Physician

Alfayo C Michira, PA

Physician assistant Merced, CA The Noble Group A Medical Corporation

According to 2025 Medicare claims, Alfayo C. Michira, PA (NPI: 1245866086) practices physician assistant in the Merced, CA market, with the plurality of this provider's patient population coming from Merced, CA. This provider's primary affiliated billing organization is The Noble Group A Medical Corporation (NPI: 1336220557; TIN: ).

Michira's data goes back to 2012 and runs through 2026. For example, in 2023, this provider had 50 traditional Medicare patients, billed 182 HCPCS/CPT codes, and received $4,236 in Medicare payments. Part D data shows 3,047 prescription claims across 427 beneficiaries totaling $328,668 in drug costs, and DME data shows 46 claims. Open Payments data shows 10 records totaling $360.

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10-Year Trend of Part B billing

Medicare payment trend, with patients and services in the table.

Year	Patients	Services	Medicare Payment
2014	Not reported for this year	Not reported for this year	Not reported for this year
2015	Not reported for this year	Not reported for this year	Not reported for this year
2016	Not reported for this year	Not reported for this year	Not reported for this year
2017	Not reported for this year	Not reported for this year	Not reported for this year
2018	Not reported for this year	Not reported for this year	Not reported for this year
2019	Not reported for this year	Not reported for this year	Not reported for this year
2020	Not reported for this year	Not reported for this year	Not reported for this year
2021	33	88	$2,960
2022	75	236	$6,840
2023	50	182	$4,236

10-Year Trend of Part D records

Prescription claims trend, with patients and drug cost in the table.

Year	Patients	Claims	Drug Cost
2014	Not reported for this year	Not reported for this year	Not reported for this year
2015	Not reported for this year	Not reported for this year	Not reported for this year
2016	Not reported for this year	Not reported for this year	Not reported for this year
2017	Not reported for this year	Not reported for this year	Not reported for this year
2018	Not reported for this year	Not reported for this year	Not reported for this year
2019	Not reported for this year	Not reported for this year	Not reported for this year
2020	52	140	$3,250
2021	230	1,145	$66,788
2022	372	1,916	$110,919
2023	427	3,047	$328,668

10-Year Trend of DME records

DME claim records trend, with patients and payment in the table.

Year	Patients	Claims	Medicare Payment
2014	Not reported for this year	Not reported for this year	Not reported for this year
2015	Not reported for this year	Not reported for this year	Not reported for this year
2016	Not reported for this year	Not reported for this year	Not reported for this year
2017	Not reported for this year	Not reported for this year	Not reported for this year
2018	Not reported for this year	Not reported for this year	Not reported for this year
2019	Not reported for this year	Not reported for this year	Not reported for this year
2020	Not reported for this year	Not reported for this year	Not reported for this year
2021	Not reported for this year	11	$443
2022	14	31	$1,187
2023	17	46	$2,628

Top 5 Part B billing codes in 2023

By N of patients.

No connected Part B code-level records for 2023.

Top 5 Part D drugs in 2023

By N of patients.

No connected Part D drug-level records for 2023.

Top 5 DME in 2023

By N of patients.

DME	Patients	Claims	Services	Medicare Payment
All DME supplier activity	17	48	214	$2,966
Durable medical equipment	15	46	92	$2,628

DME category summary is shown when item-level DME rows are not connected.

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Part B billing, Part D prescribing, DME records, yearly summaries, source JSON, and source notes.

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