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

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

James Alvarez (NPI 1407853575)

Field	Value
Entity Type	Individual
Organization	James Alvarez
Address	85 Seymour St
City	Hartford
State	CT
ZIP	06106
Taxonomy	Physician Assistant
NPI Enumerated	July 5, 2005

Payer Source	Total Paid
Medicare	$28.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J7318	Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	2,220	$10	$11.1K
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…	100	$60	$5.4K
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	$4.9K
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…	40	$90	$3K
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	390	$10	$1.9K
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…	20	$60	$1.2K
73030	This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.	90	$10	$520
73564	In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.	30	$10	$250

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

James Alvarez — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	4,979	6,480	90	$90	$14.2K
J7318	4	30	1,410	$10	$9.4K
99213	2,548	6,440	70	$60	$8.1K
20610	144	420	60	$50	$5.4K
99203	1,561	2,250	30	$80	$3.5K
73564	164	270	40	$30	$2K
J0702	27	150	110	$1	$1.2K
73030	78	470	40	$20	$1.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jonathan Ramin	CA	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$322.2K	$0
Jeffrey Burns	CT	Adult Reconstructive Orthopaedic Surgery Physician	$278.7K	$0
Robert Carangelo	CT	Orthopaedic Surgery Physician	$252.1K	$0
Daniel Witmer	CT	Orthopaedic Surgery Physician	$214.5K	$0
Durgesh Nagarkatti	CT	Orthopaedic Surgery Physician	$207K	$0
Mark Shekhman	CT	Adult Reconstructive Orthopaedic Surgery Physician	$197.5K	$0
Sean Esmende	CT	Orthopaedic Surgery Physician	$189.1K	$0
Tamer Bahgat	MA	Physician Assistant	$56.7K	$124K
Vincent Codispoti	CT	Physical Medicine & Rehabilitation Physician	$151.3K	$0
Theodore Blaine	NY	Sports Medicine (Orthopaedic Surgery) Physician	$149.8K	$0

James Alvarez — Billing Profile & Reimbursement Data

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James 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

Related Providers

Frequently Asked Questions

References