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NPI 1194894808 · Louisville, KY · Specialist
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Alberto Maldonado is a specialist provider located in Louisville, Kentucky. This profile covers 5 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Alberto Maldonado |
| Address | 516 Nickleby Way |
| City | Louisville |
| State | KY |
| ZIP | 40245 |
| Taxonomy | Specialist |
| NPI Enumerated | November 7, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $76K |
| Medicare | $65.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 15946 | The provider removes a pressure sore and its underlying bone in the hip area, when infection in the wound has spread to bone. He prepares the wound for closure with the use of a graft of skin or skin… | 30 | $1,020 | $27.6K |
| 15937 | The provider removes a pressure sore and its underlying bone in the sacral area. He prepares the wound for closure with the use of a graft of skin or skin and muscle. | 30 | $610 | $19K |
| 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… | 60 | $130 | $8.4K |
| 99231 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical… | 170 | $40 | $6.2K |
| 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… | 70 | $70 | $4.6K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 610 | $70 | $42.7K |
| 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… | 690 | $30 | $22.7K |
| 99231 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical… | 740 | $10 | $10.3K |
How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Kentucky median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 1,163 | 2,460 | 580 | $40 | $245K |
| 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… | 104 | 290 | 200 | $70 | $91.5K |
| 99231 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical… | 92 | 220 | 380 | $20 | $42.4K |
Other providers in the same ZIP code as Alberto Maldonado, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Premier Surgery Center Of Louisville LP | KY | Ambulatory Surgical Clinic/Center | $2.3M | $7.7M |
| Us Psychiatry PLLC | KY | Psychiatry Physician | $0 | $8.5M |
| Providence Of Louisville LLC | KY | Community/Behavioral Health Agency | $0 | $5.4M |
| Vasudeva Iyer | KY | Clinical Neurophysiology Physician | $72.2K | $434.5K |
| Leon Butler | KY | Internal Medicine Physician | $216.7K | $0 |
| Melissa Wise | KY | Dermatology Physician | $158.8K | $0 |
| Denise Barnes | KY | Family Nurse Practitioner | $153.1K | $0 |
| Brittany O'neal | KY | Family Medicine Physician | $144.4K | $0 |
| Walgreen Co | KY | Pharmacy | $119.9K | $0 |
| Ragan Graves | KY | Family Nurse Practitioner | $86K | $890 |
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