Physician

Carlos Alberto Espinoza, M.D.

According to 2025 Medicare claims, Carlos Espinoza, M.D. (NPI: 1073827176) practices interventional cardiology in the Rocky Mount, NC market, with the plurality of this provider's patient population coming from Nash, NC. This provider's primary affiliated billing organization is NHCS PHYSICIANS INC (NPI: 1801252275; TIN: 471182549) and primary practice location at 27804-2237.

Espinoza's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 480 traditional Medicare patients, billed 984 HCPCS/CPT codes, and received $58,274 in Medicare payments. The top billing code was 99222 (Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes). Part D data shows 3,308 prescription claims across 368 beneficiaries totaling $594,428 in drug costs, led by Eliquis (Apixaban). 2021 DME data shows 18 claims. Open Payments data shows 24 records totaling $2,441. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has declined steadily, from $103,429 to $58,274. In contrast, Part D prescription costs have moved sharply higher in recent years, from $21,110 to $594,428. For DME billing, reported payments did not follow a clear longitudinal pattern.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	799	1,646	$103,429
2019	1,075	2,408	$140,885
2020	897	1,781	$107,158
2021	865	1,775	$113,652
2022	782	1,556	$92,328
2023	597	1,311	$83,667
2024	480	984	$58,274

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	60	297	$21,110
2016	61	299	$24,486
2017	43	215	$16,444
2018	73	453	$49,189
2019	110	804	$93,931
2020	166	1,264	$132,696
2021	234	1,872	$204,616
2022	297	2,017	$285,352
2023	337	2,664	$451,321
2024	368	3,308	$594,428

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	11	$24,443
2019	N/R	22	$44,751
2020	N/R	27	$59,764
2021	N/R	18	$40,454
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	50	51	$91
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	92	$75
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	99	108	$59
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	199	200	$49
99152	Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes	48	51	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	321	11,894	$227,252
Entresto	Sacubitril/Valsartan	148	5,085	$100,022
Xarelto	Rivaroxaban	119	4,765	$88,265
Brilinta	Ticagrelor	125	5,075	$73,826
Jardiance	Empagliflozin	22	1,200	$22,660

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	24	$2,441	Philips North America LLC
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Carlos Alberto Espinoza, M.D.?

Tedicare shows public-source Medicare data for Carlos Alberto Espinoza, M.D. (NPI 1073827176), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Carlos Alberto Espinoza, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Carlos Alberto Espinoza, M.D.?

Carlos Alberto Espinoza, M.D. is linked to NHCS PHYSICIANS INC (billing NPI 1801252275) in the available physician profile data.

Does Carlos Alberto Espinoza, M.D. have Open Payments data?

Carlos Alberto Espinoza, M.D. has 24 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.