Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Nevada for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Nevada only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Nevada (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Maria Jill Alfonso (NPI 1982332227)

Field	Value
Entity Type	Individual
Organization	Maria Jill Alfonso
Address	1330 Karen Ave
City	Las Vegas
State	NV
ZIP	89169
Taxonomy	Family Nurse Practitioner
NPI Enumerated	August 14, 2022

Payer Source	Total Paid
Medicare	$1.6M
Medicaid	$0

Key Findings

This provider’s billing is effectively single‑payer: total Medicare revenue is $1.6M and there is no Medicaid billing on file. The Medicare book of business is highly concentrated — the precomputed top‑3 Medicare codes account for 93.4% of the provider’s total Medicare revenue — indicating revenue is reliant on a very small set of services.

Revenue is overwhelmingly driven by Q4262, which accounts for $1.4M or 90.8% of Medicare revenue. Despite that concentration, the provider’s national rank on Q4262 is #71 of 141 (50th percentile), a middle‑of‑the‑pack position that implies high dollar volume but not a dominant national market share for this specific supply code.

The code mix supports a wound‑care and advanced dressing focus: in addition to Q4262, wound‑focused services such as 97610 ($25K, 83 claims, ranks #234 of 320, 26th percentile) and 15271 ($9.9K, 95 claims, ranks #356 of 1157, 69th percentile) appear on the top list. These codes suggest the practice frequently bills for wound therapy devices and skin substitutes alongside the high‑revenue membrane dressing.

Procedural dermatology and podiatric procedures are a meaningful secondary service line. Nail and lesion procedures appear regularly — for example 11730 ($15.8K, 251 claims) ranks #100 of 3667 (97th percentile, notably above typical national volume), and shave lesions such as 11305 ($7.7K, 198 claims, 94th percentile) and 11306 ($8.7K, 140 claims, 92th percentile) are also unusually frequent relative to national peers.

The provider delivers a notable volume of home‑based E/M care: established‑patient home visit codes 99348 (285 claims, $14.5K, 87th percentile), 99349 (138 claims, $11.7K, 60th percentile), and 99350 (86 claims, $10.8K, 61th percentile) all appear in the top codes. The presence and percentiles on these codes indicate an operational model that includes regular in‑home visits for complex or longitudinal management.

Competitive standing is mixed across service lines: the primary revenue driver Q4262 sits at a typical national percentile (50th), while specific procedural codes like 11730 are clear outliers (97th percentile, notably above typical), indicating pockets of above‑average national specialization amid otherwise typical volumes. Analysts should view the practice as a concentrated Medicare revenue generator with selective clinical strengths rather than a broadly dominant multi‑service competitor.

The provider’s NPI was enumerated on 2022-08-14 (~4 years ago), which makes the reported $1.6M in lifetime Medicare revenue notable given the relatively recent enrollment date. This tenure suggests rapid scaling of the Medicare business or front‑loaded billing activity since enumeration.

From a payer‑strategy perspective, the absence of any Medicaid billing on file limits this provider’s payer diversification and exposure to state Medicaid networks. That single‑payer orientation (Medicare only) may affect contracting leverage and network access considerations for payers and health systems evaluating partnerships or referrals.

Medicare: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4262	Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure)	1,360	$1,060	$1.4M
97610	The provider uses a low–frequency ultrasound device to try to improve wound healing.	80	$300	$25K
11730	The provider removes part or all of a single nail plate using simple avulsion techniques.	250	$60	$15.8K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	290	$50	$14.5K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	140	$90	$11.7K
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	90	$130	$10.8K
15271	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.	100	$100	$9.9K
11306	The provider shaves off a single epidermal or dermal lesion of 0.6 to 1.0 cm in diameter from the skin of the scalp, neck, hands, feet, or genitals.	140	$60	$8.7K
11305	The provider shaves off a single epidermal or dermal lesion of 0.5 cm or less in diameter from the scalp, neck, hands, feet, or genitals.	200	$40	$7.7K
11307	The provider shaves off a single epidermal or dermal lesion 1.1 to 2.0 cm in diameter from the skin of the scalp, neck, hands, feet, or genitals.	90	$80	$6.9K

Showing 1–10 of 25

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Nevada Distribution

Maria Jill Alfonso — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. state median

25 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4262	4	10	1,300	$980	$3.6M
97610	8	10	180	$310	$98.4K
99350	52	100	100	$120	$33.9K
99349	62	150	100	$80	$23.3K
15271	15	40	80	$110	$17.8K
11056	58	60	130	$60	$12K
11042	86	120	120	$70	$11.6K
99348	20	100	80	$50	$9.2K
11721	49	80	200	$30	$8.9K
11720	12	30	90	$20	$7.2K

Showing 1–10 of 25

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Deborah Dugan	AZ	Family Nurse Practitioner	$2.9M	$0
Straight Line Arla	TX	Psychiatry Physician	$242.4K	$1M
Phu Tran	FL	Hematology & Oncology Physician	$1.2M	$10.9K
Andrew Styperek	FL	Procedural Dermatology Physician	$1.2M	$0
Nicole Siddons	MN	Family Nurse Practitioner	$1.1M	$0
Aaron Aldape	TX	Family Medicine Physician	$988.1K	$0
Jasmit Minhas	WA	Internal Medicine Physician	$965.4K	$0
Lisa Pfingstler	PA	Dermatology Physician	$581.7K	$257.3K
Kunal Agarwal	FL	Sleep Medicine (Family Medicine) Physician	$700.7K	$0
Tanisha Ranger	NV	Clinical Psychologist	$656.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maxim Healthcare Services, Inc,	NV	Home Health Agency	$0	$31.3M
William Neal Evans Md Ltd	NV	Pediatric Cardiology Physician	$0	$25.7M
Bio-medical Applications Of Nevada, LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$14M
Allison Curtis Kingsley Meoz Michael & Sanchez PC	NV	Hematology & Oncology Physician	$0	$13.4M
Firstmed Health And Wellness Center Inc	NV	Federally Qualified Health Center (FQHC)	$0	$13.1M
Nkdhc Rudnitsky PLLC	NV	Nephrology Physician	$0	$9.2M
Lsa Lab LLC	NV	Clinical Medical Laboratory	$97.3K	$8.5M
Assurance Professional Management Services Inc.	NV	Addiction (Substance Use Disorder) Counselor	$0	$6.9M
Paradise Healthcare Services, Inc. Dba Paradise Home Care	NV	In Home Supportive Care Agency	$0	$6.8M
Veras Home & Health Care LLC	NV	Personal Care Attendant	$0	$6M

Maria Jill Alfonso — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References