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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCarlos Alvarado-valdes
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    Carlos Alvarado-valdes — Billing Profile & Reimbursement Data

    NPI 1396772356 · Sun City West, AZ · Critical Care Medicine (Internal Medicine) Physician

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    Carlos Alvarado-valdes is a critical care medicine (internal medicine) physician provider located in Sun City West, Arizona. This profile covers 9 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationCarlos Alvarado-valdes
    Address14502 W Meeker Blvd
    CitySun City West
    StateAZ
    ZIP85375
    TaxonomyCritical Care Medicine (Internal Medicine) Physician
    NPI EnumeratedJune 27, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$118.7K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…600$90$54K
    99204The provider sees a new 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 provider…140$120$16.7K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…90$170$14K
    G0399Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation150$70$10.3K
    95811During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.50$200$9.9K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…50$130$6.4K
    94660The provider initiates continuous positive airway pressure ventilation, or CPAP, typically for a patient with sleep apnea, or periodic cessation of breathing while asleep. He trains the patient on…70$50$3.2K
    95800A patient undergoes a sleep study with no provider physically present. Parameters recorded include heart rate, blood oxygen concentration, respiratory analysis, and the amount of time sleeping.60$50$2.7K
    95810Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…20$90$1.8K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    95811437060$350$26.5K
    992141,08110,410120$80$20.6K
    95810567050$330$20.2K
    992913111,21040$160$12.9K
    992151,5093,27050$120$11.9K
    95800154040$100$7.3K
    992045835,79040$110$6.7K
    G039945030$60$3.5K
    9466092070$40$3.3K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Carlos Alvarado-valdes, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Banner Hospital Based Physicians Arizona LLCAZMulti-Specialty Clinic/Center$0$77.8M
    Banner Physician Specialists Arizona LLCAZMulti-Specialty Clinic/Center$0$14.8M
    Joshua CarlsonUTRetina Specialist (Ophthalmology) Physician$2.6M$0
    Migaela ReedyAZAcute Care Nurse Practitioner$2M$0
    Hani RashidAZRheumatology Physician$1.9M$0
    Benjamin BensonAZDiagnostic Radiology Physician$1.3M$0
    Amer Al-khoudariAZRheumatology Physician$1.2M$0
    Betty Hinderks DavisAZMOHS-Micrographic Surgery Physician$1.2M$0
    Azimuddin KhawajaAZInterventional Cardiology Physician$825.4K$0
    Andrew KwakNJDiagnostic Radiology Physician$808.5K$0

    Nearby Providers

    Other providers in the same ZIP code as Carlos Alvarado-valdes, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Banner Del E Webb Medical CenterAZGeneral Acute Care Hospital$0$30.8M
    Brea Emeritus LLCAZAlzheimer Center (Dementia Center)$0$10.7M
    Abc Children's Eye Specialists PCAZEyewear Supplier$0$7.1M
    North County Fire & Medical DistrictAZLand Ambulance$889.2K$3M
    Banner Sun City West Surgery Center LLCAZAmbulatory Surgical Clinic/Center$2.8M$335.6K
    Mitchell GiangobbeAZSurgery Physician$869.2K$0
    Tarpan PatelAZInterventional Cardiology Physician$714.5K$17.7K
    Katharine Bermingham CordovaAZMOHS-Micrographic Surgery Physician$700.9K$0
    Arizona Eye Institute & Cosmetic Laser Center LLCAZAmbulatory Surgical Clinic/Center$684.3K$0
    Mandi ConwayAZRetina Specialist (Ophthalmology) Physician$683.4K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Arizona Distribution
    Carlos Alvarado-valdes — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona