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

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

Alberto Maldonado (NPI 1245462837)

Field	Value
Entity Type	Individual
Organization	Alberto Maldonado
Address	500 E Business Way
City	Cincinnati
State	OH
ZIP	45241
Taxonomy	Sports Medicine (Physical Medicine & Rehabilitation) Physician
NPI Enumerated	August 14, 2009

Payer Source	Total Paid
Medicare	$130.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	480	$60	$30.2K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	260	$70	$18.5K
20611	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…	260	$70	$18.2K
J7327	Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	20	$560	$10K
J7325	Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,100	$10	$7.7K
J7318	Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	1,260	$10	$6.3K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	100	$50	$4.8K
J1030	Injection, methylprednisolone acetate, 40 mg	760	$10	$4.5K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	40	$100	$4.3K
73562	In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.	130	$30	$4.1K

Showing 1–10 of 28

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Alberto Maldonado — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

28 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J7327	39	40	40	$550	$28.6K
J7318	48	70	1,620	$10	$12.5K
99214	19,224	20,010	100	$70	$11.7K
J7325	41	70	1,150	$10	$11.3K
72148	345	480	50	$70	$7K
20611	25	280	60	$70	$6.8K
99213	745	20,000	70	$50	$6.6K
73721	150	350	40	$70	$6.2K
73221	190	280	30	$70	$5.4K
20610	574	1,640	60	$50	$4.7K

Showing 1–10 of 28

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adolph Lombardi	OH	Adult Reconstructive Orthopaedic Surgery Physician	$472K	$0
Michael Swank	OH	Orthopaedic Surgery Physician	$343.1K	$0
Aarti Singla	OH	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$341.6K	$0
Michael Morris	OH	Adult Reconstructive Orthopaedic Surgery Physician	$322.4K	$0
Emily Dixon	OH	Sports Medicine (Family Medicine) Physician	$303.5K	$0
Robert Rolf	OH	Orthopaedic Surgery Physician	$303.1K	$0
Brian Braithwaite	FL	Pain Medicine (Anesthesiology) Physician	$299.9K	$0
Gregory Sarkisian	OH	Orthopaedic Surgery Physician	$292.9K	$0
Martin Taylor	OH	Neurology Physician	$290K	$0
Haleem Chaudhary	OH	Orthopaedic Surgery Physician	$288K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Decoach Team LLC	OH	Substance Use Disorder Rehabilitation Clinic/Center	$73.5K	$48.2M
Pediatric Products, LLC	OH	Durable Medical Equipment & Medical Supplies	$0	$30.2M
Rehab Medical Of Cincinnati, LLC	OH	Durable Medical Equipment & Medical Supplies	$0	$9M
Queen City Med Mart LLC	OH	Durable Medical Equipment & Medical Supplies	$0	$7.8M
Cornerstone Medical Services- Midwest, LLC	OH	Oxygen Equipment & Supplies (DME)	$0	$7.3M
Mlk Associates, Inc.	OH	Durable Medical Equipment & Medical Supplies	$0	$7.2M
Amadyss Healthcare And Training Services	OH	Home Health Agency	$0	$6.9M
Beacon Orthopaedics Surgery Center, LLC	OH	Ambulatory Surgical Clinic/Center	$4.5M	$0
E-asc LLC	OH	Ambulatory Surgical Clinic/Center	$2M	$0
Harold Pretorius	OH	Nuclear Medicine Physician	$162.4K	$260.3K

Alberto Maldonado — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References