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    OpenPayerNPI Medicare & MedicaidRoderick Alfonso
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    Roderick Alfonso — Billing Profile & Reimbursement Data

    NPI 1417310293 · Aiea, HI · Emergency Medicine Physician

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    Roderick Alfonso is a emergency medicine physician provider located in Aiea, Hawaii. This profile covers 5 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRoderick Alfonso
    Address98-1079 Moanalua Rd
    CityAiea
    StateHI
    ZIP96701
    TaxonomyEmergency Medicine Physician
    NPI EnumeratedMarch 30, 2016

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

    Payer SourceTotal Paid
    Medicare$69.2K
    Medicaid$580

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.240$140$32.9K
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.200$90$17.6K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…100$170$16.5K
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.40$50$1.9K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.70$10$430

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992858190100$130$14.5K
    992915228040$170$10.4K
    99284221050$90$5.3K
    99283118020$50$1.1K
    9301010621070$10$720

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.10$50$590

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Hawaii providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Hawaii median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.45503,740$290$3.8M

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Roderick Alfonso, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Waianae District Comprehensive Health And Hospital Board, IncHIFamily Medicine Physician$0$125.3M
    Waianae District Comprehensive Health And Hospital Board, IncorporatedHIFederally Qualified Health Center (FQHC)$0$18.5M
    Emergency Medicine Physicians Of Honolulu Kapiolani, LLCHIEmergency Medicine Physician$0$7.9M
    Emergency Medicine Physicians Of Honolulu Pali Momi, LLCHIEmergency Medicine Physician$0$4.2M
    Waianae District Comprehensive Health And Hospital Board, IncorporatedHIFederally Qualified Health Center (FQHC)$0$3.3M
    Waianae District Comprehensive Health And Hospital Board, IncorporatedHIFederally Qualified Health Center (FQHC)$0$2.2M
    Elizabeth KavalerNYUrology Physician$1.7M$0
    Amr El-serganyHIVascular Surgery Physician$1.5M$0
    Waianae District Comprehensive Health And Hospital Board, IncorporatedHIFederally Qualified Health Center (FQHC)$0$1.4M
    Waianae District Comprehensive Health And Hospital Board, IncorporatedHIFederally Qualified Health Center (FQHC)$0$1.1M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Diagnostic Laboratory Services, IncHIClinical Medical Laboratory$10.5M$46M
    Pali Momi Medical CenterHIGeneral Acute Care Hospital$0$49.3M
    Dlmc, Inc.HIHome Health Agency$0$39.5M
    Usrc Pearlridge, LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$11.7M
    International Life Support IncHIAmbulance$1.2M$8.6M
    Dialysis Newco LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$5.8M
    Pharmacare International, Inc.HICommunity/Retail Pharmacy$125.1K$4.7M
    Absolute Care Management ServicesHIPoint of Service$0$3.2M
    Derek B Tom Dds LLCHIPediatric Dentistry$0$2.6M
    Sleep Center Hawaii LLCHISleep Disorder Diagnostic Clinic/Center$0$2.5M

    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. Hawaii Distribution
    Roderick Alfonso — 2 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii
    Medicaid Revenue by Year vs. Hawaii Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Hawaii Distribution
    Roderick Alfonso — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii