Physician

Juan Carlos Alvarez, M.D.

According to 2025 Medicare claims, Juan Alvarez, M.D. (NPI: 1356458707) practices orthopedic surgery in the Sebring, FL market, with the plurality of this provider's patient population coming from Highlands, FL. This provider's primary affiliated billing organization is FLORIDA JOINT & SPINE INSTITUTE PA (NPI: 1992705487; TIN: 593226086) and primary practice location at 33870-1323. Alvarez is affiliated with the Pearl Primary Care Network, LLC (ACO ID: D0242), participating under the REACH model.

Alvarez's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,268 traditional Medicare patients, billed 9,167 HCPCS/CPT codes, and received $479,410 in Medicare payments. The top billing code was 99213 (Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more). Part D data shows 2,537 prescription claims across 791 beneficiaries totaling $21,047 in drug costs, led by Pregabalin (Pregabalin). DME data shows 95 claims. Open Payments data shows 24 records totaling $79,232. 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 changed little. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $34,958 and ending at $21,047. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $12,564 and ending at $8,388.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,312	7,045	$645,086
2016	1,936	9,303	$735,491
2017	1,979	9,388	$701,763
2018	1,857	8,291	$635,253
2019	1,894	9,117	$652,018
2020	1,429	8,020	$649,156
2021	1,420	6,735	$679,382
2022	1,412	8,484	$620,937
2023	1,464	8,253	$506,479
2024	1,268	9,167	$479,410

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	336	724	$34,958
2016	491	964	$61,104
2017	594	1,432	$68,696
2018	591	1,491	$69,444
2019	581	1,542	$45,346
2020	483	1,251	$25,601
2021	506	1,332	$15,094
2022	603	1,786	$45,327
2023	698	2,068	$25,701
2024	791	2,537	$21,047

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	96	137	$50,094
2016	267	284	$106,176
2017	233	248	$69,388
2018	182	203	$55,809
2019	207	247	$60,143
2020	108	149	$35,469
2021	78	89	$11,994
2022	33	33	$1,623
2023	70	70	$8,917
2024	76	95	$4,961

* / # = 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
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	544	737	$66
20610	Aspiration and/or injection of fluid from large joint	352	452	$55
73562	X-ray of knee, 3 views	303	635	$29
73560	X-ray of knee, 1-2 views	543	768	$25
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	302	827	$5

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Pregabalin	Pregabalin	364	5,549	$3,453
Cefadroxil	Cefadroxil	457	3,319	$3,135
Oxycodone Hcl	Oxycodone Hcl	498	1,498	$1,721
Celecoxib	Celecoxib	111	2,727	$1,596
Doxycycline Hyclate	Doxycycline Hyclate	118	1,243	$1,264

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
E0143	Walker, folding, wheeled, adjustable or fixed height	N	76	76	$3,082
E1811	Static progressive stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories	Y	N/R	19	$1,879

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	24	$79,232	ORTHO DEVELOPMENT CORPORATION
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 Juan Carlos Alvarez, M.D.?

Tedicare shows public-source Medicare data for Juan Carlos Alvarez, M.D. (NPI 1356458707), 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 Juan Carlos Alvarez, M.D. have ACO affiliation data?

Juan Carlos Alvarez, M.D. is shown with ACO affiliation data for Pearl Primary Care Network, LLC (REACH, ACO ID D0242).

What billing organization is linked to Juan Carlos Alvarez, M.D.?

Juan Carlos Alvarez, M.D. is linked to FLORIDA JOINT & SPINE INSTITUTE PA (billing NPI 1992705487) in the available physician profile data.

Does Juan Carlos Alvarez, M.D. have Open Payments data?

Juan Carlos Alvarez, M.D. has 24 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.