Nichols, Alphonso

Nichols, Alphonso was paid $174K by Medicaid between Jan 2018 and May 2022, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 95% of everything it billed.

33Billing provider infoNICHOLS, ALPHONSO
SAN DIEGO, CA 92126

33aNPI1003890666assigned 12/06/2005

33bProvider typeChild & Adolescent Psychiatry Physician

28Total paid$174K

24GClaims4,952

24DCodes billed4

24AFirst – last monthJan 2018 – May 2022

Compared with peers

Next to other Child & Adolescent Psychiatry Physician providers in California

Rank by total paid#19 of 47

Median peer was paid$45K

This provider vs. median3.9×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	1,653	$38K
2019	1,122	$51K
2020	950	$34K
2021	848	$36K
2022	379	$15K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	95%	4,793	4,017	$165K
90792	Psychiatric diagnostic evaluation with medical services	3.9%	64	60	$7K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	1.0%	32	32	$2K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	63	63	$207.12

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.