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

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

Gabriela Espinoza (NPI 1518983741)

Field	Value
Entity Type	Individual
Organization	Gabriela Espinoza
Address	1225 S Grand Blvd
City	Saint Louis
State	MO
ZIP	63104
Taxonomy	Ophthalmology Physician
NPI Enumerated	July 14, 2006

Payer Source	Total Paid
Medicare	$10.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0585	Injection, onabotulinumtoxina, 1 unit	1,220	$1	$4.9K
64612	In this procedure, the provider injects a chemical on one side of the face to disable the facial nerve and relieve painful facial nerve disorders or abnormal involuntary movements of facial muscles.	30	$130	$3.6K
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…	20	$50	$1.1K
92060	The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and…	20	$30	$460

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Missouri Distribution

Gabriela Espinoza — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0585	89	90	8,850	$1	$72.5K
99213	7,362	8,730	70	$50	$7K
64612	10	10	40	$120	$6.7K
92060	21	30	20	$40	$1.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ssm Cardinal Glennon Children's Hospital	MO	Children's Hospital	$0	$52.6M
Ssm-sluh Inc	MO	General Acute Care Hospital	$0	$20.6M
Ssm Health Care Group	MO	Internal Medicine Physician	$0	$17.3M
Levent Akduman	MO	Ophthalmology Physician	$3.1M	$1.4M
Affinia Healthcare	MO	Federally Qualified Health Center (FQHC)	$0	$4.2M
Southside Wellness Center Inc	MO	Personal Care Attendant	$0	$3.8M
Shamseldeen Mahmoud	MO	Neuroradiology Physician	$109.5K	$474K
Kristin Smith	MO	Dermatopathology Physician	$451.5K	$12.4K
Nicole Burkemper	MO	Dermatology Physician	$237K	$51.7K
M Yadira Hurley	MO	Dermatopathology Physician	$242K	$38.4K

Gabriela Espinoza — Billing Profile & Reimbursement Data

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Gabriela Espinoza — 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