Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Alvarez, Avelino

Alvarez, Avelino was paid $10.32M by Medicaid between Jan 2018 and Dec 2024, across 72 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.

33Billing provider infoALVAREZ, AVELINO
LAREDO, TX 78041
33aNPI1114097524assigned 11/09/2006
33bProvider typePediatrics Physician
28Total paid$10.32M
24GClaims592,872
24DCodes billed72
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#23 of 1,136
Median peer was paid$329K
This provider vs. median31×

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

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
20181,965$62K
20192,678$81K
202031,852$576K
2021140,943$2.37M
2022136,523$2.30M
2023143,041$2.42M
2024incomplete135,870$2.50M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31% 148,260 120,708 $3.23M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 11% 15,075 14,943 $1.12M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 9.8% 12,881 12,791 $1.01M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 7.2% 8,930 8,863 $747K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7.2% 49,680 44,647 $738K
90460 Immunization administration through 18 years of age via any route, first or only component 6.9% 73,385 28,190 $712K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6.8% 9,631 9,446 $701K
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 4.8% 15,852 15,121 $495K
99381 1.6% 2,162 2,134 $170K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 1.5% 5,126 4,971 $156K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.5% 18,777 9,140 $153K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.4% 18,182 12,917 $145K
60 more codes
S8301 Infection control supplies, not otherwise specified 1.2% 9,860 $126K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.1% 15,367 $108K
99203 Doctor's office visit, new patient (routine) <1% 2,629 $95K
90461 <1% 14,475 $81K
90472 Immunization administration, each additional vaccine (list separately) <1% 9,260 $75K
99050 <1% 4,743 $64K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 7,136 $59K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 1,776 $49K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 520 $41K
99051 <1% 8,214 $34K
99383 <1% 365 $31K
G9716 Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason <1% 17,004 $21K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 2,437 $20K
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 1,496 $18K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 5,252 $18K
94060 <1% 708 $17K
96160 <1% 8,524 $17K
99382 <1% 165 $14K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 2,570 $12K
99384 <1% 117 $11K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,101 $9K
86580 <1% 1,262 $6K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 9,611 $5K
99204 Doctor's office visit, new patient (more involved) <1% 84 $3K
97169 <1% 110 $2K
84030 <1% 601 $1K
S8101 Holding chamber or spacer for use with an inhaler or nebulizer; with mask <1% 729 $982.15
J2550 Injection, promethazine hcl, up to 50 mg <1% 642 $974.22
87420 <1% 139 $595.68
84035 <1% 669 $536.48
J2010 Injection, lincomycin hcl, up to 300 mg <1% 81 $313.19
90686 <1% 6,618 $159.95
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 651 $139.90
94760 <1% 2,620 $81.30
90620 <1% 2,608 $16.35
90619 <1% 2,097 $12.98
90671 <1% 2,624 $2.19
90651 <1% 4,893 $1.45
90715 <1% 2,368 $0.20
90734 <1% 1,950 $0.01
3074F 0% 5,248 $0.00
90698 0% 3,612 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 0% 6,497 $0.00
90716 0% 799 $0.00
90696 0% 2,825 $0.00
90680 0% 5,654 $0.00
90697 0% 2,635 $0.00
96127 0% 747 $0.00
90744 0% 2,359 $0.00
90723 0% 1,004 $0.00
90710 0% 4,788 $0.00
90670 0% 7,071 $0.00
90700 0% 2,419 $0.00
90633 0% 5,877 $0.00
90648 0% 3,070 $0.00
90707 0% 773 $0.00
98960 0% 189 $0.00
3078F 0% 5,242 $0.00
94664 0% 32 $0.00
90713 0% 14 $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.