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Methodology•Download Data
  1. Home
  2. Providers
  3. Paul Espinoza
⚕️
MDIndividual

Paul Espinoza, MD

NPI: 1780613455
Newberry, SC
10 years of data
Peripheral Vascular Disease
$4.8M
Total Payments
13.2K
Beneficiaries
22.1K
Services
3.2x
Markup Ratio

Peer Comparison

98th
percentile in specialty
This provider$4.8M
Specialty median$233.1K

📋 Key Findings

1Billed $4.8M over 10 years
23.2x markup ratio (above median)
398th percentile in Peripheral Vascular Disease by payments
4Payments surged 143% in 2019
510 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $4.8M in total Medicare payments ranks in the 98th percentile of Peripheral Vascular Disease providers nationally.

Medicare payments to this provider grew 51% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 143% in 2019

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$1.5K$523.012.93x$1.0K$280.3K1.4K883
2015$994.18$247.624.01x$746.56$340.5K2.2K1.3K
2016$1.2K$307.394.03x$929.99$422.7K2.4K1.5K
2017$1.3K$310.184.30x$1.0K$409.9K2.3K1.5K
2018$1.2K$351.853.53x$891.48$571.8K2.3K1.5K
2019$1.1K$342.173.07x$707.98$1.4M3.2K1.9K
2020$737.66$269.992.73x$467.67$163.1K727538
2021$929.95$297.453.13x$632.50$294.9K1.4K774
2022$887.86$253.783.50x$634.08$516.9K2.9K1.5K
2023$826.12$228.573.61x$597.55$422.9K3.0K1.8K

Top Procedures (20)

36475Destruction of insufficient vein of arm or leg, accessed through the skin⚠ 3.9x markup
$1.1M
1.1K services$977.07/svc3.89x markup
36466Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance⚠ 3.0x markup
$882.0K
751 services$1.2K/svc3.02x markup
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers
$613.4K
4.6K services$132.55/svc2.63x markup
36465Injection of chemical agent into single incompetent vein of leg using ultrasound guidance
$585.4K
559 services$1.0K/svc2.93x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$353.7K
6.6K services$53.94/svc2.30x markup
37799Blood vessel procedure⚠ 4.3x markup
$300.8K
287 services$1.0K/svc4.29x markup
93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
$271.5K
3.3K services$81.69/svc2.72x markup
36478Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin⚠ 4.4x markup
$219.1K
260 services$842.68/svc4.40x markup
36471Injection of chemical agent into multiple veins of same leg
$109.0K
810 services$134.58/svc2.48x markup
99203New patient office or other outpatient visit, typically 30 minutes
$100.8K
1.4K services$71.62/svc2.46x markup
37241Occlusion of venous malformations (other than hemorrhage) with radiological supervision and interpretation, roadmapping, and imaging guidance
$99.7K
30 services$3.3K/svc2.40x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$68.6K
883 services$77.67/svc2.15x markup
76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle⚠ 4.2x markup
$35.4K
815 services$43.39/svc4.23x markup
99204New patient office or other outpatient visit, typically 45 minutes
$32.0K
286 services$112.01/svc2.99x markup
10160Aspiration of abscess, blood accumulation, blister, or cyst⚠ 3.3x markup
$15.6K
208 services$75.05/svc3.25x markup
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function⚠ 4.8x markup
$4.0K
26 services$154.78/svc4.85x markup
93979Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan⚠ 4.4x markup
$3.2K
39 services$82.58/svc4.38x markup
36476Destruction of insufficient vein of arm or leg using imaging guidance, accessed through the skin⚠ 3.1x markup
$3.2K
15 services$212.54/svc3.06x markup
93978Ultrasound scan of vena cava or groin graft or vessel blood flow⚠ 3.3x markup
$2.3K
19 services$122.92/svc3.31x markup
36470Injection of chemical agent into single vein
$1.2K
11 services$111.30/svc2.04x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
36475Destruction of insufficient vein of arm or leg, accessed through the skin1.1K$1.1M$977.073.89x
36466Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance751$882.0K$1.2K3.02x
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers4.6K$613.4K$132.552.63x
36465Injection of chemical agent into single incompetent vein of leg using ultrasound guidance559$585.4K$1.0K2.93x
99213Established patient office or other outpatient visit, typically 15 minutes6.6K$353.7K$53.942.30x
37799Blood vessel procedure287$300.8K$1.0K4.29x
93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers3.3K$271.5K$81.692.72x
36478Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin260$219.1K$842.684.40x
36471Injection of chemical agent into multiple veins of same leg810$109.0K$134.582.48x
99203New patient office or other outpatient visit, typically 30 minutes1.4K$100.8K$71.622.46x
37241Occlusion of venous malformations (other than hemorrhage) with radiological supervision and interpretation, roadmapping, and imaging guidance30$99.7K$3.3K2.40x
99214Established patient office or other outpatient, visit typically 25 minutes883$68.6K$77.672.15x
76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle815$35.4K$43.394.23x
99204New patient office or other outpatient visit, typically 45 minutes286$32.0K$112.012.99x
10160Aspiration of abscess, blood accumulation, blister, or cyst208$15.6K$75.053.25x
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function26$4.0K$154.784.85x
93979Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan39$3.2K$82.584.38x
36476Destruction of insufficient vein of arm or leg using imaging guidance, accessed through the skin15$3.2K$212.543.06x
93978Ultrasound scan of vena cava or groin graft or vessel blood flow19$2.3K$122.923.31x
36470Injection of chemical agent into single vein11$1.2K$111.302.04x

Markup Analysis

Charge-to-Payment Ratio

3.2x

This provider submits charges 3.2 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.2x means for every $100 Medicare pays, this provider initially charges $320. This is higher than the national average.

Location

Newberry, SC

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.

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