I’ve had two of those guys so they do escort. One lives in NYC and the other Vegas, so I suspect they include visitors. The names are not real or even the rentmen or stripper names.
I know a former escort who was a trainer until recently at Equinox. It was awkward when I saw him there actually because I thought he was a bit of a scam artist as an escort.
SOMETIMES bad reviews or bad word of mouth on sites like this. Other times handles match "real life" email or social media handles and people track down personal stuff.