68

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 68 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    68 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927138010,000$40$487.4K
    J0897982602,940$20$115.6K
    788153216060$710$75.8K
    Q51184201,290$20$44.4K
    Q5122810410$90$36.5K
    J14374201,600$20$26.5K
    J93051101,420$10$26.4K
    9641319230190$100$24.8K
    J088114507,000$1$23.1K
    A95521812050$260$20.8K

    Showing 1–10 of 68

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Allan Espinosa Morazan, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Arizona Oncology Associates PCAZSpecialist$0$13.9M
    Pines Health ServicesMEInternal Medicine Physician$0$7.6M
    Pines Health ServicesMEObstetrics & Gynecology Physician$0$7.1M
    Northern Maine Medical CenterMECritical Access Hospital$0$5.8M
    Pines Health ServicesMEFederally Qualified Health Center (FQHC)$0$3.7M
    Iyad HamarnehAZMedical Oncology Physician$3.5M$0
    Northern Maine Medical CenterMERural Health Clinic/Center$0$3M
    Peter MathernAZMedical Oncology Physician$3M$0
    Pines Health ServicesMEFamily Medicine Physician$0$3M
    Northern Maine Medical CenterMERural Health Clinic/Center$0$2.8M

    Nearby Providers

    Other providers in the same ZIP code as Allan Espinosa Morazan, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Yavapai Community Hospital AssociationAZGeneral Acute Care Hospital$0$66.2M
    Prescott Healthcare Solutions LLCAZFamily Medicine Physician$0$13.3M
    Summit Behavioral Health Of Az, LLCAZSubstance Abuse Rehabilitation Facility$0$13.3M
    Medical Services Of Prescott, Inc.AZEmergency Medicine Physician$0$12.3M
    Prescott Whipple StageAZTaxi$0$9.2M
    Alan LangerakAZHematology & Oncology Physician$2.7M$0
    Prescott Outpatient Surgical Center LLCAZAmbulatory Surgical Clinic/Center$1.7M$25.7K
    Arizona Institute Of Eye Surgery LLCAZAmbulatory Surgical Clinic/Center$1.4M$24.7K
    Ayad AghaAZDiagnostic Radiology Physician$1M$0
    Ajith PurushAZInternal Medicine Physician$807.3K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Arizona Distribution
    Allan Espinosa Morazan — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona