Elvis Alfonso MD Ob-Gyn PC

Elvis Alfonso MD Ob-Gyn PC was paid $328K by Medicaid between Jan 2018 and Nov 2021, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.

33Billing provider infoELVIS ALFONSO MD OB-GYN PC
JACKSON HEIGHTS, NY 11372

33aNPI1720469356assigned 06/09/2015

33bProvider typeObstetrics & Gynecology Physician

28Total paid$328K

24GClaims10,600

24DCodes billed25

24AFirst – last monthJan 2018 – Nov 2021

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in New York

Rank by total paid#176 of 762

Median peer was paid$22K

This provider vs. median15×

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	3,670	$89K
2019	2,869	$103K
2020	1,428	$51K
2021	2,633	$86K

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	52%	2,281	2,144	$170K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	13%	435	435	$41K
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	9.7%	286	278	$32K
99386		7.1%	255	255	$23K
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	4.7%	100	100	$15K
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	4.5%	879	879	$15K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.6%	190	178	$9K
96127		2.5%	1,430	1,430	$8K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.6%	73	73	$5K
H0001	Alcohol and/or drug assessment	1.5%	661	661	$5K
99385		<1%	12	12	$1K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	12	12	$1K

13 more codes

36415	Collection of venous blood by venipuncture	<1%	1,286	$931.01
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	16	$330.16
86703		<1%	16	$209.32
A4927	Gloves, non-sterile, per 100	<1%	69	$187.32
A4245	Alcohol wipes, per box	<1%	68	$138.62
81002		<1%	43	$118.83
81000		<1%	12	$30.97
G9903	Patient screened for tobacco use and identified as a tobacco non-user	<1%	54	$28.00
3014F		0%	753	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	561	$0.00
1000F		0%	556	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	536	$0.00
3015F		0%	16	$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 officialALFONSO, ELVIS (DOCTOR)