Luis Espinoza, MD
Obstetrics & Gynecology · El Dorado, KSNPI 1376646620
Payments from drug & device makers
What this record shows
19 manufacturers reported payments, led by Boston Scientific at 31.2% of the total. 2025 is the largest year on record at $2,650, 6.6 times the $400 reported in 2019. Among obstetrics & gynecology clinicians in KS with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 127 payments — averaging $62.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$2K
- Axonics, Inc.$2K
- Johnson & Johnson$1K
- AbbVie$921
- Applied Medical Resources Corporation$146
- Sumitomo Pharma America, Inc.$118
- plus $518 from 13 others
What the payments were for
- Travel & lodging$3,36043%
- Food & beverage$4,52157%
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 |
|---|---|---|
| Boston Scientific | 10 | $2,457 |
| Axonics, Inc. | 27 | $2,366 |
| Johnson & Johnson | 19 | $1,356 |
| AbbVie | 41 | $921 |
| Applied Medical Resources Corporation | 1 | $146 |
| Sumitomo Pharma America, Inc. | 5 | $118 |
| Stryker | 1 | $90 |
| Medical Device Business Services, Inc. | 1 | $88 |
| Pfizer | 5 | $76 |
| Duchesnay USA Incorporated | 5 | $58 |
| Medtronic | 2 | $45 |
| Hologic Sales And Service, LLC | 2 | $36 |
| Heron Therapeutics, Inc. | 2 | $30 |
| Davol Inc. | 1 | $18 |
| Inspire Medical Systems, Inc. | 1 | $18 |
| Smith+Nephew | 1 | $18 |
| Lilly USA, LLC | 1 | $15 |
| BD | 1 | $14 |
| Urovant Sciences Inc | 1 | $12 |
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.
- Axonics$2,376
- Solyx SIS System$1,754
- Bulkamid$1,446
- VISTASEAL$691
- SURGIFLO Hemostatic Matrix$216
- Megadyne$213
- Ultra Vac$210
- ETHICON$210
- GELPOINT VPATH$146
- Enseal$114
- Enseal X1$114
- Zip Pen$106
- ORIAHNN$102
How this compares
$7,881 in reported general payments places this provider in the 90th percentile of 302 obstetrics & gynecology providers in Kansas.
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 |
|---|---|---|
| MyrbetriqMirabegron | 33 | $21,811 |
| GemtesaVibegron | 31 | $18,796 |
| Estradiol | 189 | $11,624 |
| LinzessLinaclotide | 17 | $11,170 |
| YuvafemEstradiol | 80 | $4,475 |
| DuaveeEstrogens,conj/Bazedoxifene | 20 | $3,862 |
| Estradiol (Twice Weekly)Estradiol | 20 | $1,799 |
| ProgesteroneProgesterone, Micronized | 32 | $605 |
| Oxybutynin Chloride ErOxybutynin Chloride | 45 | $501 |
| Fluconazole | 44 | $341 |
| Metronidazole | 50 | $267 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 17 | $203 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 14 | $65 |
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 |
|---|---|---|
| Sumitomo Pharma America, Inc.Gemtesa | $118 | $18,79631 claims |
| AbbVieLinzess | $921 | $11,17017 claims |
| PfizerDuavee | $76 | $3,86220 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 90th percentile of 302 obstetrics & gynecology providers in Kansas.
Other obstetrics & gynecology in El Dorado
- Kimberly SwanOverland Park$123K
- Michael FenechPittsburg$65K
- Michael MageeShawnee Mission$28K
- Austin FindleyKansas City$18K
- Madhuri ReddyKansas City$13K
- Deshala CastilleEmporia$11K
- Christine SandersHutchinson$11K
- Zachary KuhlmannWichita$11K
- Angela ShawPittsburg$11K
- Victoria ShirleyPittsburg$10K
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.