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 Florida for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Florida 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. Florida (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.

Alfredo Sanchez-fortis (NPI 1194759928)

Field	Value
Entity Type	Individual
Organization	Alfredo Sanchez-fortis
Address	9999 Ne 2nd Ave
City	Miami Shores
State	FL
ZIP	33138
Taxonomy	Specialist
NPI Enumerated	July 10, 2006

Payer Source	Total Paid
Medicare	$205.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	230	$290	$68.6K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	870	$70	$58.2K
90935	Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…	490	$60	$29.2K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	150	$140	$20.3K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	180	$100	$18.2K
90961	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…	50	$240	$11.7K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Alfredo Sanchez-fortis — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90960	106	460	140	$280	$45.8K
99233	3,326	9,970	100	$90	$20.1K
99232	912	13,090	120	$60	$17.5K
90961	167	400	40	$230	$13.8K
99223	2,103	11,110	60	$130	$12.5K
90935	5	330	70	$60	$5.9K

Nearby Providers

Other providers in the same ZIP code as Alfredo Sanchez-fortis, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Martin Keisch	FL	Radiation Oncology Physician	$558K	$0
Gershwin Blyden	FL	Internal Medicine Physician	$423.6K	$8.8K
Gregory Foremny	FL	Diagnostic Radiology Physician	$128.6K	$0
Shahzeb Niazi	FL	Diagnostic Radiology Physician	$90K	$0
Romane Joseph	FL	Surgery Physician	$61.1K	$0
Mark Goldberg	FL	Neurology Physician	$24.3K	$22.8K

Alfredo Sanchez-fortis — Billing Profile & Reimbursement Data

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Alfredo Sanchez-fortis — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References