Treatment Tracker

The Doctors and Services in Medicare Part B

This database was last updated in December 2017. It should only be used as a historical snapshot. More recent data is available via the Centers for Medicare and Medicaid Services’ lookup tool.

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $405 per patient in 2015.
They performed about 7 services per patient. Here’s how this provider compares.

Number of
Patients
615
Rank: 93rd
out of 971 providers in this state & specialty
Services
Performed
3,219
Rank: 230th
out of 971 providers in this state & specialty
Avg Services
Per Patient
5.2 This Provider
Avg 6.5
Total Paid
by Medicare
$244K
Rank: 136th
out of 971 providers in this state & specialty
Avg Paid
Per Patient
$396 This Provider
Avg $405

How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all of his Part B patients.

This Provider's Patients
Expected to have lower spending
Expected to have higher spending

This Provider's Services

This provider performed 100 different services in 2015
(73 were redacted as they were performed on less than 11 patients)

All Services

Show Only:

Drug Services
Medical Services
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
drug
DRUGS

Injection, methylprednisolone acetate, 40 mg

Service Code: J1030
Performed in an office
663
times performed,
21% of his services

1st 7th

most performed service for this provider most performed service in this state & specialty

325
patients got this service, 53% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.4)
$7,956.00an average of $12.00 per time performed $1,770.21
an average of $2.67 per time performed
medical
MUSCULOSKELETAL SYSTEM

Aspiration and/or injection of large joint or joint capsule +

Aspiration and/or injection of large joint or joint capsule ×

Service Code: 20610
Performed in an office
485
times performed,
15% of his services

2nd 3rd

most performed service for this provider most performed service in this state & specialty

311
patients got this service, 51% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.7)
$106,050.10an average of $218.66 per time performed $22,135.40
an average of $45.64 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 10 minutes ×

Service Code: 99212
Performed in an office
412
times performed,
13% of his services

3rd 9th

most performed service for this provider most performed service in this state & specialty

269
patients got this service, 44% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.4)
$42,436.00an average of $103.00 per time performed $11,845.00
an average of $28.75 per time performed
medical
RADIOLOGY

X-ray of knee, 4 or more views

Service Code: 73564
Performed in an office
270
times performed,
8% of his services

4th 17th

most performed service for this provider most performed service in this state & specialty

207
patients got this service, 34% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$27,720.90an average of $102.67 per time performed $7,217.10
an average of $26.73 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 15 minutes ×

Service Code: 99213
Performed in an office
204
times performed,
6% of his services

5th 2nd

most performed service for this provider most performed service in this state & specialty

184
patients got this service, 30% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$35,465.40an average of $173.85 per time performed $9,898.08
an average of $48.52 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 3... +

New patient office or other outpatient visit, typically 30 minutes ×

Service Code: 99203
Performed in an office
170
times performed,
5% of his services

6th 6th

most performed service for this provider most performed service in this state & specialty

170
patients got this service, 28% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$43,350.00an average of $255.00 per time performed $11,374.70
an average of $66.91 per time performed
medical
RADIOLOGY

X-ray of shoulder, minimum of 2 views

Service Code: 73030
Performed in an office
107
times performed,
3% of his services

7th 12th

most performed service for this provider most performed service in this state & specialty

87
patients got this service, 14% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$8,025.00an average of $75.00 per time performed $2,189.22
an average of $20.46 per time performed
medical
RADIOLOGY

X-ray of knee, 1 or 2 views

Service Code: 73560
Performed in an office
103
times performed,
3% of his services

8th 14th

most performed service for this provider most performed service in this state & specialty

68
patients got this service, 11% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$7,725.00an average of $75.00 per time performed $2,083.69
an average of $20.23 per time performed
medical
MUSCULOSKELETAL SYSTEM

Computer-assisted surgical navigational procedure for bon... +

Computer-assisted surgical navigational procedure for bone procedures ×

Service Code: 20985
Performed in a facility
61
times performed,
2% of his services

9th 72nd

most performed service for this provider most performed service in this state & specialty

57
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$22,143.00an average of $363.00 per time performed $6,986.33
an average of $114.53 per time performed
medical
MUSCULOSKELETAL SYSTEM

Repair of knee joint

Service Code: 27447
Performed in a facility
57
times performed,
2% of his services

10th 22nd

most performed service for this provider most performed service in this state & specialty

53
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$206,796.00an average of $3,628.00 per time performed $59,435.04
an average of $1,042.72 per time performed
medical
RADIOLOGY

X-ray of pelvis, 1 or 2 views

Service Code: 72170
Performed in an office
50
times performed,
2% of his services

11th 19th

most performed service for this provider most performed service in this state & specialty

50
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$3,500.00an average of $70.00 per time performed $970.00
an average of $19.40 per time performed
medical
RADIOLOGY

X-ray of ribs of one side of body, minimum of 2 views

Service Code: 73510
Performed in an office
49
times performed,
2% of his services

12th 15th

most performed service for this provider most performed service in this state & specialty

38
patients got this service, 6% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$4,704.00an average of $96.00 per time performed $1,211.77
an average of $24.73 per time performed
medical
RADIOLOGY

X-ray of ankle, minimum of 3 views

Service Code: 73610
Performed in an office
34
times performed,
1% of his services

13th 28th

most performed service for this provider most performed service in this state & specialty

16
patients got this service, 3% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.6)
$2,788.00an average of $82.00 per time performed $749.70
an average of $22.05 per time performed
medical
MUSCULOSKELETAL SYSTEM

Repair of knee joint

Service Code: 27446
Performed in a facility
33
times performed,
1% of his services

14th 210th

most performed service for this provider most performed service in this state & specialty

33
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$91,740.00an average of $2,780.00 per time performed $28,918.56
an average of $876.32 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 2... +

New patient office or other outpatient visit, typically 20 minutes ×

Service Code: 99202
Performed in an office
26
times performed,
0.81% of his services

15th 35th

most performed service for this provider most performed service in this state & specialty

26
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,576.00an average of $176.00 per time performed $1,123.98
an average of $43.23 per time performed
medical
RADIOLOGY

X-ray of knee, 3 views

Service Code: 73562
Performed in an office
26
times performed,
0.81% of his services

16th 8th

most performed service for this provider most performed service in this state & specialty

16
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$2,184.00an average of $84.00 per time performed $595.14
an average of $22.89 per time performed
medical
RADIOLOGY

X-ray of wrist, minimum of 3 views

Service Code: 73110
Performed in an office
25
times performed,
0.78% of his services

17th 32nd

most performed service for this provider most performed service in this state & specialty

14
patients got this service, 2% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.7)
$2,300.00an average of $92.00 per time performed $615.50
an average of $24.62 per time performed
medical
MUSCULOSKELETAL SYSTEM

Aspiration and/or injection of medium joint or joint capsule +

Aspiration and/or injection of medium joint or joint capsule ×

Service Code: 20605
Performed in an office
22
times performed,
0.68% of his services

18th 53rd

most performed service for this provider most performed service in this state & specialty

20
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$3,239.94an average of $147.27 per time performed $767.58
an average of $34.89 per time performed
medical
RADIOLOGY

X-ray lower and sacral spine including bending views mini... +

X-ray lower and sacral spine including bending views minimum 6 views ×

Service Code: 72114
Performed in an office
21
times performed,
0.65% of his services

19th 129th

most performed service for this provider most performed service in this state & specialty

21
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,276.00an average of $156.00 per time performed $929.46
an average of $44.26 per time performed
medical
RADIOLOGY

X-ray of pelvis, minimum of 3 views

Service Code: 72190
Performed in an office
21
times performed,
0.65% of his services

20th 128th

most performed service for this provider most performed service in this state & specialty

21
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$2,184.00an average of $104.00 per time performed $548.10
an average of $26.10 per time performed
medical
RADIOLOGY

Mri scan of arm joint

Service Code: 73221
Performed in an office
18
times performed,
0.56% of his services

21st 84th

most performed service for this provider most performed service in this state & specialty

18
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$14,761.98an average of $820.11 per time performed $2,882.52
an average of $160.14 per time performed
medical
MUSCULOSKELETAL SYSTEM

Injections of tendon attachment to bone

Service Code: 20551
Performed in an office
18
times performed,
0.56% of his services

22nd 140th

most performed service for this provider most performed service in this state & specialty

13
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$2,610.00an average of $145.00 per time performed $675.90
an average of $37.55 per time performed
medical
RADIOLOGY

X-ray of foot, minimum of 3 views

Service Code: 73630
Performed in an office
17
times performed,
0.53% of his services

23rd 24th

most performed service for this provider most performed service in this state & specialty

14
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.5)
$1,309.00an average of $77.00 per time performed $340.85
an average of $20.05 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 5 minutes ×

Service Code: 99211
Performed in an office
15
times performed,
0.47% of his services

24th 78th

most performed service for this provider most performed service in this state & specialty

15
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.5)
$720.00an average of $48.00 per time performed $193.35
an average of $12.89 per time performed
medical
RADIOLOGY

Mri scan of leg joint

Service Code: 73721
Performed in an office
14
times performed,
0.43% of his services

25th 60th

most performed service for this provider most performed service in this state & specialty

13
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$11,346.02an average of $810.43 per time performed $2,096.22
an average of $149.73 per time performed
medical
RADIOLOGY

X-ray of hand, minimum of 3 views

Service Code: 73130
Performed in an office
14
times performed,
0.43% of his services

26th 36th

most performed service for this provider most performed service in this state & specialty

11
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$1,120.00an average of $80.00 per time performed $231.84
an average of $16.56 per time performed
medical
MUSCULOSKELETAL SYSTEM

Replacement of thigh bone and hip joint prosthesis

Service Code: 27130
Performed in a facility
11
times performed,
0.34% of his services

27th 41st

most performed service for this provider most performed service in this state & specialty

11
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$37,257.00an average of $3,387.00 per time performed $10,437.46
an average of $948.86 per time performed

Office Visits

Medicare reimburses office visits using a five-point scale, with five being the most intensive and costly. The chart below shows what percentage of this provider’s office visits were reimbursed at each level. A higher than average proportion of costly visits is not necessarily an indication of a problem, but it may be worth asking about.

Hover over each slice to see percentage breakdown.

This provider did not bill Medicare for any 5’s.

1234512345
Alvaro A Hernandez
Average for Orthopaedic Surgery Providers in Texas

Notes: Medicare redacted this data for any services provided to fewer than 11 patients. The contact information listed above is the most current we have for this provider. The services listed on this page may have been delivered at a previous address or as part of a different practice.

Incorrect Info? If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to checkup@propublica.org and we will update your information. If you have other questions about this data, send a note to checkup@propublica.org. Here's a link to Medicare's data on this provider.

Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association

Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2015 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.

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