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    v1.0.28
    OpenPayerNPI Medicare & MedicaidLuis Espinoza
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    Luis Espinoza — Billing Profile & Reimbursement Data

    NPI 1376646620 · Pratt, KS · Specialist

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    Luis Espinoza is a specialist provider located in Pratt, Kansas. This profile covers 8 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
    OrganizationLuis Espinoza
    Address124 Commodore St Ste B
    CityPratt
    StateKS
    ZIP67124
    TaxonomySpecialist
    NPI EnumeratedSeptember 5, 2006

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

    Payer SourceTotal Paid
    Medicare$29K
    Medicaid$0

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…110$90$9.5K
    99213The 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…140$60$8.5K
    99204The provider sees a new 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 provider…40$110$4.6K
    99203The 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…40$80$3.3K
    51715In this procedure, the provider injects a natural or synthetic material into the submucosal tissue of the urethra and or bladder neck using an endoscope, a stiff or flexible tubular instrument with a…10$140$1.5K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…20$40$940
    G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination20$40$630
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.20$10$170

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992142,2844,310120$70$16.4K
    5171561020$660$11.8K
    992131,5434,33090$50$8.7K
    364159801,090150$10$6.3K
    992048271,93040$100$6K
    992036251,45030$60$3.6K
    992126641,05030$30$2.1K
    G01019914030$30$1.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bassam MattarKSHematology & Oncology Physician$7.2M$0
    Dennis MooreKSHematology & Oncology Physician$6.7M$0
    Pavan ReddyKSHematology & Oncology Physician$6.7M$0
    Jeremy DeutschKSHematology & Oncology Physician$5.7M$0
    Travis KoenekeKSHematology & Oncology Physician$4.4M$0
    Christopher DakhilKSHematology & Oncology Physician$4.4M$0
    Shaker DakhilKSHematology & Oncology Physician$4.4M$0
    Nassim NabboutKSHematology & Oncology Physician$4.2M$0
    Phu TruongKSHematology & Oncology Physician$4.1M$0
    Quoc TruongKSHematology & Oncology Physician$3.9M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pratt Family Practice LLCKSRural Health Clinic/Center$0$2.2M
    Robert HarrisKSSurgery Physician$486.6K$0
    County Of PrattKSLand Ambulance$310.9K$27.5K
    Scott GordonKSFoot & Ankle Surgery Podiatrist$222.9K$0
    Ian KovachKSOrthopaedic Surgery Physician$192.5K$0
    Alexander NeelKSSpecialist$166.6K$0
    Walmart Inc.KSCommunity/Retail Pharmacy$133.3K$0
    Jennifer MartinezKSMedical Physician Assistant$67.2K$0
    Calvin KrugerKSPhysician Assistant$28.4K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Kansas Distribution
    Luis Espinoza — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas