Saint Alphonsus Specialty Services INC

Saint Alphonsus Specialty Services INC was paid $608K by Medicaid between Jan 2018 and Jun 2019, across 33 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.

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	8,967	$402K
2019	4,357	$206K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	23%	3,144	2,942	$140K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	15%	2,495	2,316	$88K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	12%	1,118	971	$74K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	9.5%	444	438	$58K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	7.6%	1,621	1,479	$46K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	7.2%	550	540	$44K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	3.7%	229	223	$22K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	3.4%	698	671	$20K
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	3.0%	111	109	$18K
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	2.4%	195	189	$15K
59025	Fetal non-stress test	2.2%	650	491	$13K
31231		2.1%	105	103	$13K

21 more codes

43775		1.9%	14	$12K
76819	Fetal biophysical profile; without non-stress testing	1.5%	136	$9K
62370		<1%	152	$5K
11720		<1%	740	$5K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	<1%	25	$4K
93971		<1%	353	$4K
20611		<1%	98	$4K
76801		<1%	49	$4K
42820	Tonsillectomy and adenoidectomy; younger than age 12	<1%	15	$3K
76813		<1%	34	$3K
93970		<1%	89	$2K
73630		<1%	43	$438.00
11721		<1%	34	$320.56
11055		<1%	13	$226.43
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	<1%	17	$182.04
36415	Collection of venous blood by venipuncture	<1%	54	$143.80
93000		<1%	13	$141.36
93016		<1%	20	$93.63
93018		<1%	20	$71.22
93922		<1%	18	$61.17
96040		0%	27	$0.00

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.

From NPPES

Who's on the registration

Authorized officialBOLANO, ODETTE (PRESIDENT)