Skip to main content
UniHealth

Doctor search

Allen Paul Miraflor, MD

Pathology · Tucson

NPI 1144587098

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
22
6 carriers
Offices
2

Offices

2 locations · Banner-University Medical Group · Csi Medical Group

Looking this up.

Plans that list them

22 plans · 6 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Miraflor’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

22 of 22 plans

Plans whose provider directory lists this clinician
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Harmony (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Silicon (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
Anthem Prime (HMO-POS)Anthem Blue Cross Partnership PlanListedOct 3, 2026
Astiva Health C-SNP WOW - NorCal (HMO C-SNP)Astiva HealthListedSep 27, 2026
Astiva Health Premier Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Astiva Health Savings Plan - NorCal (HMO)Astiva HealthListedSep 27, 2026
Blue Shield Inspire (HMO)Blue Shield of CaliforniaListedAug 26, 2026
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026

California Medical Board record

Licence A152557 · Current

Licensed to practise in California · since 2017 · expires 2027-09-30 · Tulane University School of Medicine.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Original Medicare doctor bills

$1,077,661

Medicare paid this office $1,077,661 for 6,680 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Pathology examination of tissue using a microscope, intermediate complexity6,159$712,821$72
Special stained specimen slides to examine tissue, each additional procedure751$151,823$95
Special stained specimen slides to examine tissue, initial procedure1,027$127,597$111
Pathology examination of tissue using a microscope, moderately low complexity937$46,237$45
Special stained specimen slides to identify organisms including interpretation and report251$36,757$119
See all 6 services
Every Original Medicare service billed
Pathology examination of tissue using a microscope, intermediate complexity6,159$712,821$72
Special stained specimen slides to examine tissue, each additional procedure751$151,823$95
Special stained specimen slides to examine tissue, initial procedure1,027$127,597$111
Pathology examination of tissue using a microscope, moderately low complexity937$46,237$45
Special stained specimen slides to identify organisms including interpretation and report251$36,757$119
Special stained specimen slides to examine tissue including interpretation and report19$2,192$84

Who their Medicare patients are

6,680 Original Medicare patients in 2024. Average age 77 · Under 65 1% · 85 and older 19% · Women 47% · Also on Medicaid 6% · Health risk score 1.05. At or below the middle of the specialty; the typical pathology clinician is at 1.55.

Conditions among them: High blood pressure 70% · Coronary heart disease 26% · Diabetes 22% · Atrial fibrillation 21% · Chronic kidney disease 20% · Cancer 17% · Depression 13% · Heart failure 12% · COPD 10% · Stroke 6% · Dementia 5%.

The office billed $2,504,125, Medicare allowed $1,362,397 and paid $1,077,661; for 13,974 services of 9 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
20246,68013,974771.05$2,504,125$1,077,661
20238001,314771.03$233,545$97,847

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 5 services

Original Medicare services billed in 2023
Pathology examination of tissue using a microscope, intermediate complexity704$70,710$72
Special stained specimen slides to examine tissue, initial procedure87$9,261$105
Special stained specimen slides to examine tissue, each additional procedure54$8,766$91
Pathology examination of tissue using a microscope, moderately low complexity115$5,469$45
Special stained specimen slides to identify organisms including interpretation and report26$3,372$120

Medicaid work

$5,560 in 2024

Medicaid paid $5,560 for 267 billed services this clinician did in 2024, up to 42 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
TISSUE EXAM BY PATHOLOGIST267$5,560
Medicaid work by year
2024267142$5,560
202327127$0
201934117$0
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
TISSUE EXAM BY PATHOLOGIST27$0

2019

Largest Medicaid services in 2019
TISSUE EXAM BY PATHOLOGIST34$0

Money from drug and device companies

$26 in 2020

A payment is not proof that care is biased.

Payments by company
CelgeneReblozyl$26
1 payment
  • Meals for Reblozyl · 2020-09-22 · $26
See the published payment
Every published payment
CelgeneMeals · 2020-09-22Reblozyl$26

Professional record

NPI
1144587098
Licence
CA A152557California A152557: Current · expires 2027-09-30
Trained
Tulane University School of Medicine, 2012
Group
Banner-University Medical Group · Csi Medical Group
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207ZD0900X (207ZD0900X)
Mailing address
Po Box 245106, Tucson, AZ, 85724
NPI first listed
2012-04-17
NPI last updated
2025-12-01
NPI record certified
2025-12-01

This is when the NPI record was last certified, not a medical board exam.