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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Luis Espina (NPI 1396184784)

Field	Value
Entity Type	Individual
Organization	Luis Espina
Address	766 Morningside Ln
City	Ridgefield
State	NJ
ZIP	07657
Taxonomy	Family Medicine Physician
NPI Enumerated	June 18, 2013

Payer Source	Total Paid
Medicare	$59.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The 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…	560	$60	$35.8K
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…	240	$60	$14.7K
99441	N/A	90	$40	$3.8K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	$100	$1.8K
99442	N/A	20	$70	$1.2K
G0008	Administration of influenza virus vaccine	20	$30	$820
90688	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.	20	$20	$340
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	20	$10	$260
99421	Using online communication technologies, a physician or other qualified healthcare professional discusses a health issue and possible treatment or management with an established patient. This code…	20	$10	$250

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Luis Espina — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,698	13,640	130	$90	$23.6K
99213	3,512	14,090	100	$70	$13.1K
G0439	2,968	3,370	70	$120	$11.5K
99442	617	830	30	$60	$3.5K
G0008	3,243	4,290	50	$30	$3K
99441	53	460	30	$40	$2.4K
93000	2,542	3,440	50	$10	$2.1K
90688	140	210	30	$20	$870
99421	4	10	20	$10	$690

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rwjbh Primary Care Services	NJ	Internal Medicine Physician	$0	$8.6M
Rajendrakumar Patel	NJ	Internal Medicine Physician	$717.2K	$0
Isaac Tawfik	NJ	Interventional Cardiology Physician	$714.3K	$0
Said Saleh	NJ	Hematology & Oncology Physician	$531.4K	$0
Samir Jain	NJ	Internal Medicine Physician	$386.7K	$0
Elsie Koh	NJ	Vascular & Interventional Radiology Physician	$376.8K	$570
John Gorechlad	NJ	Surgical Critical Care Physician	$372.1K	$0
Mohammed Usman	NJ	Hospitalist Physician	$324K	$0
Kevin Law	NJ	Pulmonary Disease Physician	$271.2K	$0
Douglas Livornese	NJ	Pulmonary Disease Physician	$252.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wonil Park	NJ	Internal Medicine Physician	$337K	$0
Seung Lee	NJ	Psychiatry Physician	$225.3K	$0
Shella Cajita	NJ	Physical Therapist	$149.9K	$0

Luis Espina — Billing Profile & Reimbursement Data

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Luis Espina — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References