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

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

Alfredo Davalos-balderas (NPI 1851735831)

Field	Value
Entity Type	Individual
Organization	Alfredo Davalos-balderas
Address	1201 E Michigan Ave Ste 240
City	Jackson
State	MI
ZIP	49201
Taxonomy	Neurology Physician
NPI Enumerated	April 22, 2013

Payer Source	Total Paid
Medicare	$30.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	120	$100	$12K
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…	60	$130	$7.8K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	20	$140	$2.8K
95816	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	50	$40	$2.1K
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…	20	$100	$1.5K
95819	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	30	$40	$1.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	10	$110	$1.2K
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…	10	$80	$910
95822	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG when…	10	$40	$470

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Alfredo Davalos-balderas — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	15,166	15,470	80	$80	$11.4K
95819	65	130	30	$160	$9.5K
99223	1,697	4,880	40	$130	$8.3K
95816	33	130	30	$150	$6.7K
99215	4,304	4,420	30	$110	$6K
99222	391	4,810	30	$100	$5K
99205	908	1,680	20	$150	$4.3K
99204	4,973	6,280	30	$110	$4.2K
95822	6	10	20	$40	$710

Nearby Providers

Other providers in the same ZIP code as Alfredo Davalos-balderas, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
W.a. Foote Memorial Hospital	MI	General Acute Care Hospital	$0	$41.3M
W.a. Foote Memorial Hospital, Inc.	MI	General Acute Care Hospital	$0	$40M
Center For Family Health	MI	Federally Qualified Health Center (FQHC)	$0	$24.7M
Center For Family Health	MI	Federally Qualified Health Center (FQHC)	$0	$8.6M
W.a. Foote Memorial Hospital, Inc	MI	Nurse Practitioner	$0	$5.3M
Surgical Services Of Michigan, LLC	MI	Ambulatory Surgical Clinic/Center	$1.7M	$28.4K
Tareq Baghal	MI	Cardiovascular Disease Physician	$1M	$0
Vivek Kak	MI	Infectious Disease Physician	$460.2K	$0
Donna O'neill	MI	Infectious Disease Physician	$436.5K	$0
John Smarch	MI	Chiropractor	$46.9K	$190.7K

Alfredo Davalos-balderas — Billing Profile & Reimbursement Data

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Alfredo Davalos-balderas — 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