Physician
Alvarez, Frank
Alvarez, Frank was paid $1.17M by Medicaid between Jan 2018 and Nov 2024, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoALVAREZ, FRANK
TULARE, CA 93274
TULARE, CA 93274
33aNPI1023111044assigned 09/06/2006
33bProvider typePediatrics Physician
28Total paid$1.17M
24GClaims55,612
24DCodes billed36
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#114 of 1,490
Median peer was paid$15K
This provider vs. median78×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,097 | $57K | |
| 2019 | 10,310 | $209K | |
| 2020 | 9,439 | $185K | |
| 2021 | 9,162 | $204K | |
| 2022 | 8,575 | $191K | |
| 2023 | 8,220 | $166K | |
| 2024incomplete | 6,809 | $161K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 51% | 22,784 | 17,016 | $592K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 12% | 1,910 | 1,905 | $140K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.7% | 1,762 | 1,754 | $102K |
| G9920 | Screening performed and negative | 8.0% | 3,669 | 3,606 | $93K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 5.6% | 1,663 | 1,586 | $66K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.1% | 652 | 650 | $36K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.0% | 447 | 420 | $24K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.7% | 962 | 896 | $20K |
| 92551 | 1.6% | 4,649 | 4,631 | $19K | |
| 99173 | 1.3% | 4,449 | 4,432 | $15K | |
| 90686 | 1.2% | 3,025 | 3,011 | $14K | |
| 96127 | <1% | 4,611 | 2,666 | $10K |
24 more codes
| 3044F | <1% | 1,183 | $7K | |
| 99384 | <1% | 71 | $6K | |
| 99383 | <1% | 65 | $5K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 449 | $5K |
| 87430 | <1% | 411 | $4K | |
| 90620 | <1% | 548 | $4K | |
| 90674 | <1% | 420 | $3K | |
| 90651 | <1% | 337 | $1K | |
| 90658 | <1% | 171 | $1K | |
| 99382 | <1% | 12 | $1K | |
| 90734 | <1% | 239 | $895.75 | |
| 90661 | <1% | 53 | $387.00 | |
| 86403 | <1% | 47 | $370.24 | |
| 90619 | <1% | 54 | $333.00 | |
| 90670 | <1% | 29 | $261.69 | |
| 90649 | <1% | 20 | $159.00 | |
| 90700 | <1% | 51 | $108.00 | |
| 90713 | <1% | 12 | $108.00 | |
| 86580 | <1% | 457 | $75.90 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 338 | $22.00 |
| 3078F | 0% | 12 | $0.00 | |
| 90715 | 0% | 25 | $0.00 | |
| 90647 | 0% | 13 | $0.00 | |
| 90680 | 0% | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.