Physician

Fabian Espinosa, MD

According to 2025 Medicare claims, Fabian Espinosa, MD (NPI: 1922028224) practices internal medicine in the Victoria, TX market, with the plurality of this provider's patient population coming from Victoria, TX. This provider's primary affiliated billing organization is FABIAN E ESPINOSA MD PA (NPI: 1811294689; TIN: 274899655) and primary practice location at 77901-5743. Espinosa is affiliated with the The Rural Advantage LLC (ACO ID: A5257), Main Street Rural Health Hickory ACO LLC (ACO ID: A5334), Aledade 158 TX MSSP Enhanced (ACO ID: A5361), Main Street Rural Health Cottonwood ACO LLC (ACO ID: A5439), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Espinosa's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 332 traditional Medicare patients, billed 4,340 HCPCS/CPT codes, and received $230,531 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 12,931 prescription claims across 651 beneficiaries totaling $1,088,995 in drug costs, led by Ozempic (Semaglutide). DME data shows 688 claims. Open Payments data shows 20 records totaling $331. 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 changed little. Concurrently, Part D prescription costs have risen steadily, from $786,005 to $1,088,995. In contrast, DME billing represents a smaller volume and moved from a lower plateau to a higher plateau, from $31,896 to $48,772.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	544	6,588	$291,117
2016	542	6,728	$275,401
2017	537	7,841	$310,864
2018	476	7,102	$268,773
2019	471	6,848	$261,385
2020	413	6,216	$253,047
2021	367	4,933	$229,422
2022	355	4,786	$242,332
2023	330	4,622	$233,496
2024	332	4,340	$230,531

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	573	13,340	$786,005
2016	565	13,451	$743,753
2017	582	13,261	$733,056
2018	580	12,839	$737,276
2019	591	12,833	$804,230
2020	592	13,048	$846,856
2021	629	12,994	$939,413
2022	645	12,960	$1,032,997
2023	657	13,017	$1,206,364
2024	651	12,931	$1,088,995

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	234	786	$30,948
2016	241	645	$16,569
2017	255	638	$13,918
2018	251	706	$16,620
2019	178	526	$13,651
2020	166	566	$16,567
2021	208	710	$24,038
2022	241	732	$31,850
2023	199	688	$40,311
2024	212	688	$46,671

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	228	228	$125
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	322	816	$79
99490	Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	215	1,106	$46
G0008	Administration of influenza virus vaccine	194	197	$31
G0442	Annual alcohol misuse screening, 5 to 15 minutes	243	243	$18

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	141	5,230	$160,284
Eliquis	Apixaban	176	7,739	$144,598
Jardiance	Empagliflozin	140	6,058	$114,142
Farxiga	Dapagliflozin Propanediol	158	5,940	$109,631
Toujeo Solostar	Insulin Glargine,hum.Rec.Anlog	114	6,593	$106,262

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	12	61	$21,898
A7032	Cushion for use on nasal mask interface, replacement only, each	N	13	44	$3,630
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	24	63	$3,321
A7031	Face mask interface, replacement for full face mask, each	N	12	41	$3,283
E0601	Continuous positive airway pressure (cpap) device	Y	12	62	$2,919

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	20	$331	Lilly USA, 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 Fabian Espinosa, MD?

Tedicare shows public-source Medicare data for Fabian Espinosa, MD (NPI 1922028224), 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 Fabian Espinosa, MD have ACO affiliation data?

Fabian Espinosa, MD is shown with ACO affiliation data for The Rural Advantage LLC (MSSP, ACO ID A5257), Main Street Rural Health Hickory ACO LLC (MSSP, ACO ID A5334), Aledade 158 TX MSSP Enhanced (MSSP, ACO ID A5361), Main Street Rural Health Cottonwood ACO LLC (MSSP, ACO ID A5439), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Fabian Espinosa, MD?

Fabian Espinosa, MD is linked to FABIAN E ESPINOSA MD PA (billing NPI 1811294689) in the available physician profile data.

Does Fabian Espinosa, MD have Open Payments data?

Fabian Espinosa, MD has 20 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.