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    v1.0.28
    OpenPayerNPI Medicare & MedicaidEdgar Alonsozana
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    Edgar Alonsozana — Billing Profile & Reimbursement Data

    NPI 1649212085 · Baltimore, MD · Clinical Pathology/Laboratory Medicine Physician

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    Edgar Alonsozana is a clinical pathology/laboratory medicine physician provider located in Baltimore, Maryland. This profile covers 41 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
    OrganizationEdgar Alonsozana
    Address301 Saint Paul Pl
    CityBaltimore
    StateMD
    ZIP21202
    TaxonomyClinical Pathology/Laboratory Medicine Physician
    NPI EnumeratedJune 11, 2006

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

    Payer SourceTotal Paid
    Medicare$71.6K
    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.

    41 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…510$40$18.9K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…160$70$10.7K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…250$20$5.8K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…150$40$5.6K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.380$10$3.8K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.190$10$2.5K
    88309The physician, typically a pathologist, performs a level VI examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…20$110$2.2K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…140$20$2.2K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…260$10$2K
    88360The lab analyst applies a single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist, evaluates the…40$30$1.4K

    Showing 1–10 of 41

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 41 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    41 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305136270490$40$61.4K
    871861520670$10$39.6K
    883136914070$60$29.4K
    870771010460$10$23K
    88342109250120$60$21.3K
    8230613322070$30$15.2K
    88341100220220$40$15.1K
    87086204060$10$14.5K
    80061133290170$10$14.3K
    80053153430250$10$13.1K

    Showing 1–10 of 41

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baltimore City SchoolsMDLocal Education Agency (LEA)$0$95.8M
    Mayor And City Council Of BaltimoreMDLand Ambulance$6.3M$38M
    Health Care For The Homeless, IncMDFederally Qualified Health Center (FQHC)$0$26.8M
    Maryland Family Care, Inc.MDFamily Medicine Physician$0$24.6M
    Hope Resource Center, LLCMDCommunity/Behavioral Health Agency$0$18.1M
    Pha Healthcare LLCMDSubstance Use Disorder Rehabilitation Clinic/Center$0$18M
    St Paul Place Specialists, Inc.MDDermatology Physician$0$13.3M
    Lighthouse Behavioral Health Center, LLCMDSubstance Abuse Rehabilitation Facility$0$11.5M
    Emergency Physicians SppsMDEmergency Medicine Physician$0$9.8M
    Heavens Place-outpatient Detox & Recovery CenterMDMental Health Clinic/Center (Including Community Mental Health Center)$0$7.6M

    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. Maryland Distribution
    Edgar Alonsozana — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland