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    OpenPayerNPI Medicare & MedicaidAlfredo Diaz
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    Alfredo Diaz — Billing Profile & Reimbursement Data

    NPI 1902911159 · Two Rivers, WI · Internal Medicine Physician

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    Alfredo Diaz is a internal medicine physician provider located in Two Rivers, Wisconsin. This profile covers 20 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
    OrganizationAlfredo Diaz
    Address2219 Garfield St
    CityTwo Rivers
    StateWI
    ZIP54241
    TaxonomyInternal Medicine Physician
    NPI EnumeratedAugust 20, 2006

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

    Payer SourceTotal Paid
    Medicare$144.8K
    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…680$80$52.5K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit340$120$39.9K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…40$280$9.9K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…130$70$9.1K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…40$200$7.9K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…130$50$6.7K
    G0008Administration of influenza virus vaccine140$30$3.9K
    G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment20$150$3.2K
    G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit20$140$3K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…30$80$2.5K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99309323400120$70$15.8K
    99214769,80080$70$9.2K
    G0439102,35050$120$9.1K
    906771281,08020$280$6.5K
    906622391,64040$70$5.2K
    992131,8729,38060$50$4.7K
    994961519020$180$3.9K
    992043,0603,39030$100$3.7K
    G04385825010$160$2.8K
    G00084382,54040$30$2.4K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Aurora Medical Group, Inc.WICertified Registered Nurse Anesthetist$2.2K$139.2M
    Baycare Aurora, LLCWIGeneral Acute Care Hospital$0$25.4M
    Aurora Medical Center Of Oshkosh, IncWIGeneral Acute Care Hospital$0$16.4M
    Jeffrey BahrWIInternal Medicine Physician$3.1M$356.4K
    Aurora Medical Group, Inc.WIMental Health Clinic/Center (Including Community Mental Health Center)$0$3.2M
    Reed MitchellVAHematology & Oncology Physician$1M$0
    Jessica KotILFamily Nurse Practitioner$849.4K$0
    Jason BrooksINOphthalmology Physician$692.7K$0
    Steven PortWICardiovascular Disease Physician$506.2K$0
    Govind RamaduraiILCardiovascular Disease Physician$469.1K$29.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Aurora Health Care North, Inc.WIGeneral Acute Care Hospital$0$6.8M
    Todd EidenWIPsychologist$8.7K$4.7M
    Richard TheobaldWIInternal Medicine Physician$115.7K$0
    Joseph FederWIOphthalmology Physician$76.3K$0
    Rajesh SharmaWIGastroenterology Physician$51.5K$0
    Mackenzie ZulegerWINurse Practitioner$27.6K$0
    Bryce LewellenWIOptometrist$21.8K$0

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Wisconsin Distribution
    Alfredo Diaz — 2 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin