Dr. Luis Espina, MD
766 Morningside Ln, Ridgefield, NJ 07657 • +1-367-555-3410
Medical Education: Accredited U.S. Medical School (Class of 1993)
What This Doctor Actually Performs: CMS Medicare Utilization & Ridgefield Percentiles
NPI #1396184784 • CBSA Regional • Family Practice
Within the Ridgefield, NJ (CBSA local) Family Practice cohort, Dr. Luis Espina, MD with sub-specialty concentration in 21 Active CMS HCPCS Codes ranks at the 99th municipal percentile and 33.26th NJ percentile (-0.38σ Z-score) based on 1,015 billed procedures for 301 patients.
Fee-schedule auditing of NPI 1396184784 highlights 403 annual claims for 99214 (99th Ridgefield percentile; $133–$182 self-pay corridor) plus 297 encounters under 99213 and 115 under G0439.
Uninsured and high-deductible cash patients visiting Dr. Luis Espina in Ridgefield (07657) face an estimated $209.00 initial evaluation fee at 766 Morningside Ln (hybrid in-clinic and telehealth video consults; 19-minute average reception wait; bedside manner 4.66/5 from 25 verified reports).
Patients evaluating Dr. Luis Espina in ZIP 07657 note 33 years of post-doctoral tenure (null, 1993) alongside 3.4 annual CMS procedures per patient.
Top 10% Family Practice volume leader in Ridgefield, NJ
1,015 annual services across 301 beneficiaries
Standard deviations from NJ Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 403 | 99th | $133 – $182 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 297 | 99.5th | $101 – $139 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 115 | 95th | $152 – $208 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 86 | 98th | $29 – $44 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 58 | 95th | $182 – $249 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (21 HCPCS billing breadth) | 56 | 99th | $119 – $173 |
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Dr. Luis Espina, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Espina National Provider Identifier | NPI #1396184784 (MD) | CMS NPPES Registry (07657) |
| Dr. Espina Ridgefield CMS Volume Rank | 99.00th Pct (1,015 CMS svcs; Z -0.379σ) | CMS Medicare Part B (NJ Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Ridgefield, NJ) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.66/5 Listening • 4.73/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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