Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Delaware for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Delaware only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Delaware (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Anthony Alfieri (NPI 1184604274)

Field	Value
Entity Type	Individual
Organization	Anthony Alfieri
Address	39 Omega Dr Bldg G
City	Newark
State	DE
ZIP	19713
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	January 17, 2006

Payer Source	Total Paid
Medicare	$824.8K
Medicaid	$0

Key Findings

This provider’s lifetime Medicare receipts total $824.8K and there is no Medicaid billing on file, so the practice is effectively single-payer (Medicare) in the available claims record. The NPI was enumerated 2006-01-17 (~20 years ago), indicating a long-established practice history that has built its Medicare footprint over many years.

Revenue is concentrated: the top three Medicare codes (36482, 99490, 99214) together account for 57.1% of this provider’s total Medicare revenue. Individually those codes are 36482 at $192.7K (23.3%), 99490 at $174.7K (21.1%), and 99214 at $104.5K (12.6%), so a small set of services drives most of billed Medicare dollars.

The code mix indicates a blended clinical model combining outpatient cardiology/vascular procedures with longitudinal care management. High-revenue procedure 36482 ($192.7K) and related venous codes such as 36465 ($27.7K) and 36470 ($1.3K), together with duplex imaging codes 93970 ($37K) and 93971 ($20.1K), point to active venous intervention and vascular imaging capabilities within the practice.

The practice also has a substantial chronic care management and remote monitoring program: 99490 generated $174.7K from 3.6K claims, and related RPM/CCM codes 99458 ($37.5K), 99457 ($28K), and 99454 ($20K) are billed at measurable volumes. This pattern suggests ongoing, structured patient monitoring and care-coordination workflows that produce a steady Medicare revenue stream distinct from procedural reimbursement.

99214 is a pronounced outlier in office-based E/M volume: it produced $104.5K from 1.1K claims and is labeled an "extreme outlier, far above typical national volume" (rank #8732 of 479517, 98th percentile). That level of established-patient E/M activity positions the provider well for longitudinal outpatient management but also marks a divergence from average national clinician billing patterns.

Diagnostic imaging and testing are a visible component of the practice mix: 93306 (echocardiography) generated $44.8K, 78452 (cardiac SPECT) $35.8K, and A9500 (Tc-99m sestamibi) $24K, while duplex vascular imaging (93970 at $37K and 93971 at $20.1K) ranks at high national percentiles. The combination of noninvasive imaging, stress testing, and nuclear medicine billing indicates an on-site or tightly affiliated diagnostic capability supporting both procedural and medical cardiology services.

Competitive standing is mixed by code: for venous adhesive ablation 36482 the provider ranks #66 of 710 (91st percentile) but is characterized as "typical, unremarkable volume," while duplex vascular scans such as 93970 and 93971 sit at the 97th and 96th percentiles respectively (also labeled "typical, unremarkable volume"). In other words, the provider shows above-average national placement on several vascular and imaging codes without being uniformly dominant across all tracked services.

Because a majority of Medicare revenue is concentrated in a few codes (top 3 = 57.1%) and the practice has no Medicaid billing on record, policy or reimbursement changes that affect venous procedures, CCM/RPM, or high-volume E/M visits could disproportionately affect revenue. The existing mix suggests operational dependency on both procedure-based interventions and scalable care-management services, highlighting areas to monitor for payer rule changes or audit focus.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
36482	In this procedure, the provider inserts a chemical adhesive through a catheter into an incompetent vein in an extremity to ablate the vein. The provider reports this code for treatment of the first…	140	$1,370	$192.7K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	3,640	$50	$174.7K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,110	$90	$104.5K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	330	$140	$44.8K
99458	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.…	1,170	$30	$37.5K
93970	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…	270	$140	$37K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	100	$340	$35.8K
99457	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…	720	$40	$28K
36465	In this procedure, the provider injects a noncompounded foam sclerosing solution into a single incompetent truncal vein of the extremity under ultrasound guidance to guide the dispersion of foam,…	30	$1,070	$27.7K
A9500	Technetium tc-99m sestamibi, diagnostic, per study dose	110	$220	$24K

Showing 1–10 of 26

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Delaware Distribution

Anthony Alfieri — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. state median

26 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
36482	1	10	20	$1,370	$83.5K
93306	49	70	450	$100	$51.8K
78452	36	60	120	$250	$40.3K
36465	2	10	30	$1,050	$28.3K
J2785	22	30	390	$40	$26.9K
99214	91	1,830	150	$80	$25.5K
99458	3	20	170	$30	$19.4K
99457	5	20	170	$40	$18.1K
99490	1	80	140	$50	$17K
93880	32	80	70	$110	$16.6K

Showing 1–10 of 26

Related Providers

Other providers that share a Tax Identification Number (TIN) with Anthony Alfieri, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alfieri Cardiology, P.A.	DE	Nurse Practitioner	$0	$231K
Ellen Neff	DE	Nurse Practitioner	$101.9K	$0

Nearby Providers

Other providers in the same ZIP code as Anthony Alfieri, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Associated Retinal Consultants LLC	DE	Ophthalmology Physician	$0	$25.2M
Columbus Medical Services, LLC	DE	Case Management Agency	$0	$18.7M
Christiana Care Health Services Inc	DE	Hospitalist Physician	$0	$13.6M
Caritas Home Health Services, Inc	DE	Home Health Agency	$0	$11.2M
Delaware Center For Maternal Fetal Medicine Of Christiana Care	DE	Maternal & Fetal Medicine Physician	$0	$9.8M
Christiana Care Health Services Inc	DE	Neonatal-Perinatal Medicine Physician	$0	$8.9M
Medical Oncology Hematology Consultants PA	DE	Hematology & Oncology Physician	$0	$7.7M
Christiana Care Quality Partners	DE	Urgent Care Clinic/Center	$0	$7M
Jamal Misleh	DE	Hematology & Oncology Physician	$6.8M	$0
Mid-atlantic Behavioral Health, LLC	DE	Intellectual & Developmental Disabilities Psychologist	$0	$6.5M

Anthony Alfieri — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References