Physician
Alvarez & Orthopaedic Associates
Alvarez & Orthopaedic Associates was paid $180K by Medicaid between Jan 2018 and May 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoALVAREZ & ORTHOPAEDIC ASSOCIATES
OAKLAND, MD 21550
OAKLAND, MD 21550
33aNPI1558432765assigned 11/10/2006
33bProvider typeOrthopaedic Surgery Physician
28Total paid$180K
24GClaims2,963
24DCodes billed6
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Maryland
Rank by total paid#15 of 55
Median peer was paid$77K
This provider vs. median2.3×
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 | 175 | $7K | |
| 2019 | 183 | $6K | |
| 2020 | 192 | $14K | |
| 2021 | 657 | $37K | |
| 2022 | 992 | $53K | |
| 2023 | 635 | $49K | |
| 2024incomplete | 129 | $14K |
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 | 43% | 1,432 | 1,130 | $77K |
| 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 | 35% | 744 | 646 | $63K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 19% | 369 | 326 | $34K |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 2.8% | 100 | 92 | $5K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 294 | 255 | $1K |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 24 | 24 | $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.
From NPPES
Who's on the registration
Authorized officialALVAREZ, DONA (PRESIDENT)