Medicare Enrolled

Raul Alicea, PA-C

Medical Physician Assistant · Springfield, MA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
3300 MAIN STREET, Springfield, MA 01107
4137942273
Registered in NPPES since 2017
NPI: 1275057051 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Alicea from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Alicea

Raul Alicea is a medical physician assistant in Springfield, MA, with 9 years of NPI registration. Based on federal Medicare data, Alicea performed 599 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Alicea received a total of $7,528 from 28 pharmaceutical and/or device companies across 316 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Alicea is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 9 years of NPI registration ▲ Top 26% volume in MA $7,528 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
599
Medicare services
Top 26% in MA for medical physician assistant
Not available
Unique patients (not deduplicated)
$75
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
171 $61 $265
Hospital follow-up visit, moderate complexity
Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service.
138 $54 $168
Hospital follow-up visit, high complexity
Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter.
117 $80 $247
Initial hospital admission, high complexity
Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter.
67 $118 $468
Initial hospital admission, moderate complexity
Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter.
55 $89 $321
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
28 $98 $342
Hospital discharge management, 30+ min
This service covers the care provided by a physician or qualified healthcare professional on the day a patient is discharged from the hospital. It requires more than 30 minutes of total time spent on the day of discharge.
23 $78 $251
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$7,528
Total received (2021-2024)
Avg $1,882/year across 4 years
Top 2% in MA for medical physician assistant
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
28
Companies
316
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,761
2023
$1,275
2022
$3,096
2021
$1,395

Payments by company (2024)

Medtronic, Inc.
$1,028
Abbott Laboratories
$307
ABBVIE INC.
$216
Biosense Webster, Inc.
$139
Novartis Pharmaceuticals Corporation
$71
Top 3 companies account for 88.0% of 2024 payments
All-time payments by company (2021-2024) ›
Medtronic, Inc.
$1,028
Janssen Pharmaceuticals, Inc
$1,023
Novartis Pharmaceuticals Corporation
$809
E.R. Squibb & Sons, L.L.C.
$650
AstraZeneca Pharmaceuticals LP
$638
Amgen Inc.
$517
ABBVIE INC.
$498
Abbott Laboratories
$489
PFIZER INC.
$316
Boehringer Ingelheim Pharmaceuticals, Inc.
$262
Merck Sharp & Dohme LLC
$195
Esperion Therapeutics, Inc.
$152
Biosense Webster, Inc.
$139
Boston Scientific Corporation
$133
Alnylam Pharmaceuticals Inc.
$98
Amarin Pharma Inc.
$98
Merck Sharp & Dohme Corporation
$86
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$76
SANOFI-AVENTIS U.S. LLC
$69
HeartFlow, Inc.
$65
Lantheus Medical Imaging, Inc.
$56
Bayer HealthCare Pharmaceuticals Inc.
$26
Novo Nordisk Inc
$21
Amryt Pharma Holdings Ltd
$21
Edwards Lifesciences Corporation
$20
Regeneron Healthcare Solutions, Inc.
$16
Kiniksa Pharmaceuticals, Ltd.
$16
Exeltis, USA Inc.
$13
Top 3 companies account for 38.0% of all-time payments
Associated products mentioned in payments ›
ASSURITY · AZURE XT DR MRI SURESCAN · Arcalyst · BRILINTA · CAMZYOS · CARDIOMEMS · CARTO 3 · DEFINITY · ELIQUIS · ENTRESTO · FARXIGA · FFRct · GALLANT · JARDIANCE · JOT DX · JUXTAPID · Kerendia · LEQVIO · LifeVest · MICRA · MULTAQ · NEXLETOL · ONPATTRO · Ozempic · PRALUENT · PURIFIED CORTROPHIN GEL · RINVOQ · Repatha · SKYRIZI · VERQUVO · VYNDAMAX · VYNDAQEL · Varithena Administration Pack · Vascepa · WATCHMAN Access System · XARELTO
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Looking for a medical physician assistant in Springfield?
Compare medical physician assistants in the Springfield area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Medical physician assistants in nearby ZIP areas
298
County median income
$70,535
Nearest hospital to ZIP centroid (approximate)
MERCY MEDICAL CTR
2.2 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Alicea is a clinical cardiology specialist, with above-average Medicare volume (top 26% in MA).

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Alicea experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Alicea performed 171 office visit, established patient (30-39 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Alicea receive payments from pharmaceutical companies?
Yes. Alicea received a total of $7,528 from 28 companies across 316 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Alicea's costs compare to other medical physician assistants in Springfield?
Alicea's average Medicare payment per service is $75. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Alicea) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Industry payment disclosure alone establishes neither wrongdoing nor legality. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →