Medicare Enrolled
Dr. Andrey Espinoza, MD
Cardiac Rehabilitation Registered Nurse · Flemington, NJ
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Speaking/Promotional
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Espinoza from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Espinoza
Dr. Andrey Espinoza is a cardiac rehabilitation registered nurse in Flemington, NJ, with 20 years of NPI registration. Based on federal Medicare data, Dr. Espinoza performed 11,372 Medicare services across 3,129 unique beneficiaries.
Between the years covered by Open Payments, Dr. Espinoza received a total of $63,908 from 47 pharmaceutical and/or device companies across 311 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiac rehabilitation registered nurse. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Espinoza is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years in practice
▲ Top 50% volume in NJ
$63,908 industry payments
Medicare Practice Summary
Medicare Utilization ↗11,372
Medicare services
Top 50% in NJ for cardiac rehabilitation registered nurse
3,129
Unique beneficiaries
$78
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~569 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Contrast dye for imaging, lower concentration | 7,200 | $0 | $10 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
856 | $106 | $360 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
409 | $166 | $1,000 |
| Injection, fentanyl citrate, 0.1 mg | 392 | $1 | $10 |
| Heart muscle strain imaging | 374 | $34 | $500 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
240 | $12 | $45 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
211 | $76 | $253 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
177 | $208 | $700 |
| Midazolam injection, per 1 mg Administration of midazolam hydrochloride, a sedative medication, measured in 1 mg increments. |
160 | $0 | $10 |
| Ultrasound of arm arteries or grafts An ultrasound exam of the arteries in one arm or any arterial grafts present. This imaging test uses sound waves to visualize blood flow and vessel structure. |
156 | $105 | $500 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
154 | $163 | $1,000 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers. |
152 | $168 | $700 |
| Ultrasound of leg arteries or grafts An ultrasound exam that uses sound waves to create images of the arteries in one leg or any grafts present in that leg. |
137 | $110 | $525 |
| Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts A complete ultrasound exam of the aorta, vena cava, groin vessels, or bypass grafts. This imaging test uses sound waves to visualize these blood vessels. |
130 | $154 | $1,000 |
| Ultrasound of arm and leg arteries A non-invasive imaging test that uses sound waves to examine the blood vessels in the arms and legs. It evaluates blood flow and checks for blockages or other vascular issues. |
90 | $108 | $500 |
| Ultrasound of blood vessel, initial vessel An ultrasound exam of a blood vessel that includes a radiologist's review of the initial vessel. |
69 | $897 | $4,000 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
65 | $21 | $65 |
| New patient office visit, complex (60-74 min) | 44 | $186 | $611 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in one arm or leg using compression and other maneuvers to assess blood flow and check for blockages. |
42 | $105 | $500 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
39 | $11 | $125 |
| Arterial plaque removal in leg A procedure to remove plaque buildup from the arteries in the leg to restore blood flow. |
33 | $7,523 | $53,545 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
31 | $149 | $276 |
| Continuous ECG monitoring, up to 30 days Continuous heart rhythm monitoring for up to 30 days, including professional review and reporting of the results. |
30 | $22 | $1,000 |
| Complete ultrasound of abdomen and pelvis blood flow This procedure uses sound waves to create images of blood flow in the arteries and veins of the abdomen and pelvis. It evaluates the rate and direction of blood movement within these vessels. |
30 | $227 | $1,500 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
29 | $69 | $225 |
| Coronary angiography A procedure to insert a tube into a coronary artery to capture diagnostic images of the heart's blood vessels. |
28 | $156 | $2,500 |
| Radiofrequency vein destruction, first vein A procedure to treat the first incompetent vein in the arm or leg using radiofrequency energy and imaging guidance. |
17 | $983 | $10,000 |
| Coronary stent placement A procedure to insert a stent into a coronary artery or its branch to keep it open, using balloon dilation during the process. |
17 | $489 | $2,500 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
17 | $137 | $463 |
| Artery plaque removal and stent insertion in leg This procedure involves removing plaque buildup from leg arteries and placing stents to keep the blood vessels open. |
16 | $10,603 | $62,500 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram under physician supervision and review. |
14 | $56 | $300 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle at rest and during stress using a special camera. |
13 | $407 | $2,200 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
5.3% high complexity
80.5% medium
14.2% routine
Industry Payment Transparency
Open Payments through 2024 ↗$63,908
Total received (2018-2024)
Avg $9,130/year across 7 years
1.0× state median for specialty
47
Companies
311
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$37,096 (58.0%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$14,900 (23.3%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$11,913 (18.6%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,084
2023
$20,150
2022
$16,064
2021
$16,779
2020
$695
2019
$3,892
2018
$5,244
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Philips North America LLC
$587
Endologix LLC
$243
Novartis Pharmaceuticals Corporation
$51
Medtronic, Inc.
$47
iRhythm Technologies, Inc.
$44
Lilly USA, LLC
$23
Abbott Laboratories
$22
SCPHARMACEUTICALS INC.
$20
Amgen Inc.
$16
Kiniksa Pharmaceuticals International, plc
$16
Esperion Therapeutics, Inc.
$15
Top 3 companies account for 81.3% of 2024 payments
All-time payments by company (2018-2024) ›
Philips Electronics North America Corporation
$40,981
Medtronic, Inc.
$7,548
Janssen Pharmaceuticals, Inc
$6,714
Janssen Scientific Affairs, LLC
$3,500
Philips North America LLC
$587
AstraZeneca Pharmaceuticals LP
$569
Shockwave Medical, Inc
$500
Medtronic Vascular, Inc.
$374
Abbott Laboratories
$263
Senseonics, Incorporated
$258
Amgen Inc.
$252
Endologix LLC
$243
Endologix, Inc.
$208
Reflow Medical Inc
$174
Novartis Pharmaceuticals Corporation
$162
Boston Scientific Corporation
$154
Regeneron Healthcare Solutions, Inc.
$143
Esperion Therapeutics, Inc.
$135
PFIZER INC.
$113
SANOFI-AVENTIS U.S. LLC
$83
Edwards Lifesciences Corporation
$71
Boehringer Ingelheim Pharmaceuticals, Inc.
$70
CORDIS US CORP.
$68
Merck Sharp & Dohme LLC
$65
CARDIVA MEDICAL, INC.
$60
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$58
Amarin Pharma Inc.
$58
Novo Nordisk Inc
$52
iRhythm Technologies, Inc.
$44
AngioDynamics, Inc.
$41
Bard Peripheral Vascular, Inc.
$41
E.R. Squibb & Sons, L.L.C.
$36
Cardiovascular Systems Inc.
$34
Tactile Systems Technology Inc
$29
Kowa Pharmaceuticals America, Inc.
$27
Lilly USA, LLC
$23
Terumo Medical Corporation
$20
SCPHARMACEUTICALS INC.
$20
Arrow International, Inc.
$19
ORGANOGENESIS INC.
$18
Kiniksa Pharmaceuticals International, plc
$16
BARD PERIPHERAL VASCULAR, INC.
$14
ARALEZ PHARMACEUTICALS US INC.
$14
CashFlow Solutions, LLC
$13
Daiichi Sankyo Inc.
$13
Relypsa, Inc.
$13
Biocompatibles, Inc.
$11
Top 3 companies account for 86.4% of all-time payments
Associated products mentioned in payments ›
(4067) Tack Endo Sys BTK · (6554) Periph Vasc Undiv · (7881) US Und · (8334) Image Guided Therapy Devices _ Peripheral · (8977) Zenition 70 · (9281) Turbo Elite · (9520) IGT Devices Und · (9520) IGT Devices Undivided · (9547) IGT Systems Und · (BH4) IGT Devices Undivided · (V061) IVUS Systems · AFX · Acculink carotid stent system · Amplia MRI · Arcalyst · Azure · BRILINTA · CARDIVA VASCADE 6/7F VCS · CHANTIX · CVX-300 · Cardiva VASCADE 6/7F VCS · CareLink · ClosureFast · Corlanor · Coronary Orbital Atherectomy System · ELIQUIS · ELUVIA · ENTRESTO · EUPHORA · Edwards SAPIEN 3 Transcatheter Heart Valve · Ellipse ICD · Endurant · Eversense · FARXIGA · FLEXITOUCH · FUROSCIX · Fortify Assura · HawkOne · Hi-Torque Command guide wire · Hi-Torque Connect guide wire · Hi-Torque Spartacore guide wires · IGT D Peripheral · IN.PACT Admiral · INJECTAFER · JETI · LEQVIO · LINQ II · LUTONIX · LYMPHA PRESS OPTIMAL PLUS(US) BT · LifeVest · Livalo · Merlin Connectivity and Remote · MetaCross · NEXLETOL · ONYX FRONTIER · Ozempic · PRADAXA · PRALUENT · PRALUENT ALIROCUMAB INJECTION · PULMICORT RESPULES · Perclose ProGlide suture mediated closure system · Peripheral Orbital Atherectomy System · Puraply · RESOLUTE ONYX · REVEAL LINQ · Repatha · Reveal LINQ · SUPERA · SYMPLICITY G3 · SpiderFX · Supera peripheral stent system · Telescope · Torus Stent Graft System · VARITHENA · VENOVO · VERQUVO · Vascepa · Vascular Lithotripsy · Vein Treatment - Other Products · Veltassa · WATCHMAN · XARELTO · ZEPBOUND · ZIO XT Patch · ZONTIVITY
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
The majority of payments (58%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in cardiac rehabilitation registered nurse and does not inherently indicate bias, but patients may wish to be aware.
Geographic Context
Cardiac rehabilitation registered nurses within 10 mi
5
Per 100K population
3.9
County median income
$139,453
Nearest hospital
HUNTERDON MEDICAL CENTER
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Espinoza is a mixed practice specialist, with moderate Medicare volume, with speaking/promotional industry engagement, with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Espinoza experienced with contrast dye for imaging, lower concentration?
Based on Medicare claims data, Dr. Espinoza performed 7,200 contrast dye for imaging, lower concentration services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Espinoza receive payments from pharmaceutical companies?
Yes. Dr. Espinoza received a total of $63,908 from 47 companies across 311 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Espinoza's costs compare to other cardiac rehabilitation registered nurses in Flemington?
Dr. Espinoza's average Medicare payment per service is $78. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Espinoza) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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