Physician

Alfredo Javier Aguirre, M.D.

According to 2025 Medicare claims, Alfredo Aguirre, M.D. (NPI: 1184019267) practices rheumatology in the San Rafael, CA market, with the plurality of this provider's patient population coming from Marin, CA. This provider's primary affiliated billing organization is UNIVERSITY PROFESSIONAL SERVICES (NPI: 1376709535; TIN: 262998718) and primary practice location at 97239-3011.

Aguirre's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 180 traditional Medicare patients, billed 397 HCPCS/CPT codes, and received $38,235 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 562 prescription claims across 153 beneficiaries totaling $200,052 in drug costs, led by Colchicine (Colchicine). Open Payments data shows 3 records totaling $46. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved sharply higher in recent years, from $17,172 to $38,235. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $4,286 and ending at $200,052. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	97	101	$17,172
2019	104	106	$16,614
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	16	21	$2,286
2023	13	14	$598
2024	180	397	$38,235

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	18	77	$4,286
2018	21	102	$4,492
2019	23	69	$107,610
2020	20	140	$332,194
2021	21	146	$431,865
2022	46	193	$388,151
2023	26	102	$55,513
2024	153	562	$200,052

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99205	New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	54	54	$193
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	20	$163
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$150
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	36	$117
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	99	157	$83

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Colchicine	Colchicine	31	1,680	$3,524
Febuxostat	Febuxostat	20	1,170	$2,659
Hydroxychloroquine Sulfate	Hydroxychloroquine Sulfate	68	3,745	$2,370
Celecoxib	Celecoxib	24	1,126	$933
Duloxetine Hcl	Duloxetine Hcl	15	690	$844

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	3	$46	Amgen Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Alfredo Javier Aguirre, M.D.?

Tedicare shows public-source Medicare data for Alfredo Javier Aguirre, M.D. (NPI 1184019267), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Alfredo Javier Aguirre, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Alfredo Javier Aguirre, M.D.?

Alfredo Javier Aguirre, M.D. is linked to UNIVERSITY PROFESSIONAL SERVICES (billing NPI 1376709535) in the available physician profile data.

Does Alfredo Javier Aguirre, M.D. have Open Payments data?

Alfredo Javier Aguirre, M.D. has 3 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.