Andrea Espinosa, MD
Family Practice · Porterville, CANPI 1477584829
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 81 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 13 manufacturers, the largest accounting for just 22.8% — the pattern of someone who eats at a lot of different presentations. Among family practice clinicians in CA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 81 payments — averaging $24.62 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$455
- Lilly USA, LLC$351
- GSK$277
- Novo Nordisk$202
- Abbott$194
- Boehringer Ingelheim$145
- plus $369 from 7 others
What the payments were for
- Food & beverage$1,994100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| AstraZeneca | 11 | $455 |
| Lilly USA, LLC | 16 | $351 |
| GSK | 4 | $277 |
| Novo Nordisk | 21 | $202 |
| Abbott | 4 | $194 |
| Boehringer Ingelheim | 8 | $145 |
| Pfizer | 5 | $114 |
| Sanofi Pasteur Inc. | 4 | $59 |
| Merck | 3 | $59 |
| AbbVie | 2 | $57 |
| Hologic Sales And Service, LLC | 1 | $42 |
| Bayer | 1 | $21 |
| Ironwood Pharmaceuticals, Inc | 1 | $17 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- FreeStyle Libre 2$136
- BREZTRI$125
- AREXVY$123
- AIRSUPRA$119
- JARDIANCE$116
- TRELEGY ELLIPTA$100
How this compares
$1,994 in reported general payments places this provider in the 95th percentile of 2,195 family practice providers in California.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| OzempicSemaglutide | 108 | $195,013 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 22 | $32,257 |
| MounjaroTirzepatide | 21 | $27,496 |
| TradjentaLinagliptin | 16 | $23,912 |
| JardianceEmpagliflozin | 11 | $17,036 |
| EliquisApixaban | 19 | $16,000 |
| TrulicityDulaglutide | 12 | $11,146 |
| MyrbetriqMirabegron | 12 | $5,378 |
| SynthroidLevothyroxine Sodium | 26 | $3,666 |
| Levothyroxine Sodium | 121 | $3,181 |
| Venlafaxine Hcl ErVenlafaxine Hcl | 12 | $1,727 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 49 | $1,622 |
| Benazepril Hcl | 42 | $1,541 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 110 | $1,476 |
| Metoprolol Succinate | 81 | $1,457 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Novo NordiskOzempic | $202 | $195,013108 claims |
| Boehringer IngelheimTradjenta, Jardiance | $145 | $40,94827 claims |
| Lilly USA, LLCMounjaro, Trulicity | $351 | $38,64233 claims |
| GSKTrelegy Ellipta | $277 | $32,25722 claims |
| PfizerEliquis | $114 | $16,00019 claims |
| AbbVieSynthroid | $57 | $3,66626 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 95th percentile of 2,195 family practice providers in California.
Other family practice in Porterville
- David CahnSan Jose$40K
- Linh NguyenSan Jose$15K
- Paige YoshisatoVallejo$14K
- Boris VaismanWoodland Hills$11K
- Sharon LaughlinRiverside$8K
- Michael KanLos Gatos$4K
- Claudia CarranzaBakersfield$4K
- Sunil HebbarHermosa Beach$3K
- Monica SuNewbury Park$3K
- Taraneh MatinPasadena$3K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.