Alonso Medical PC

Alonso Medical PC was paid $96K by Medicaid between Jan 2018 and Mar 2023, across 7 billing codes. Its largest line is 11042, Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm — 39% of everything it billed.

33Billing provider infoALONSO MEDICAL PC
FALL RIVER, MA 02720

33aNPI1154657971assigned 10/29/2009

33bProvider typeInfectious Disease Physician

28Total paid$96K

24GClaims3,824

24DCodes billed7

24AFirst – last monthJan 2018 – Mar 2023

Compared with peers

Next to other Infectious Disease Physician providers in Massachusetts

Rank by total paid#8 of 38

Median peer was paid$7K

This provider vs. median13×

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	583	$22K
2019	667	$21K
2020	622	$16K
2021	1,202	$22K
2022	607	$12K
2023	143	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
11042	Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm	39%	2,279	1,212	$38K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	34%	759	733	$32K
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%	392	354	$25K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	61	54	$479.93
17250		<1%	21	13	$299.67
99072		<1%	294	277	$231.20
11045		<1%	18	12	$99.71

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 officialALONSO, PILAR (OWNER)