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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRenato Alfonso
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    Renato Alfonso — Billing Profile & Reimbursement Data

    NPI 1184619017 · Palm Coast, FL · Specialist

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    Renato Alfonso is a specialist provider located in Palm Coast, Florida. This profile covers 20 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    (source: NPPES NPI Registry)

    Table of contents

    Progress1 / 7

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationRenato Alfonso
    Address84 Pinnacles Dr
    CityPalm Coast
    StateFL
    ZIP32164
    TaxonomySpecialist
    NPI EnumeratedSeptember 16, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$795K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…3,170$90$272.5K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1,410$130$177.3K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…2,220$60$133.4K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…1,500$80$119.9K
    G0444Annual depression screening, 5 to 15 minutes1,440$20$25.8K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…90$220$18.8K
    99495The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…100$160$16K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…110$100$11.3K
    G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment50$160$7.8K
    G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit40$160$6K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992144432,760140$90$25K
    G043927,21060$120$13.4K
    9921310530,01080$60$12K
    992156,0388,55040$130$10.7K
    992042,68719,04040$110$7K
    99496922,07020$190$6.8K
    9949712,37050$70$6.7K
    992054,1324,82030$160$6.6K
    G043819499020$160$4.6K
    992038,03611,72040$70$4.4K

    Showing 1–10 of 20

    Nearby Providers

    Other providers in the same ZIP code as Renato Alfonso, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Memorial Hospital Flagler IncFLGeneral Acute Care Hospital$0$13.9M
    Padmaja SaiFLMedical Oncology Physician$3.7M$0
    Amit NanavatiFLInterventional Cardiology Physician$1.2M$0
    Anthony TuckerFLOtolaryngology Physician$413.4K$0
    Arnaldo TrabuccoFLUrology Physician$363.1K$0
    Issam NasrFLGastroenterology Physician$228.7K$0
    Kizhake KurianFLCardiovascular Disease Physician$226.8K$0
    Dean AbtahiFLCardiovascular Disease Physician$222.4K$0
    Charles SteinFLPhlebology Physician$212.9K$0
    Terrence ReganFLUrology Physician$211.1K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Renato Alfonso — 8 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida