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    OpenPayerNPI Medicare & MedicaidMaykol Alarcon
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    Maykol Alarcon — Billing Profile & Reimbursement Data

    NPI 1598265613 · Schenectady, NY · Family Nurse Practitioner

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    Maykol Alarcon is a family nurse practitioner provider located in Schenectady, New York. This profile covers 13 Medicare and 10 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
    OrganizationMaykol Alarcon
    Address1101 Nott St
    CitySchenectady
    StateNY
    ZIP12308
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedFebruary 15, 2018

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

    Payer SourceTotal Paid
    Medicare$196.6K
    Medicaid$28.6K

    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99442N/A1,860$60$102.5K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…980$70$67.3K
    99443N/A60$80$4.7K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…50$70$3.6K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.90$40$3.5K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…70$40$3K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…60$50$3K
    99448A consulting physician or other qualified healthcare professional performs a 21– to 30–minute consult via telephone, internet, or electronic health record (EHR) and provides a verbal and written…60$40$2.1K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…90$20$2K
    99458The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.…80$20$1.8K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    993081,8152,360250$60$44.9K
    993092982,150220$90$41.7K
    992335,6198,64080$100$15.8K
    992326,70611,85080$70$13.8K
    99457351480150$40$12.5K
    99454298420130$40$12.5K
    99458158260100$30$10.1K
    992393,1093,46050$100$7.1K
    994433161,20030$90$5.7K
    9944272,51030$70$5.2K

    Showing 1–10 of 13

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99442N/A3,100$10$18.6K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…1,630$10$8.2K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.70$1$280
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…60$0$0
    99439The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…30$0$0
    99447A consulting physician or other qualified healthcare professional performs an 11– to 20–minute consult via telephone, internet, or electronic health record (EHR) and provides a verbal and written…20$0$0
    99448A consulting physician or other qualified healthcare professional performs a 21– to 30–minute consult via telephone, internet, or electronic health record (EHR) and provides a verbal and written…30$0$0
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…100$0$0
    99458The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.…90$0$0
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…30$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New York median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99442N/A1132,60080$50$35.3K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…1,7382,090420$10$18.7K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…4101,840390$10$17.1K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…9791,110230$10$12.1K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.156220180$10$9.2K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…169280160$10$6.8K
    99439The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…192230120$10$6.2K
    99458The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.…82140140$10$3.3K
    99447A consulting physician or other qualified healthcare professional performs an 11– to 20–minute consult via telephone, internet, or electronic health record (EHR) and provides a verbal and written…202030$30$2.4K
    99448A consulting physician or other qualified healthcare professional performs a 21– to 30–minute consult via telephone, internet, or electronic health record (EHR) and provides a verbal and written…31030$20$940

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ellis HospitalNYGeneral Acute Care Hospital$0$82.3M
    Zvi BatashNYInternal Medicine Physician$1.1M$532.2K
    Sunil AbrahamNCRheumatology Physician$1.1M$0
    Gurdeep KundlasNYFamily Medicine Physician$182.5K$577.3K
    Shobin OommenPAPsychiatry Physician$345.8K$396K
    Kenneth CoombsNYPodiatrist$457.6K$28.5K
    Ping LuNYNuclear Medicine Physician$404.1K$0
    Jonathan BechorNYMedical Physician Assistant$396K$0
    Jean HaywardNYFamily Nurse Practitioner$365.4K$11.9K
    Kyle WashingtonNYFamily Nurse Practitioner$353.4K$14.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alec PlattNYPulmonary Disease Physician$121.1K$30
    Christopher DolinskyNYRadiation Oncology Physician$102.2K$0
    Biao LeiNYAnesthesiology Physician$87.8K$0
    Franklin LongoNYOphthalmology Physician$79.1K$4.2K
    Penny KnichelNYFamily Nurse Practitioner$64.6K$0
    John DiniusNYAnesthesiology Physician$38.7K$0
    Sean MorrisNYFamily Nurse Practitioner$22.8K$0
    Sue CiarmielloNYPsychiatric/Mental Health Nurse Practitioner$16.8K$0
    Xi BeshaNYClinical Neuropsychologist$13.9K$0
    Hanna LeongNYClinical Neuropsychologist$13.5K$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. New York Distribution
    Maykol Alarcon — 1 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Maykol Alarcon — 1 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York