Providers
AVELINO C ALVAREZ
NPI 1114097524, individual, Laredo, TX, Pediatrics
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 36 months, but with up to 3667 patients a month across 4 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
score 52 of 100, rank 8503, $3.5M at stake
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Aug 2021 | More hours than a day holds, even counting one unit per claim line | 25.1 | 22.9 | 15.3 | 21.6 | 1954 | 2 | 92507 97530 99202 99203 99211 99212 99213 | $83K |
| Sep 2021 | More hours than a day holds, even counting one unit per claim line | 28.3 | 26.1 | 17.4 | 23.8 | 1991 | 2 | 92507 97530 99202 99203 99212 99213 99214 | $90K |
| Jan 2022 | More hours than a day holds, even counting one unit per claim line | 25.3 | 23.1 | 15.4 | 22.7 | 1984 | 2 | 92507 97530 99212 99213 99214 | $88K |
| Mar 2022 | More hours than a day holds, even counting one unit per claim line | 34.9 | 20.9 | 13.9 | 18.8 | 2643 | 2 | 92507 97530 99202 99203 99212 99213 99214 | $79K |
| Apr 2022 | More hours than a day holds, even counting one unit per claim line | 40.6 | 20.8 | 13.9 | 19.8 | 2938 | 2 | 92507 97530 99203 99211 99212 99213 99214 | $76K |
| May 2022 | More hours than a day holds, even counting one unit per claim line | 39.4 | 19.7 | 13.1 | 18.5 | 2938 | 2 | 92507 97530 99202 99203 99211 99212 99213 99214 | $76K |
| Jun 2022 | More hours than a day holds, even counting one unit per claim line | 34.6 | 17.8 | 11.9 | 16.2 | 2497 | 2 | 92507 97530 99202 99203 99211 99212 99213 99214 | $67K |
| Jul 2022 | More hours than a day holds, even counting one unit per claim line | 28.9 | 14.6 | 9.7 | 14.3 | 2330 | 2 | 92507 97530 99202 99203 99211 99212 99213 99214 | $58K |
| Aug 2022 | More hours than a day holds, even counting one unit per claim line | 44.4 | 23.2 | 15.5 | 20.9 | 3529 | 2 | 92507 97530 99202 99203 99211 99212 99213 99214 | $88K |
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 50.8 | 25.8 | 17.2 | 23.4 | 3656 | 2 | 92507 97530 99202 99203 99212 99213 99214 | $89K |
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 50.9 | 25.3 | 16.9 | 24.9 | 3667 | 2 | 92507 97530 99202 99203 99204 99212 99213 99214 | $91K |
| Nov 2022 | More hours than a day holds, even counting one unit per claim line | 44.2 | 22.6 | 15.1 | 20.6 | 3198 | 2 | 92507 97530 99202 99203 99204 99212 99213 99214 | $80K |
| Dec 2022 | More hours than a day holds, even counting one unit per claim line | 35.2 | 18.3 | 12.2 | 17.2 | 2672 | 2 | 92507 97530 99202 99203 99212 99213 99214 | $69K |
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 38.5 | 19.8 | 13.2 | 18.6 | 2981 | 2 | 92507 97530 99202 99203 99212 99213 99214 | $78K |
| Feb 2023 | More hours than a day holds, even counting one unit per claim line | 42.4 | 21.2 | 14.1 | 19.8 | 2998 | 2 | 92507 97530 99202 99203 99212 99213 99214 | $75K |
| Mar 2023 | More hours than a day holds, even counting one unit per claim line | 38.9 | 19.4 | 12.9 | 17.4 | 2934 | 2 | 92507 97530 99202 99203 99204 99212 99213 99214 | $78K |
| Apr 2023 | More hours than a day holds, even counting one unit per claim line | 41.6 | 20.4 | 13.6 | 20.4 | 3068 | 2 | 92507 97530 99202 99203 99211 99212 99213 99214 | $78K |
| May 2023 | More hours than a day holds, even counting one unit per claim line | 43.0 | 21.2 | 14.2 | 19.1 | 3057 | 2 | 92507 97530 99202 99203 99204 99211 99212 99213 99214 | $83K |
| Jun 2023 | More hours than a day holds, even counting one unit per claim line | 33.2 | 16.4 | 11.0 | 14.9 | 2412 | 2 | 92507 97530 99202 99203 99211 99212 99213 99214 | $63K |
| Jul 2023 | More hours than a day holds, even counting one unit per claim line | 28.0 | 13.9 | 9.3 | 13.7 | 2272 | 2 | 92507 97530 99202 99203 99211 99212 99213 99214 | $57K |
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 41.4 | 20.1 | 13.4 | 18.1 | 3175 | 2 | 92507 97530 99202 99203 99211 99212 99213 99214 | $78K |
| Sep 2023 | More hours than a day holds, even counting one unit per claim line | 40.3 | 21.8 | 14.5 | 20.7 | 2924 | 3 | 92507 97530 99202 99203 99212 99213 99214 | $83K |
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 41.7 | 22.8 | 15.2 | 21.4 | 2966 | 3 | 92507 97530 99202 99203 99212 99213 99214 | $90K |
| Nov 2023 | More hours than a day holds, even counting one unit per claim line | 45.5 | 23.3 | 15.5 | 21.1 | 3141 | 2 | 92507 97530 99202 99203 99212 99213 99214 | $85K |
| Dec 2023 | More hours than a day holds, even counting one unit per claim line | 31.8 | 16.2 | 10.8 | 15.9 | 2410 | 2 | 92507 97530 99203 99212 99213 99214 | $60K |
| Jan 2024 | More hours than a day holds, even counting one unit per claim line | 36.3 | 18.0 | 12.0 | 16.2 | 2728 | 2 | 92507 97530 99202 99203 99212 99213 99214 | $66K |
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 42.7 | 23.1 | 15.4 | 21.3 | 2789 | 3 | 92507 97530 99203 99204 99212 99213 99214 | $82K |
| Mar 2024 | More hours than a day holds, even counting one unit per claim line | 31.3 | 15.8 | 10.6 | 15.6 | 2422 | 2 | 92507 97530 99202 99203 99212 99213 99214 | $61K |
| Apr 2024 | More hours than a day holds, even counting one unit per claim line | 42.1 | 21.6 | 14.4 | 19.6 | 2836 | 4 | 92507 97530 99202 99203 99211 99212 99213 99214 | $84K |
| May 2024 | More hours than a day holds, even counting one unit per claim line | 35.9 | 19.5 | 13.0 | 17.5 | 2682 | 3 | 92507 97530 99202 99203 99211 99212 99213 99214 | $78K |
| Jun 2024 | More hours than a day holds, even counting one unit per claim line | 27.8 | 15.7 | 10.4 | 15.7 | 2179 | 3 | 92507 97530 99202 99203 99211 99212 99213 99214 | $64K |
| Jul 2024 | More hours than a day holds, even counting one unit per claim line | 28.4 | 16.5 | 11.0 | 14.8 | 2256 | 3 | 92507 97530 99202 99203 99211 99212 99213 99214 | $71K |
| Aug 2024 | More hours than a day holds, even counting one unit per claim line | 40.1 | 21.7 | 14.5 | 20.4 | 3221 | 3 | 92507 97530 99202 99203 99211 99212 99213 99214 | $88K |
| Sep 2024 | More hours than a day holds, even counting one unit per claim line | 40.5 | 22.5 | 15.0 | 21.4 | 3035 | 3 | 92507 97530 99202 99203 99212 99213 99214 | $86K |
| Oct 2024 | More hours than a day holds, even counting one unit per claim line | 42.2 | 24.5 | 16.3 | 22.0 | 3223 | 3 | 92507 97530 99202 99203 99212 99213 99214 | $97K |
| Nov 2024 | More hours than a day holds, even counting one unit per claim line | 37.0 | 20.3 | 13.5 | 19.4 | 2708 | 3 | 92507 97530 99203 99204 99212 99213 99214 | $76K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | AVELINO C ALVAREZ (also AVELINO ALVAREZ) |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | November 9, 2006, last updated May 19, 2025 |
| Practice location | 2337 ENDEAVOR, Laredo, TX 78041-1970, 956-726-4929 |
| Specialties | Pediatrics (208000000X, primary, license H6731 TX) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $2.0M | 23% | $25 | $44 (top 5% from $110) | 22nd percentile | |
| 99392 | Medicaid service code | $703K | 8% | $74 | $78 (top 5% from $124) | 44th percentile | |
| 99393 | Medicaid service code | $653K | 8% | $79 | $78 (top 5% from $121) | 52nd percentile | |
| 92507 | Treatment of speech, language, voice, communication, and/or hearing processing disorder | $539K | 6% | $410 | $190 (top 5% from $477) | 91st percentile | |
| 99394 | Medicaid service code | $475K | 5% | $83 | $83 (top 5% from $128) | 50th percentile | |
| 90460 | Administration of first vaccine or toxoid component with counseling (18 years or younger) | $414K | 5% | $26 | $26 (top 5% from $54) | 49th percentile | |
| 99391 | Medicaid service code | $390K | 5% | $73 | $76 (top 5% from $126) | 45th percentile | |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $379K | 4% | $16 | $28 (top 5% from $147) | 29th percentile |
In this area
2 providers in Webb County, TX carry an indicator in the public record, with $0 at stake between them. The most common is part of a provider network, on 2 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | LAREDO TEXAS HOSPITAL COMPANY, L.P. Laredo, TX, ranked 2929 | $0 |
|
| 3 | BRUSH COUNTRY HOME HEALTH, INC. Laredo, TX, ranked 4756 | $0 |
|
Recent enforcement in TX
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJCivil settlementAug 26, 2026
Dallas medical clinic to pay $7.5 million to resolve COVID-19 testing overbilling allegations
Aymancare billed the federal government's HRSA Uninsured Program for separate evaluation and management services in addition to COVID-19 specimen collection and testing at pop-up testing sites when no such separate services were performed.
DOJConvictedAug 12, 2026
Scammer pharmacist guilty in $20 million healthcare kickback scheme
Thomas paid over $2 million in kickbacks to the owner of a Houston clinic in exchange for referrals of DOL-OWCP insured patients prescribed high-reimbursement compounded medications, which his pharmacy then billed to DOL-OWCP, receiving more than $20 million in reimbursements.
DOJIndictedJun 24, 2026
U.S. Attorney Announces Major Health Care Fraud Cases in Western District of Texas
Charles is alleged to have received illegal kickbacks for referring patients to San Antonio area hospice companies, causing over $9 million in Medicare claims, while Dr. Duncan settled allegations of billing Medicare and TRICARE for an unapproved amniotic-based product and Trevor's Place settled allegations of submitting inflated TRICARE claims for services not provided.
DOJIndictedJun 23, 2026
Nine charged in SDTX as part of national health care fraud takedown
Nine defendants were indicted in the Southern District of Texas for operating pill mill clinics and a pharmacy that unlawfully distributed controlled substances, billing Medicaid $16 million for mental health services for minors that did not occur, and billing Medicare and TRICARE approximately $906 million for medically unnecessary amniotic wound allografts procured through kickbacks.
DOJChargedJun 23, 2026
Northern District of Texas Charges 13 Health Care Fraudsters for Loss Over $360 Million
Thirteen defendants in the Northern District of Texas were charged in seven cases involving more than $365 million in fraudulent billing to federally-funded programs and other insurers, including laboratory and genetic testing claims procured through kickbacks, transcranial magnetic stimulation treatments billed to TRICARE, medically unnecessary EEG testing, and hospice services never provided.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.