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.

Alain Alvarez (NPI 1841457496)

Field	Value
Entity Type	Individual
Organization	Alain Alvarez
Address	6605 Hillway Cir Ste 101
City	Naples
State	FL
ZIP	34112
Taxonomy	Rheumatology Physician
NPI Enumerated	May 21, 2008

Payer Source	Total Paid
Medicare	$1.9M
Medicaid	$0

Medicare: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0717	Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	136,400	$1	$545.6K
J0129	Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	10,780	$30	$366.4K
J1602	Injection, golimumab, 1 mg, for intravenous use	28,800	$10	$316.8K
J3262	Injection, tocilizumab, 1 mg	32,120	$10	$160.6K
J3111	Injection, romosozumab-aqqg, 1 mg	13,230	$10	$105.8K
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…	930	$100	$91.6K
J0897	Injection, denosumab, 1 mg	4,200	$20	$75.6K
96401	The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.	830	$60	$49.7K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	440	$100	$45.6K
J1745	Injection, infliximab, excludes biosimilar, 10 mg	1,520	$30	$41K

Showing 1–10 of 21

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Alain Alvarez — 0 of 21 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

21 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0129	56	130	9,350	$30	$386.8K
J0717	14	120	52,000	$1	$302.7K
J3262	46	70	38,360	$1	$241.9K
J1602	17	90	13,930	$10	$184.6K
J3111	88	140	16,170	$10	$166.4K
J0897	437	1,060	3,290	$20	$106.5K
J1745	87	120	2,060	$30	$80.9K
96413	147	730	200	$100	$26.1K
99214	2,162	32,760	140	$90	$25K
96401	34	590	110	$60	$12.7K

Showing 1–10 of 21

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marc Hirsh	FL	Rheumatology Physician	$4.6M	$0
Mohamed Aboyoussef	FL	Rheumatology Physician	$3.6M	$0
Susan Zito	FL	Rheumatology Physician	$3.6M	$0
Jeffrey Alper	FL	Rheumatology Physician	$3.3M	$0
Vedashree Panthulu	FL	Rheumatology Physician	$2.4M	$35.6K
Steven Kimmel	FL	Rheumatology Physician	$2.1M	$0
William Sunshine	FL	Rheumatology Physician	$2.1M	$0
Michael Weitz	FL	Rheumatology Physician	$2.1M	$0
Rachel Kapelow	FL	Rheumatology Physician	$2.1M	$0
Catherine Kowal	FL	Rheumatology Physician	$1.9M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rajeev Rajani	FL	Adolescent Medicine (Internal Medicine) Physician	$600.9K	$0
Michael Petrocelli	FL	Foot & Ankle Surgery Podiatrist	$252.1K	$0
Sonia Rajani	FL	Physical Therapist	$78.7K	$0
Holiday Cvs LLC	FL	Pharmacy	$76.8K	$0

Alain Alvarez — Billing Profile & Reimbursement Data

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

Alain Alvarez — Billing Profile & Reimbursement Data

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

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References