Physician

Alberto Maldonado, MD

According to 2025 Medicare claims, Alberto Maldonado, MD (NPI: 1245462837) practices physical medicine and rehabilitation in the Cincinnati, OH-KY-IN market, with the plurality of this provider's patient population coming from Hamilton, OH. This provider's primary affiliated billing organization is BEACON ORTHOPAEDICS & SPORTS MEDICINE, LTD (NPI: 1386670065; TIN: 311483173) and primary practice location at 45241-2374. Maldonado is affiliated with the Healthcare Solutions Network (ACO ID: A3283), participating under the MSSP model.

Maldonado's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 707 traditional Medicare patients, billed 29,263 HCPCS/CPT codes, and received $172,244 in Medicare payments. The top billing code was 20611 (Aspiration and/or injection of fluid large joint using ultrasound guidance). Part D data shows 804 prescription claims across 531 beneficiaries totaling $6,733 in drug costs, led by Diclofenac Sodium (Diclofenac Sodium). DME data shows 122 claims. Open Payments data shows 4 records totaling $232. 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 $35,911 to $172,244. Similarly, Part D prescription costs have risen steadily, from $843 to $6,733. 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	294	433	$35,911
2016	94	171	$11,916
2017	40	170	$7,437
2018	294	2,005	$67,804
2019	338	2,138	$92,755
2020	365	3,384	$86,686
2021	544	4,789	$139,976
2022	525	4,359	$136,255
2023	579	5,694	$138,054
2024	707	29,263	$172,244

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	11	21	$843
2016	20	79	$4,834
2017	37	62	$1,078
2018	150	219	$2,875
2019	176	259	$3,143
2020	210	370	$4,997
2021	317	491	$6,381
2022	395	651	$7,471
2023	461	689	$8,893
2024	531	804	$6,733

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	36	36	$14,789
2019	76	77	$16,548
2020	43	44	$13,243
2021	38	38	$6,164
2022	76	76	$16,725
2023	87	89	$22,158
2024	121	122	$24,612

* / # = 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
20611	Aspiration and/or injection of fluid large joint using ultrasound guidance	200	274	$76
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	449	698	$65
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	208	208	$64
73562	X-ray of knee, 3 views	130	134	$29
J1010	Injection, methylprednisolone acetate, 1 mg	152	21,920	$0

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Diclofenac Sodium	Diclofenac Sodium	107	1,371	$2,770
Cyclobenzaprine Hcl	Cyclobenzaprine Hcl	147	3,064	$1,081
Ibuprofen	Ibuprofen	181	3,620	$960
Methylprednisolone	Methylprednisolone	128	766	$682
Celecoxib	Celecoxib	65	1,074	$578

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
L1851	Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf	N	23	24	$12,148
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	N	26	26	$6,036
L1820	Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	N	23	23	$2,993
L1902	Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf	N	18	18	$1,294
L3660	Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf	N	12	12	$1,128

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	4	$232	BIOTISSUE HOLDINGS 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 Alberto Maldonado, MD?

Tedicare shows public-source Medicare data for Alberto Maldonado, MD (NPI 1245462837), 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 Alberto Maldonado, MD have ACO affiliation data?

Alberto Maldonado, MD is shown with ACO affiliation data for Healthcare Solutions Network (MSSP, ACO ID A3283).

What billing organization is linked to Alberto Maldonado, MD?

Alberto Maldonado, MD is linked to BEACON ORTHOPAEDICS & SPORTS MEDICINE, LTD (billing NPI 1386670065) in the available physician profile data.

Does Alberto Maldonado, MD have Open Payments data?

Alberto Maldonado, MD has 4 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.