Physician
Alfonzo, Carmen
Alfonzo, Carmen was paid $95K by Medicaid between Dec 2018 and Apr 2019, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoALFONZO, CARMEN
HOMESTEAD, FL 33033
HOMESTEAD, FL 33033
33aNPI1114949955assigned 07/24/2006
33bProvider typePediatrics Physician
28Total paid$95K
24GClaims4,017
24DCodes billed31
24AFirst – last monthDec 2018 – Apr 2019
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#595 of 971
Median peer was paid$238K
This provider vs. median0.4×
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 | 831 | $15K | |
| 2019 | 3,186 | $80K |
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 | 27% | 740 | 656 | $25K |
| 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 | 26% | 374 | 332 | $24K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 17% | 122 | 117 | $16K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 90 | 86 | $11K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 84 | 81 | $10K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.4% | 46 | 45 | $6K |
| 99490 | Ccm add 20min | 1.4% | 44 | 43 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 14 | 14 | $950.16 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 56 | 54 | $205.75 |
| 99174 | <1% | 208 | 195 | $63.54 | |
| 90686 | <1% | 70 | 62 | $39.03 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 45 | 40 | $0.00 |
19 more codes
| 90670 | 0% | 67 | $0.00 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | 0% | 91 | $0.00 |
| 96160 | 0% | 19 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 288 | $0.00 |
| 94664 | 0% | 56 | $0.00 | |
| 90707 | 0% | 13 | $0.00 | |
| 99188 | 0% | 12 | $0.00 | |
| 90633 | 0% | 27 | $0.00 | |
| 90734 | 0% | 13 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 240 | $0.00 |
| 90651 | 0% | 35 | $0.00 | |
| A7015 | Aerosol mask, used with dme nebulizer | 0% | 91 | $0.00 |
| 99058 | 0% | 307 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 92 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 336 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 108 | $0.00 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 58 | $0.00 |
| 97802 | 0% | 241 | $0.00 | |
| 94760 | 0% | 30 | $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.