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

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

Edward Esparza (NPI 1427258797)

Field	Value
Entity Type	Individual
Organization	Edward Esparza
Address	11695 Ne 4th St
City	Bellevue
State	WA
ZIP	98004
Taxonomy	Dermatology Physician
NPI Enumerated	July 24, 2007

Payer Source	Total Paid
Medicare	$172.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

13 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…	520	$100	$52.3K
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…	360	$70	$24.5K
11102	The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.	260	$90	$22.3K
17000	The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.	450	$50	$21.1K
99204	The 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…	140	$130	$17.3K
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…	110	$90	$9.5K
17003	In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…	1,130	$10	$6.8K
11103	The provider biopsies an additional skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette. Report +11103 for each separate lesion…	120	$50	$5.3K
17004	The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.	30	$150	$4.7K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	40	$100	$3.6K

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Edward Esparza — 1 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	620	10,860	100	$80	$13.6K
17110	327	420	100	$70	$9.8K
11102	58	410	110	$60	$8.9K
17000	89	510	160	$40	$8.5K
17004	101	180	40	$110	$7.6K
99213	557	9,690	60	$60	$6.5K
99204	223	4,750	30	$110	$5.2K
17003	119	440	550	$1	$4K
36415	1,800	1,920	60	$10	$3.5K
99203	295	3,140	30	$70	$3.3K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Virginia Mason Medical Center	WA	General Acute Care Hospital	$0	$19.2M
Virginia Mason Medical Center	WA	Ambulatory Surgical Clinic/Center	$919.8K	$0
Connie Chen	WA	Ophthalmology Physician	$670.6K	$0
Janet Chieh	WA	Ophthalmology Physician	$622.7K	$0
Ravi Krishnan	WA	MOHS-Micrographic Surgery Physician	$399.5K	$0
Thomas Curtis	WA	Physical Medicine & Rehabilitation Physician	$375.3K	$0
Drew Baldwin	WA	Interventional Cardiology Physician	$360.1K	$0
Justin Penn	WA	Cardiovascular Disease Physician	$328.8K	$0
Christopher Fellows	WA	Electrodiagnostic Medicine Physician	$309.7K	$0
Eugene Chang	WA	Cardiovascular Disease Physician	$309.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Universal Language Service, Inc.	WA	Contractor	$0	$103.7M
Overlake Medical Center & Clinics	WA	General Acute Care Hospital	$0	$16.6M
Daiya Healthcare PLLC	WA	Internal Medicine Physician	$0	$8.7M
Steve Kim	WA	Ophthalmology Physician	$3.4M	$20
David Saperstein	WA	Ophthalmology Physician	$3.3M	$100
Andrew Barloon	WA	Ophthalmology Physician	$2.7M	$20
Puget Sound Physicians PLLC	WA	Emergency Medicine Physician	$0	$2.5M
Northwest Kidney Centers	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.5M
Charles Birnbach	WA	Ophthalmology Physician	$2.4M	$0
Todd Klesert	WA	Ophthalmology Physician	$2.1M	$0

Edward Esparza — 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