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

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

Alfonso Morales-utrilla (NPI 1407901499)

Field	Value
Entity Type	Individual
Organization	Alfonso Morales-utrilla
Address	821 Raymond Ave Ste 230
City	Saint Paul
State	MN
ZIP	55114
Taxonomy	Family Medicine Physician
NPI Enumerated	January 23, 2007

Payer Source	Total Paid
Medicare	$109.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99215	The 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…	460	$130	$58.9K
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…	1,290	$20	$29.7K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	440	$50	$21K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Minnesota Distribution

Alfonso Morales-utrilla — 3 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99215	6	4,060	30	$120	$5.9K
96365	4	260	30	$50	$3.2K
G2212	5	350	40	$20	$2.1K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Alfonso Morales-utrilla, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northstar Regional	MN	Substance Use Disorder Rehabilitation Clinic/Center	$0	$56.3M
Tru Healthcare, Inc.	MN	In Home Supportive Care Agency	$0	$28.8M
Northstar Regional	MN	Clinical Medical Laboratory	$22.6K	$2.7M

Nearby Providers

Other providers in the same ZIP code as Alfonso Morales-utrilla, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Activstyle, LLC	MN	Durable Medical Equipment & Medical Supplies	$0	$219.4M
Handi Medical Supply, Inc.	MN	Durable Medical Equipment & Medical Supplies	$0	$43.3M
Planned Parenthood Minnesota, North Dakota, South Dakota	MN	Non-Surgical Family Planning Clinic/Center	$0	$38.2M
Mental Health Resources, Inc.	MN	Community/Behavioral Health Agency	$0	$30.8M
Fairview Health Services	MN	Durable Medical Equipment & Medical Supplies	$0	$14.4M
Carefocus Corporation	MN	Home Health Agency	$0	$12.2M
Metro Psychology Support Services, Inc.	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.7M
Minnesota Oncology Hematology, PA	MN	Hematology & Oncology Physician	$0	$8.1M
Psych Recovery Inc	MN	Psychiatry Physician	$0	$4.6M
Patrick Oreilly	MN	Gastroenterology Physician	$174K	$0

Alfonso Morales-utrilla — Billing Profile & Reimbursement Data

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Alfonso Morales-utrilla — 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