Physician

Alfonso F.j. Prieto, MD

According to 2025 Medicare claims, Alfonso Prieto, MD (NPI: 1063411783) practices cardiac electrophysiology in the Albany-Schenectady-Troy, NY market, with the plurality of this provider's patient population coming from Saratoga, NY. This provider's primary affiliated billing organization is ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. (NPI: 1750626834; TIN: 461177336) and primary practice location at 12208-1707. Prieto is affiliated with the Trinity Health Integrated Care (ACO ID: A3454), participating under the MSSP model.

Prieto's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 2,571 traditional Medicare patients, billed 5,534 HCPCS/CPT codes, and received $193,657 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 8,656 prescription claims across 1,551 beneficiaries totaling $3,044,847 in drug costs, led by Eliquis (Apixaban). Open Payments data shows 56 records totaling $1,092. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved from a lower plateau to a higher plateau, from $566,707 to $3,044,847. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.