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

Why is the Medicaid comparison limited to Puerto Rico 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. Puerto Rico (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.

Jose Alvarez (NPI 1336238344)

Field	Value
Entity Type	Individual
Organization	Jose Alvarez
Address	1200 Ave Ponce De Leon
City	San Juan
State	PR
ZIP	00907
Taxonomy	Obstetrics Physician
NPI Enumerated	October 11, 2006

Payer Source	Total Paid
Medicare	$4.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	20	$80	$1.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	30	$40	$1.2K
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	20	$40	$730
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	20	$40	$660
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	20	$20	$290

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

Jose Alvarez — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Puerto Rico

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99212	89	160	30	$40	$1.8K
76830	7	20	20	$80	$1.8K
99211	33	40	30	$10	$790
G0101	10	20	20	$40	$770
Q0091	5	20	10	$40	$670

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Precision Hearing Center Inc	PR	Audiologist	$0	$7.3M
Laboratorio Clinico Dr. Gualberto Rabell	PR	Clinical Medical Laboratory	$0	$1.5M
Sandra Hurtado Ponce De Leon	PR	Driver	$0	$1.3M
Ubaldo Santiago Buono	PR	Geriatric Medicine (Internal Medicine) Physician	$11.5K	$1.2M
Hope Health Psc	PR	Corporate Health Clinic/Center	$0	$920.7K
Francisco Ojeda	PR	General Practice Physician	$0	$818.2K
Raul Montilla	PR	Dentist	$0	$681.7K
Antonio Orraca-gotay	PR	Cardiovascular Disease Physician	$42.3K	$196.7K
Carlos Jimenez	PR	Nuclear Medicine Physician	$236.5K	$0
Nanette De Leon	PR	Ophthalmology Physician	$45.9K	$135.7K

Jose Alvarez — Billing Profile & Reimbursement Data

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Jose Alvarez — 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