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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Alfred Valles
⚕️
MDIndividual

Alfred Valles, MD

NPI: 1306919535
Fresno, CA
10 years of data
Undefined Physician type
$7.6M
Total Payments
52.9K
Beneficiaries
65.8K
Services
3.34x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$7.6M
Specialty median$100.2K

📋 Key Findings

1Billed $7.6M over 10 years
23.34x markup ratio (above median)
399th percentile in Undefined Physician type by payments
413 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $7.6M in total Medicare payments ranks in the 99th percentile of Undefined Physician type providers nationally.

Medicare payments to this provider grew 184% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$491.45$121.684.04x$369.77$332.5K3.6K2.8K
2015$413.44$133.993.09x$279.45$410.4K4.4K3.4K
2016$553.52$149.233.71x$404.29$527.3K5.0K4.1K
2017$510.27$143.903.55x$366.37$521.5K4.5K3.8K
2018$454.67$152.412.98x$302.26$706.5K6.4K5.0K
2019$572.79$152.823.75x$419.97$737.0K7.2K5.5K
2020$690.49$156.874.40x$533.62$938.4K7.2K5.7K
2021$590.14$148.873.96x$441.27$1.2M9.2K7.6K
2022$652.32$149.384.37x$502.94$1.2M10.5K8.3K
2023$691.14$160.094.32x$531.05$944.2K7.9K6.6K

Top Procedures (20)

78492Nuclear medicine study heart muscle at rest and/or stress multiple studies
$1.4M
1.1K services$1.3K/svc2.69x markup
99214Established patient office or other outpatient, visit typically 25 minutes⚠ 3.1x markup
$1.3M
14.6K services$91.97/svc3.06x markup
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function⚠ 3.7x markup
$948.1K
6.4K services$148.64/svc3.67x markup
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies
$532.1K
1.3K services$401.00/svc2.85x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$479.2K
7.9K services$61.04/svc2.36x markup
A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries⚠ 3.1x markup
$378.6K
1.1K services$341.72/svc3.07x markup
99204New patient office or other outpatient visit, typically 45 minutes⚠ 3.1x markup
$258.0K
2.1K services$125.29/svc3.11x markup
92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin⚠ 5.4x markup
$195.1K
463 services$421.48/svc5.44x markup
99223Initial hospital inpatient care, typically 70 minutes per day
$190.6K
1.2K services$164.20/svc2.19x markup
33361Replacement of aortic valve with prosthetic valve, accessed through the skin⚠ 4.9x markup
$158.4K
247 services$641.36/svc4.87x markup
93015Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report⚠ 5.1x markup
$144.1K
2.5K services$57.00/svc5.10x markup
93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart⚠ 5.9x markup
$143.3K
649 services$220.87/svc5.90x markup
99233Subsequent hospital inpatient care, typically 35 minutes per day
$139.0K
1.6K services$85.69/svc2.10x markup
99215Established patient office or other outpatient, visit typically 40 minutes⚠ 3.7x markup
$125.9K
908 services$138.71/svc3.74x markup
93000Routine EKG using at least 12 leads including interpretation and report⚠ 5.5x markup
$117.6K
9.4K services$12.56/svc5.53x markup
A9500Technetium tc-99m sestamibi, diagnostic, per study dose
$109.8K
1.3K services$82.80/svc2.83x markup
93454Insertion of catheter for imaging of heart blood vessels or grafts⚠ 6.4x markup
$107.7K
699 services$154.06/svc6.38x markup
99443Physician telephone patient service, 21-30 minutes of medical discussion⚠ 3.1x markup
$106.8K
1.1K services$95.85/svc3.06x markup
J2785Injection, regadenoson, 0.1 mg
$93.4K
2.1K services$45.47/svc2.74x markup
93460Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart⚠ 5.0x markup
$73.1K
254 services$287.91/svc4.98x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
78492Nuclear medicine study heart muscle at rest and/or stress multiple studies1.1K$1.4M$1.3K2.69x
99214Established patient office or other outpatient, visit typically 25 minutes14.6K$1.3M$91.973.06x
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function6.4K$948.1K$148.643.67x
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies1.3K$532.1K$401.002.85x
99213Established patient office or other outpatient visit, typically 15 minutes7.9K$479.2K$61.042.36x
A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries1.1K$378.6K$341.723.07x
99204New patient office or other outpatient visit, typically 45 minutes2.1K$258.0K$125.293.11x
92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin463$195.1K$421.485.44x
99223Initial hospital inpatient care, typically 70 minutes per day1.2K$190.6K$164.202.19x
33361Replacement of aortic valve with prosthetic valve, accessed through the skin247$158.4K$641.364.87x
93015Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report2.5K$144.1K$57.005.10x
93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart649$143.3K$220.875.90x
99233Subsequent hospital inpatient care, typically 35 minutes per day1.6K$139.0K$85.692.10x
99215Established patient office or other outpatient, visit typically 40 minutes908$125.9K$138.713.74x
93000Routine EKG using at least 12 leads including interpretation and report9.4K$117.6K$12.565.53x
A9500Technetium tc-99m sestamibi, diagnostic, per study dose1.3K$109.8K$82.802.83x
93454Insertion of catheter for imaging of heart blood vessels or grafts699$107.7K$154.066.38x
99443Physician telephone patient service, 21-30 minutes of medical discussion1.1K$106.8K$95.853.06x
J2785Injection, regadenoson, 0.1 mg2.1K$93.4K$45.472.74x
93460Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart254$73.1K$287.914.98x

Markup Analysis

Charge-to-Payment Ratio

3.34x

This provider submits charges 3.34 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.34x means for every $100 Medicare pays, this provider initially charges $334. This is higher than the national average.

Location

Fresno, CA

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.

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