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

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

Alejandro Pla (NPI 1780649376)

Field	Value
Entity Type	Individual
Organization	Alejandro Pla
Address	1821 Nw 123rd Ave
City	Pembroke Pines
State	FL
ZIP	33026
Taxonomy	Nephrology Physician
NPI Enumerated	April 18, 2006

Payer Source	Total Paid
Medicare	$159.8K
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
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…	570	$90	$52.9K
90966	The provider manages all the physician related services for one full month for the home dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal disease,…	140	$250	$33.6K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	100	$300	$28.6K
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…	190	$90	$17.1K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	90	$140	$12.8K
90970	The provider manages for less than one full month all the daily services associated with the dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal…	990	$10	$7.9K
99204	The 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…	30	$130	$4.2K
G2252	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an…	120	$20	$2.5K

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. Florida Distribution

Alejandro Pla — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90960	321	460	140	$280	$45.8K
99214	13,595	32,760	140	$90	$25K
90966	23	120	90	$230	$23.2K
99233	849	9,970	100	$90	$20.1K
99223	3,738	11,110	60	$130	$12.5K
99204	10,464	19,040	40	$110	$7K
90970	16	90	230	$10	$4K
G2252	1	10	80	$20	$1.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advance Health And Community Services Corporation	FL	Community/Behavioral Health Agency	$0	$15.5M
Total Renal Care Inc	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$9.2M
Amee Cohen And Associates	FL	Occupational Therapist	$0	$8.5M
Benjamin Greenberger	FL	Radiation Oncology Physician	$435K	$0
Amit Sood	FL	Radiation Oncology Physician	$248.3K	$0
Wilma Williams-blake	FL	Family Nurse Practitioner	$241.3K	$0
Sina Joorabchi	FL	Otolaryngology Physician	$108.4K	$0
Shazia Zafar	FL	Hematology & Oncology Physician	$105.8K	$0
Andrew Bunce	FL	Clinical Psychologist	$81.8K	$22.6K

Alejandro Pla — Billing Profile & Reimbursement Data

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Alejandro Pla — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References