Alford, John

Alford, John was paid $40K by Medicaid between Jan 2018 and Jun 2022, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.

33Billing provider infoALFORD, JOHN
WARWICK, RI 02886

33aNPI1588663587assigned 07/20/2005

33bProvider typeOrthopaedic Surgery Physician

28Total paid$40K

24GClaims902

24DCodes billed6

24AFirst – last monthJan 2018 – Jun 2022

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Rhode Island

Rank by total paid#18 of 44

Median peer was paid$33K

This provider vs. median1.2×

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	768	$36K
2019	59	$1K
2020	31	$730.35
2021	15	$528.06
2022	29	$867.88

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	43%	439	382	$17K
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	39%	265	238	$15K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	7.7%	48	47	$3K
20611		5.5%	33	27	$2K
73030		3.5%	67	62	$1K
J1030	Injection, methylprednisolone acetate, 40 mg	1.4%	50	44	$566.38

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.