ALFREDO ESPINOZA, MD
Gastroenterology Physician · SAN ANTONIO, TX
Individual Active NPI 1629185616
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 371 | 2,165 | $476,264 | $122,311 | $95,778 |
| 2023 | 405 | 1,058 | $471,593 | $106,438 | $84,702 |
| 2022 | 414 | 2,110 | $478,116 | $124,510 | $95,569 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 96 | $93 | $75 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 95 | $234 | $195 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 93 | $122 | $80 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 86 | $159 | $102 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 34 | $172 | $172 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 33 | $163 | $163 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 32 | $86 | $51 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 22 | $169 | $129 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 21 | $137 | $108 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 20 | $128 | $103 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 13 | $76 | $61 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 11 | $106 | $76 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 741967809 | TX |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.