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 California for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to California 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. California (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.

Albemar Espiritu (NPI 1366766123)

Field	Value
Entity Type	Individual
Organization	Albemar Espiritu
Address	14555 Hamlin St Ste 2
City	Van Nuys
State	CA
ZIP	91411
Taxonomy	Foot & Ankle Surgery Podiatrist
NPI Enumerated	March 23, 2010

Payer Source	Total Paid
Medicare	$167.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
11730	The provider removes part or all of a single nail plate using simple avulsion techniques.	500	$100	$51.9K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	400	$100	$37.9K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	430	$80	$33.5K
11055	The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette.	490	$40	$17.7K
11056	The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.	180	$60	$10.8K
11057	The provider removes more than 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.	110	$70	$7.4K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	130	$40	$4.8K
11732	The provider removes part or all of an additional nail plate after the first using simple avulsion techniques.	60	$30	$1.7K
11720	The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails.	50	$30	$1.4K
G0127	Trimming of dystrophic nails, any number	30	$10	$340

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Albemar Espiritu — 3 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
11056	396	1,000	120	$70	$17.4K
11721	790	1,170	240	$40	$15.9K
99213	4,008	34,660	80	$70	$13.2K
11720	453	690	100	$30	$8.5K
11057	90	340	50	$70	$8K
G0127	250	280	180	$10	$6.9K
11055	27	860	60	$60	$6.4K
11730	8	380	20	$80	$5.8K
99203	95	12,740	30	$80	$4.6K
11732	12	40	30	$30	$2.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Core Analytics Radiology, LLC	CA	Mobile Radiology Clinic/Center	$2.4M	$3.3M
Core Analytics Laboratory, LLC	CA	Clinical Medical Laboratory	$2.4M	$1.9M
Sammy Eghbalieh	CA	Vascular Surgery Physician	$780.9K	$0
Richard David	CA	Urology Physician	$406.8K	$0
Andrew Abi-chaker	CA	Vascular Surgery Physician	$302.5K	$0
Babak Eghbalieh	CA	Surgery Physician	$200.8K	$0
Adam Mogil	CA	Physician Assistant	$25.4K	$0

Albemar Espiritu — Billing Profile & Reimbursement Data

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Albemar Espiritu — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References