Dr. Fernando Alvarado, MD
Altamonte Springs, FL 32701
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (25,094 CMS services/yr).
Complex bacterial, viral, fungal, tick-borne, and post-surgical infection workups, outpatient parenteral antimicrobial therapy (OPAT), and travel/immunization consults. Filter by your insurance carrier, state, or procedure below.
Altamonte Springs, FL 32701
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (25,094 CMS services/yr).
Flushing, NY 11354
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (1,577 CMS services/yr).
Sterling Heights, MI 48310
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (20,073 CMS services/yr).
Randolph, NJ 07869
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (2,158 CMS services/yr).
Clermont, FL 34711
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (4,089 CMS services/yr).
Wichita, KS 67211
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (215,649 CMS services/yr).
Yonkers, NY 10701
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (1,619 CMS services/yr).
Bethlehem, PA 18015
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (1,708 CMS services/yr).
New Hyde Park, NY 11040
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (1,510 CMS services/yr).
Orlando, FL 32806
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (570 CMS services/yr).
Dallas, TX 75230
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (1,866 CMS services/yr).
Jacksonville, FL 32216
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (2,725 CMS services/yr).
Hagerstown, MD 21742
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (1,348 CMS services/yr).
Memphis, TN 38120
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (30,552 CMS services/yr).
Beloit, WI 53511
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (919 CMS services/yr).
Aiken, SC 29803
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (9,220 CMS services/yr).
Merced, CA 95340
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (3,463 CMS services/yr).
Covington, LA 70433
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (5,386 CMS services/yr).
Richardson, TX 75082
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (3,740 CMS services/yr).
Oklahoma City, OK 73109
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (371,417 CMS services/yr).
Westminster, MD 21157
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (1,764 CMS services/yr).
Racine, WI 53405
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (1,809 CMS services/yr).
Elizabeth, NJ 07202
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (3,247 CMS services/yr).
Anniston, AL 36207
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (8,248 CMS services/yr).
Baltimore, MD 21224
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (568 CMS services/yr).
Celebration, FL 34747
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (6,578 CMS services/yr).
Victorville, CA 92395
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (5,247 CMS services/yr).
Cumberland, MD 21502
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (820 CMS services/yr).
Westlake Village, CA 91361
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (905 CMS services/yr).
Ashland, KY 41101
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (1,004 CMS services/yr).
Cypress, TX 77429
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (569 CMS services/yr).
Methuen, MA 01844
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (3,311 CMS services/yr).
Prince Frederick, MD 20678
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (6,056 CMS services/yr).
Greenville, TX 75401
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (2,369 CMS services/yr).
Huntington, NY 11743
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (911 CMS services/yr).
Corona Del Mar, CA 92625
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Complex bacterial & subspecialty diagnostics (3,677 CMS services/yr).
Clinicians interrupt patients after a median of 11 seconds (J Gen Intern Med, PMID 29972200). Select your appointment reason below to generate your 1-page script:
"I have two specific goals for our 15 minutes today: first, my morning TSH is [X] mIU/L with persistent fatigue and cold intolerance, so I would like to evaluate Free T4, Free T3, TPO Antibodies, and Ferritin together; second, if we palpate any thyroid asymmetry, can we perform an in-office neck ultrasound (CPT 76536)?"
Confirms the endocrinologist images thyroid nodules themselves rather than sending you to a hospital radiology department.
Identifies structural thyroid specialists vs. general diabetes-only clinics.
Hold all Biotin (Vitamin B7) supplements for 72 hours before your blood draw so streptavidin assay interference does not create a false TSH/Free T4 reading.
"My recent HbA1c came back at [X]%. Today I want to check my Fasting Insulin to calculate HOMA-IR, discuss starting Extended-Release Metformin ER ($5.40/mo cash) or a 14-day Continuous Glucose Monitor trial (CPT 95251), and establish a 90-day re-test target below 5.4%."
Verifies the clinic actively prescribes and interprets Dexcom/Libre CGM sensor data.
Standard outpatient evaluation code; ask for transparent self-pay rates ($120–$180) if uninsured.
Bring a 3-day log of post-dinner fingerstick or CGM readings and confirm whether your pharmacy filled Metformin ER (Extended-Release) rather than immediate-release.
"My 7-day rested home blood pressure averages [X/Y] mmHg and my LDL-C is [Z] mg/dL. Today I would like to review my home cuff log against office white-coat readings, order direct Apolipoprotein B (ApoB) and one-time genetic Lipoprotein(a), and decide if a CAC score or low-dose statin/ARB is warranted."
Assesses left ventricular wall thickness and valve function directly in the cardiology suite.
Baseline rhythm and conduction screen prior to antihypertensive titration.
Bring your physical home upper-arm BP cuff to the clinic to validate calibration, along with a 7-day written morning/evening seated average.
"Even though my hemoglobin is normal, my Serum Ferritin is [X] ng/mL and I am experiencing persistent fatigue and hair shedding. Can we check a fasting Iron Panel with Transferrin Saturation (TSAT), rule out celiac/GI malabsorption, and target a Ferritin above 50–75 ng/mL?"
Confirms the hematology clinic can administer IV iron when oral iron fails or causes GI distress.
Tracks mean corpuscular volume (MCV) and early reticulocyte hemoglobin response.
Stop oral iron supplements for 24 hours before drawing a fasting morning Serum Iron and TSAT panel so circulating pill iron does not skew saturation.
"I have had [reflux / bloating / unexplained low ferritin] for [X] months. Today I want to distinguish upper GI mucosal issues from functional motility, review a step-down plan so I am not stuck on a PPI indefinitely, and verify whether you perform diagnostic EGD (CPT 43239) or colonoscopy (CPT 45385) at an ambulatory center."
High annual CPT 45385 volume (>300/yr) correlates with higher adenoma detection rates and safer polypectomy.
Rules out Barrett esophagus, H. pylori gastritis, and duodenal celiac villous atrophy.
Always request an Ambulatory Surgery Center (ASC) facility quote rather than a hospital outpatient department (HOPD) for endoscopy/colonoscopy to save $1,200–$2,400 in facility fees.
General directory listings show what a doctor claims to treat, whereas federal CMS Medicare Part B claims reveal what they actually perform every week. For example, seeing an endocrinologist who performs 400+ in-office thyroid neck ultrasounds (CPT 76536) per year or a gastroenterologist in the top decile for adenoma detection colonoscopy (CPT 45385) prevents unnecessary outside imaging referrals and repeat appointments.
Large hospital networks often bill tens of thousands of automated lab draws or vaccination claims under a single department chair NPI. Our directory triage engine isolates individual practicing clinicians (300 to 4,500 Medicare beneficiaries/year) and requires a minimum 4.2-star verified Google patient consensus with at least 15 reviews for default showcase rankings.
The GreatDoc™ rating—calculated by the Proprietary DotMD™ J3 Model—audits patient reviews across clinical diagnostic accuracy, unhurried listening, and procedure skill while flagging administrative friction points (such as $250 annual clinic fees, parking validation costs, or phone hold times) so you know exactly what to expect before walking into the waiting room.
Every flagship physician profile on dotMD includes an interactive Insurance Network & Cash-Rate Checker covering Original Medicare Part B, Medicare Advantage, BlueCross BlueShield, Aetna, Cigna, UnitedHealthcare, and regional PPO/HMO plans—plus the exact CMS geo-adjusted CPT 99204 self-pay cash rate ($195–$260) and 3-question script to verify network participation with the billing desk.