Physician
Alfaro-Mcfield Medical Clinic INC
Alfaro-Mcfield Medical Clinic INC was paid $982K by Medicaid between Jan 2018 and Nov 2024, across 73 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 27% of everything it billed.
33Billing provider infoALFARO-MCFIELD MEDICAL CLINIC INC
SAN BERNARDINO, CA 92411
SAN BERNARDINO, CA 92411
33aNPI1255609483assigned 12/02/2011
33bProvider typePediatrics Physician
28Total paid$982K
24GClaims125,011
24DCodes billed73
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#133 of 1,490
Median peer was paid$15K
This provider vs. median66×
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 | 9,503 | $99K | |
| 2019 | 16,887 | $177K | |
| 2020 | 16,349 | $205K | |
| 2021 | 21,560 | $181K | |
| 2022 | 21,342 | $144K | |
| 2023 | 22,657 | $117K | |
| 2024incomplete | 16,713 | $60K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 27% | 6,267 | 6,152 | $265K |
| 99381 | 13% | 1,483 | 1,463 | $123K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.1% | 8,711 | 8,013 | $70K |
| 92551 | 6.4% | 6,930 | 6,885 | $62K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 6.0% | 1,545 | 1,540 | $59K |
| 99460 | 5.7% | 1,124 | 1,120 | $56K | |
| 90697 | 4.0% | 740 | 738 | $39K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 3.5% | 7,516 | 7,483 | $35K |
| G9920 | Screening performed and negative | 3.3% | 11,823 | 11,807 | $32K |
| 97802 | 3.1% | 3,823 | 3,809 | $30K | |
| 99222 | Initial hospital care, per day, moderate complexity | 2.7% | 358 | 358 | $27K |
| 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 | 2.3% | 2,337 | 2,241 | $23K |
61 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.2% | 6,525 | $21K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 4,295 | $18K |
| 90670 | 1.4% | 3,340 | $14K | |
| 90723 | 1.2% | 2,242 | $12K | |
| 90648 | 1.2% | 3,134 | $12K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 3,180 | $11K |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 1.1% | 797 | $11K |
| 90681 | 1.0% | 1,700 | $10K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,222 | $7K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 223 | $6K |
| 92081 | <1% | 6,221 | $5K | |
| 96156 | <1% | 743 | $5K | |
| 99188 | <1% | 276 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,138 | $3K |
| 99441 | <1% | 655 | $3K | |
| 90686 | <1% | 2,643 | $3K | |
| 96161 | <1% | 2,801 | $3K | |
| 90680 | <1% | 190 | $2K | |
| 90677 | <1% | 179 | $2K | |
| 90716 | <1% | 1,424 | $1K | |
| 90707 | <1% | 1,371 | $1K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 3,220 | $997.45 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 646 | $909.82 |
| 90685 | <1% | 56 | $827.03 | |
| 90651 | <1% | 465 | $698.19 | |
| 90672 | <1% | 195 | $564.60 | |
| 90633 | <1% | 1,532 | $561.87 | |
| 90696 | <1% | 424 | $408.12 | |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | <1% | 3,536 | $400.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 29 | $384.51 |
| 90656 | <1% | 40 | $352.10 | |
| 96127 | <1% | 548 | $295.35 | |
| 3008F | <1% | 2,882 | $240.00 | |
| 90620 | <1% | 74 | $200.00 | |
| 90700 | <1% | 604 | $197.73 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,592 | $179.76 |
| H0001 | Alcohol and/or drug assessment | <1% | 715 | $160.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 298 | $144.00 |
| 99383 | <1% | 36 | $131.28 | |
| 90647 | <1% | 19 | $81.00 | |
| 98966 | <1% | 61 | $40.00 | |
| 90734 | <1% | 252 | $35.82 | |
| 99173 | <1% | 1,362 | $35.58 | |
| 90744 | <1% | 12 | $27.00 | |
| 96160 | <1% | 220 | $3.22 | |
| 80069 | 0% | 37 | $0.00 | |
| 3074F | 0% | 735 | $0.00 | |
| 3079F | 0% | 145 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 810 | $0.00 |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 38 | $0.00 |
| 1036F | 0% | 536 | $0.00 | |
| 82043 | 0% | 37 | $0.00 | |
| 3044F | 0% | 45 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 42 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 1,162 | $0.00 |
| 3078F | 0% | 503 | $0.00 | |
| 99408 | 0% | 1,032 | $0.00 | |
| 83655 | 0% | 13 | $0.00 | |
| 90715 | 0% | 33 | $0.00 | |
| 90473 | 0% | 12 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 57 | $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 officialROMERO-ALFARO, IRMA (OFFICE MANAGER)
Parent organizationALFARO MCFIELD MEDICAL CLINIC INC.