Dr. Carlos Robert Esquivel, MD is an otologist and neurotologist in Jbsa Lackland, TX specializing in otology and neurotology. He graduated from University of Texas Medical Branch School of Medicine. Dr. Carlos Robert Esquivel, MD is affiliated with UT Health San Antonio and University Health.
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Thyroid Problems
Thyroid problems are a group of conditions that alter hormone regulation and metabolism. The thyroid is a small, butterfly-shaped gland located in the lower neck, just below the Adam's apple (laryngeal prominence) and larynx (voice box). Despite its small size, the thyroid has an outsized effect on the body by regulating hormones that control metabolism. Metabolism is the body's process of converting consumed food into fuel to power the entire body. Heart rate, weight, cholesterol, body temperature, and even physical growth and development are all affected by the metabolism.
When the thyroid malfunctions, the body is unable to properly process and allocate energy. Thyroid problems, such as hyperthyroidism (overactive thyroid) and hypothyroidism (underactive thyroid), cause irregular metabolism. In some cases, the body produces antibodies that attack the thyroid cells for unknown reasons. The damaged thyroid responds by releasing either too little or too much T3 and T4 thyroid hormones. Thyroid malfunctions may also arise from genetic causes or iodine deficiency. Thyroid problems may include:
Hashimoto's is the leading cause of hypothyroidism, which is when the thyroid does not produce enough hormones to stimulate adequate metabolism. The condition is diagnosed by blood tests that measure TSH (thyroid stimulating hormone) and detect Hashimoto's antibodies. Symptoms of hypothyroidism include sluggish metabolism, inflammation, fatigue, weight gain, brittle hair, dry skin, and sensitivity to cold. To supplement impaired thyroid function, patients with Hashimoto's are typically prescribed synthetic thyroid hormone pills. Such patients may need to consume synthetic thyroids for the rest of their lives. Other treatments may include dietary changes, such as the avoidance of certain foods and medication to reduce inflammation. Frequent blood tests can inform patients if their TSH levels are within a normal range.
Grave's disease is most frequently the cause of hyperthyroidism, which is when the thyroid produces too many hormones, overstimulating one's metabolism. The condition is also diagnosed by blood tests that measure TSH and detect Grave's antibodies. Elevated heart rate, high blood pressure, sweating, bulging eyes, and weight loss are common symptoms of hyperthyroidism. Treatments for hyperthyroidism include oral radioactive iodine, which slowly shrinks the thyroid, slowing the production of excess thyroid hormone. Other anti-thyroid medications such as methimazole (Tapazole) also reduce the production of thyroid hormones. Blood pressure medications known as beta blockers can ease the increased heart rate caused by hyperthyroidism. If treatments are unsuccessful, patients may be prescribed a thyroidectomy, or surgery to remove part or all of the thyroid. Some patients with hyperthyroidism may require ophthalmological (eye medicine) treatments such as eye drops, prednisone, and surgery to reduce eye swelling and bulging.
Untreated thyroid disorders frequently lead to goiters or thyroid nodules. A thyroid goiter is a large lump that can be felt near the base of the neck and is made of swollen thyroid tissue or nodules (excess cell growth). Nodules and goiters are diagnosed by CT scan or ultrasound. Obstructive goiters can cause pain, coughing, and abnormal breathing. The most common cause of goiters is hyperthyroidism (overactive thyroid). However, Hashimoto's is also known to cause goiters or nodules. Goiters develop from continued damage from antibodies to the thyroid over time. At times, a goiter can result from a cancerous thyroid tumor. Most goiters and nodules are themselves benign.
The exact causes of thyroid cancer are unknown. People who develop thyroid cancer may or may not have another thyroid problem such as Hashimoto's or Grave's disease. Symptoms of thyroid cancer include a nodule that can be felt on the neck, hoarseness, difficulty swallowing, swelling in the neck, and neck and throat pain. CT and MRI scans are used to diagnose thyroid cancer. There are four types of thyroid cancer which vary in intensity. Thyroidectomy (thyroid removal surgery) is usually prescribed to treat thyroid cancer.
Thyroid problems are often long-term conditions that require some form of treatment. With regular monitoring and medication, many people with thyroid problems are able to lead active and fulfilling lives.
The top procedures that Dr. Carlos Robert Esquivel, MD treated as an otologist and neurotologist in Jbsa Lackland, TX during 2012 were ear procedures.
Volume of procedures performed by Dr. Carlos Robert Esquivel, MD for Medicare patients.
| doctor visit | 132 |
|---|---|
| ear procedures | 12 |
The top procedures that Dr. Carlos Robert Esquivel, MD treated as an otologist and neurotologist in Jbsa Lackland, TX during 2013 were ear procedures, diagnostic procedures and evoked potential test.
Volume of procedures performed by Dr. Carlos Robert Esquivel, MD for Medicare patients.
| diagnostic procedures | 105 |
|---|---|
| doctor visit | 125 |
| ear procedures | 116 |
| evoked potential test | 13 |
Information about Medicare patients treated by Dr. Carlos Robert Esquivel, MD.
| Male | |
|---|---|
| Female |
| Non-Hispanic White | |
|---|---|
| Black | |
| Hispanic | |
| Asian | |
| Other | |
| Native American |
| From 65 to 74 | |
|---|---|
| From 75 to 84 | |
| 85 and over | |
| Less than 65 |
| Hypertension | |
|---|---|
| High Cholesterol | |
| Stroke | |
| Ischemic Heart Disease | |
| Depression | |
| Chronic Kidney Disease | |
| Asthma | |
| Osteoperosis | |
| Atrial Fibrilation | |
| Heart Failure | |
| Chronic Obstructive Pulmonary Disease | |
| Diabetes | |
| Dementia | |
| Cancer |
Volume of procedures performed by Dr. Carlos Robert Esquivel, MD for Medicare patients.
| doctor visit | 64 |
|---|
Information about Medicare patients treated by Dr. Carlos Robert Esquivel, MD.
| Male | |
|---|---|
| Female |
| Non-Hispanic White | |
|---|---|
| Black | |
| Hispanic | |
| Asian | |
| Other | |
| Native American |
| From 65 to 74 | |
|---|---|
| From 75 to 84 | |
| 85 and over | |
| Less than 65 |
| Hypertension | |
|---|---|
| High Cholesterol | |
| Stroke | |
| Ischemic Heart Disease | |
| Depression | |
| Chronic Kidney Disease | |
| Asthma | |
| Osteoperosis | |
| Atrial Fibrilation | |
| Heart Failure | |
| Chronic Obstructive Pulmonary Disease | |
| Diabetes | |
| Dementia | |
| Cancer |
Volume of procedures performed by Dr. Carlos Robert Esquivel, MD for Medicare patients.
The highest averages for the top procedures that Dr. Carlos Robert Esquivel, MD treated as an otologist and neurotologist in Jbsa Lackland, TX were diagnostic procedures, ear procedures and evoked potential test.
| diagnostic procedures | 105 |
|---|---|
| doctor visit | 107 |
| ear procedures | 64 |
| evoked potential test | 13 |
Information about Medicare patients treated by Dr. Carlos Robert Esquivel, MD.
| Female | |
|---|---|
| Male |
| Black / African American | |
|---|---|
| Asian / Pacific Islander | |
| Non-Hispanic White | |
| Native American / Alaskan Native | |
| Hispanic | |
| Other |
| 75 to 84 | |
|---|---|
| 85 and over | |
| Less than 65 | |
| 65 to 74 |
The highest averages of the most common conditions of Medicare patients that Dr. Carlos Robert Esquivel, MD treated were hypertension, high cholesterol, ischemic heart disease and diabetes.
| Hypertension | |
|---|---|
| High Cholesterol | |
| Stroke | |
| Ischemic Heart Disease | |
| Depression | |
| Chronic Kidney Disease | |
| Asthma | |
| Osteoporosis | |
| Heart Failure | |
| Chronic Obstructive Pulmonary Disease | |
| Diabetes | |
| Atrial Fibrillation | |
| Dementia | |
| Cancer |
Dr. Carlos Robert Esquivel, MD graduated from University of Texas Medical Branch School of Medicine. He completed residency at Brooke Army Medical Center. He is certified by the American Board of Otolarygology/Neurotology and has a state license in Texas.
Medical School: University of Texas Medical Branch School of Medicine
Residency: Brooke Army Medical Center (1998)
Board Certification: American Board of Otolarygology/Neurotology
Licensed In: Texas
Dr. Carlos Robert Esquivel, MD is associated with these hospitals and organizations:
Dr. Carlos Robert Esquivel, MD appears to accept the following insurance providers: MultiPlan, Prime Health, United Healthcare HMO, United Healthcare EPO, Blue Choice, Galaxy Health Network, Coventry, Blue California, Trustmark , WellCare Medicare Advantage, BlueCross BlueShield of Texas, AARP, Medicare Advantage, TriWest, HealthSpring, United Healthcare, Three Rivers, Medicaid, Humana, Cigna, Molina Healthcare, First Health, WellPoint, Employers Health Network, HealthSmart, Superior Health Plan, Independent Medical Systems - Commercial (PPO), Administrative Concepts - Third Party Administrator, Kempton Group Administrators - Third Party Administrator, CHAMPVA - Governmental, Zelis - Third Party Administrator, Century Healthcare - Third Party Administrator, El Paso Health - CHIP, Key Benefits Administrators - Third Party Administrator, OptumHealth - Transplant Network, 6 Degrees - Transplant, Oscar - Commercial Exchange, Imperial Health - Commercial (Exchange), Provider Network of America - Commercial (All Products), Entrust - Third Party Administrator, SANA Benefits - Commercial (All Products), HMA LLC - Third Party Administrator, Aetna Health - Commercial (HMO, Managed Choice POS, Meritain, Open Choice PPO), Allied Benefit Systems - Third Party Administrator, Velocity National Provider Network - Commercial (Multiple Payers), Universal Benefits Consortium (Allegiance) - Direct Contract with TPA/Broker for select ISDs, Private Healthcare Systems - Commercial (All Products), Aetna Health - Commercial (QPOS, SAISD, Select), Injury Management Organization - Workers Compensation, Benefit Administrative Systems - Third Party Administrator, Tokio Marine - Transplant Network, Group and Pension Administrators - Third Party Administrator, EBSO Benefits - Third Party Administrator, Aetna Health - Commercial (Choice POS II, Elect Choice EPO, Exchange (Silver/Gold HMO)), Allegiance - Universal Benefits Consortium, Interlink - Transplant Network, Independent Medical Systems - Workers Compensation, Lucent Health - Third Party Administrator, Imagine 360 - Third Party Administrator, Curative - Commercial (All Products), Aetna Health - Transplant ONLY, Insurance Accepted, Veterans Administration - Governmental, Velocity National Provider Network - Commercial (PPO), Ancira Enterprises - Direct Employer, WebTPA - Third Party Administrator, International Benefits Administrators - Third Party Administrator, Gilsbar - Third Party Administrator, University of Incarnate Word - Direct Contact with Employer, Scott & White Health Plan - Commercial (Exchange, HMO, PPO), LifeTrac - Transplant Network, 90 Degree Benefits - Third Party Administrator, Point Comfort Underwriters - Refugee Medical Assistance (Adults, Children) and Aetna Better Health - CHIP/CHIP Perinate Newborn.
According to our sources, Dr. Carlos Robert Esquivel, MD accepts the following insurance providers:
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These charts describe general payments received by Dr. Carlos Robert Esquivel, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
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$478
MED-EL Maestro Cochlear Implant System $375 |
BCI 602 Kit $104 |
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$106
Baha $65 |
OSIA OSI300 IMPLANT $42 |
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$84
Propel $84 |
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$75
$75 |
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$35
OHNS - Biodesign $35 |
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$22
HiResolution Bionic Ear System $22 |
| $776 | |
| $24 |
Dr. Carlos Esquivel's specialty is otology and neurotology. His clinical interests include facial problems, thyroid problems, and nasal obstruction. He appears to be in-network for Trustmark, Blue California, and Coventry, in addition to other insurance carriers. After completing medical school at the University of Texas Medical Branch School of Medicine, Dr. Esquivel performed his residency at Brooke Army Medical Center. He speaks Spanish. He is professionally affiliated with UT Health San Antonio and the University Health. According to UT Health San Antonio, new patients are welcome to contact Dr. Esquivel's office in San Antonio, TX.
