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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAlberto Bolanos
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    Alberto Bolanos — Billing Profile & Reimbursement Data

    NPI 1467548008 · Albuquerque, NM · Orthopaedic Surgery Physician

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    Alberto Bolanos is a orthopaedic surgery physician provider located in Albuquerque, New Mexico. This profile covers 18 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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    Progress1 / 7

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAlberto Bolanos
    Address101 Hospital Loop Ne Ste 201
    CityAlbuquerque
    StateNM
    ZIP87109
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedOctober 4, 2006

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

    Payer SourceTotal Paid
    Medicare$79.6K
    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.

    18 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…170$110$18K
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…10$950$11.4K
    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…60$140$8.2K
    20611In 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…70$110$7.2K
    99213The 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…90$80$6.8K
    27435In this procedure, the provider divides the joint capsule on the back of the knee to correct the flexion contracture of the knee joint. Flexion contracture is an abnormal tightening of the capsule…10$550$6.6K
    27335In this procedure, the provider performs arthrotomy of the knee joint along with anterior and posterior synovectomy that includes the popliteal area to relieve pain and improve gait.10$350$4.2K
    27350In this procedure, the provider removes the patient’s knee cap, either partially or completely, to treat conditions such as a patellar fracture or arthritis.10$310$3.7K
    76881In this procedure, the provider uses ultrasound to examine the complete joint for any defect or abnormality. The image appears in real time on a monitor, and a permanent image with interpretation is…60$50$3.1K
    27425In this procedure, the provider incises or divides the tight lateral retinaculum, a band of fibrous tissue on the outer side of the knee that supports the patella in its position against the thigh's…10$220$2.6K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    27447627040$1,270$52.1K
    992148442,70090$70$12.9K
    992139812,44060$50$7.3K
    2743511010$550$6.6K
    20611144050$70$4.9K
    992042811,21030$100$4.5K
    2733511010$350$4.3K
    2735011010$310$3.7K
    7688121040$40$2.8K
    2742511010$220$2.6K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southwest Medical Associates, LLCNMGeneral Practice Physician$0$41.4M
    Sonora Community HospitalCARural Health Clinic/Center$0$41.3M
    Sonora Community HospitalCAGeneral Acute Care Hospital$0$22.8M
    Louis ChangCAOphthalmology Physician$2.2M$5.9M
    Alok BansalCAOphthalmology Physician$3M$4.7M
    Rahul KhuranaCAOphthalmology Physician$2.3M$1.8M
    Mark WielandCAOphthalmology Physician$3.1M$52.6K
    James PalmerCAOphthalmology Physician$3M$103.2K
    Jesus BorrilloCAOphthalmology Physician$1.6M$924.5K
    Ritesh PatelILInternal Medicine Physician$255.6K$2.2M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New Mexico Distribution
    Alberto Bolanos — 0 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico