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

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

Lizette Alvarez (NPI 1750342580)

Field	Value
Entity Type	Individual
Organization	Lizette Alvarez
Address	3009 N Ballas Rd
City	Saint Louis
State	MO
ZIP	63131
Taxonomy	Physical Medicine & Rehabilitation Physician
NPI Enumerated	March 31, 2006

Payer Source	Total Paid
Medicare	$1.3M
Medicaid	$0

Key Findings

This provider is effectively a Medicare-focused practice: lifetime Medicare revenue totals $1.3M while there is no Medicaid billing on file. The absence of any Medicaid claims indicates a single-payer footprint in the available data rather than a mixed Medicaid/Medicare practice.

Revenue is highly concentrated in a small set of drug injection codes: the precomputed top 3 Medicare codes (J0585, J0588, J0475) account for 82.8% of this provider's total Medicare revenue. This concentration shows the business is centered on high-volume chemodenervation and pharmaceutical administration services rather than broad outpatient E/M services.

The code mix and descriptions point to a specialty practice delivering chemodenervation and spasticity management: J0585 and J0588 (onabotulinumtoxina and incobotulinumtoxin a) together make up the majority of revenue and are complemented by baclofen pump injections (J0475) and multiple Botox-related procedure codes (64644, 64645, 95874). The presence of add-on EMG-guided chemodenervation (95874) and extremity/neck injection codes (64644, 64645, 64616) indicates a clinical focus on treating spasticity, dystonia, and related neuromuscular conditions.

This provider is a national outlier for several specialized injection codes, signaling dominant procedure volume at scale: J0585 ranks #5 of 3636 providers (100th percentile, extreme outlier) and J0588 ranks #2 of 216 providers (100th percentile, extreme outlier). Additional procedure codes such as 64644, 64645 and 95874 also rank at the top of national distributions (100th percentile), underscoring unusually high national volume for botulinum toxin–related services.

Other E/M and hospital care codes represent a much smaller share of revenue and indicate ancillary hospital-based activity: 99232 accounts for $49.8K (3.7% of Medicare revenue) and 99233, 99238 appear with modest counts and revenue. These E/M codes rank above typical national volumes for some categories (e.g., 99232 at the 96th percentile) but remain secondary to the injection and device-service lines.

Competitive standing is sharply bifurcated by service line: for botulinum and chemodenervation procedures this provider is a top-tier, high-volume performer (multiple codes at 100th percentile), whereas for routine outpatient E/M and many common CPTs the provider sits at or slightly above typical national volumes (percentiles ranging from mid-60s to mid-90s) and does not appear to dominate generalist services.

Practice tenure is long: the NPI was enumerated around 2006-03-31 (approximately 20 years ago), which supports an established specialty practice that may have developed concentrated expertise and referral patterns for complex neuromuscular injections and pump management over time.

Several secondary procedure codes reinforce a specialized service mix focused on device and pump work: 62370 (implantable pump analysis/reprogramming/refill) appears among top codes and ranks in the 90th percentile nationally, suggesting a meaningful volume of intrathecal pump management in addition to chemodenervation injections.

Although many individual E/M codes are present, their combined contribution is small relative to drug and procedure revenue; the practice’s financial profile and code concentration imply that payer negotiations, network strategies, and utilization management efforts should prioritize oversight and benchmarking of botulinum toxin and pump-related services rather than general outpatient E/M visits.

Medicare: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0585	Injection, onabotulinumtoxina, 1 unit	144,800	$10	$724K
J0588	Injection, incobotulinumtoxin a, 1 unit	68,400	$1	$273.6K
J0475	Injection, baclofen, 10 mg	860	$130	$113.5K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	800	$60	$49.8K
64644	The provider injects a chemical, such as Botox®, into 5 or more muscles of one extremity to relieve a patient's pain and spasms.	370	$120	$44.5K
95874	In this add–on procedure, the provider uses needle electromyography guidance for a chemodenervation injection. Chemodenervation is a process of injecting a neurotoxin like ethyl alcohol or Botox®…	480	$60	$27.7K
64645	The provider injects a chemical, such as Botox®, into 5 or more muscles of an additional extremity after the first to relieve a patient's pain and spasms.	270	$90	$24.2K
64616	The provider administers a chemical compound to the neck muscles on one side, avoiding the laryngeal muscles. The goal of this procedure is to paralyze the muscles. Providers may treat cervical…	90	$140	$13K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	140	$90	$12.9K
64643	The provider injects a chemical, such as Botox®, into one to four muscles of an additional extremity after the first to relieve a patient's pain and spasms.	160	$70	$11.6K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Missouri Distribution

Lizette Alvarez — 10 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0588	1	10	4,200	$1	$100.1K
J0585	1	90	8,850	$1	$72.5K
J0475	1	10	470	$140	$69.1K
99214	7,707	8,960	100	$80	$13.9K
99233	751	2,660	70	$90	$12.1K
99232	110	4,320	90	$60	$10.8K
64645	1	10	70	$80	$8.9K
64644	1	10	50	$100	$8.5K
64616	3	20	40	$130	$7.1K
99213	3,222	8,730	70	$50	$7K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Citizens Memorial Healthcare	MO	Rural Health Clinic/Center	$0	$4.7M
NPI 1255386397	—	—	$255.9K	$0
Raghuveer Kura	MO	Nephrology Physician	$241K	$0
Laishang Zhang	MO	Psychiatry Physician	$221.3K	$6.5K
Christopher Palmer	MO	Orthopaedic Surgery Physician	$210.4K	$0
Coles L'hommedieu	MO	Orthopaedic Surgery Physician	$209K	$0
Robert Sigmund	MO	Orthopaedic Surgery Physician	$203.3K	$0
Amy Zippay	MO	Physical Medicine & Rehabilitation Physician	$183.4K	$0
Bamidele Ganiyu	MO	Psychiatric/Mental Health Nurse Practitioner	$174.3K	$0
Christian Oliver	MO	Interventional Pain Medicine Physician	$161.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Alternatives Missouri, Inc.	MO	Developmentally Disabled Services Day Training Agency	$0	$48.8M
Nextra Health, Inc.	MO	Durable Medical Equipment & Medical Supplies	$0	$25.4M
Support Innovations Inc.	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$11.8M
Special School District Of St. Louis County	MO	Local Education Agency (LEA)	$0	$4.8M
Sona Kamat	MO	Rheumatology Physician	$4.1M	$0
Des Peres Eye Surgery Center, LLC	MO	Ambulatory Surgical Clinic/Center	$3.5M	$162.2K
Family Hire LLC	MO	In Home Supportive Care Agency	$0	$3.6M
Richard Divalerio	MO	Rheumatology Physician	$1.4M	$0
Ying Du	MO	Rheumatology Physician	$1.4M	$0
Manchester Ambulatory Surgery Center LP	MO	Ambulatory Surgical Clinic/Center	$848.9K	$0

Lizette Alvarez — Billing Profile & Reimbursement Data

Sign up for Lizette Alvarez — Billing Profile & Reimbursement Data policy alerts

Lizette Alvarez — Billing Profile & Reimbursement Data

Sign up for Lizette Alvarez — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References