Allen Paul Miraflor, MD
Pathology · Tucson
- 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
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
| Alignment Health BreathEasy (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Clarity (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Harmony (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes CalPlus (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes Care (HMO C-SNP) | Alignment Health Plan | Listed | Sep 28, 2026 |
| Alignment Health Heart & Diabetes Choice (HMO C-SNP) | Alignment Health Plan | Listed | Sep 28, 2026 |
| Alignment Health Honor+ Plan (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health My Choice CalCare (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Silicon (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health smartHMO (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health the ONE (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Anthem Full Dual Advantage Aligned (HMO D-SNP) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Anthem Medicare Advantage (HMO-POS) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Anthem Prime (HMO-POS) | Anthem Blue Cross Partnership Plan | Listed | Oct 3, 2026 |
| Astiva Health C-SNP WOW - NorCal (HMO C-SNP) | Astiva Health | Listed | Sep 27, 2026 |
| Astiva Health Premier Plan - NorCal (HMO) | Astiva Health | Listed | Sep 27, 2026 |
| Astiva Health Savings Plan - NorCal (HMO) | Astiva Health | Listed | Sep 27, 2026 |
| Blue Shield Inspire (HMO) | Blue Shield of California | Listed | Aug 26, 2026 |
| Imperial Courage Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Dynamic Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Senior Value (HMO C-SNP) | Imperial Health Plan of California, Inc. | Listed | Sep 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.
| Pathology examination of tissue using a microscope, intermediate complexity | 6,159 | $712,821 | $72 |
| Special stained specimen slides to examine tissue, each additional procedure | 751 | $151,823 | $95 |
| Special stained specimen slides to examine tissue, initial procedure | 1,027 | $127,597 | $111 |
| Pathology examination of tissue using a microscope, moderately low complexity | 937 | $46,237 | $45 |
| Special stained specimen slides to identify organisms including interpretation and report | 251 | $36,757 | $119 |
See all 6 services
| Pathology examination of tissue using a microscope, intermediate complexity | 6,159 | $712,821 | $72 |
| Special stained specimen slides to examine tissue, each additional procedure | 751 | $151,823 | $95 |
| Special stained specimen slides to examine tissue, initial procedure | 1,027 | $127,597 | $111 |
| Pathology examination of tissue using a microscope, moderately low complexity | 937 | $46,237 | $45 |
| Special stained specimen slides to identify organisms including interpretation and report | 251 | $36,757 | $119 |
| Special stained specimen slides to examine tissue including interpretation and report | 19 | $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
| 2024 | 6,680 | 13,974 | 77 | 1.05 | $2,504,125 | $1,077,661 |
| 2023 | 800 | 1,314 | 77 | 1.03 | $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
| Pathology examination of tissue using a microscope, intermediate complexity | 704 | $70,710 | $72 |
| Special stained specimen slides to examine tissue, initial procedure | 87 | $9,261 | $105 |
| Special stained specimen slides to examine tissue, each additional procedure | 54 | $8,766 | $91 |
| Pathology examination of tissue using a microscope, moderately low complexity | 115 | $5,469 | $45 |
| Special stained specimen slides to identify organisms including interpretation and report | 26 | $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.
| TISSUE EXAM BY PATHOLOGIST | 267 | $5,560 |
| 2024 | 267 | 1 | 42 | $5,560 |
| 2023 | 27 | 1 | 27 | $0 |
| 2019 | 34 | 1 | 17 | $0 |
See the largest Medicaid services in earlier years
2023
| TISSUE EXAM BY PATHOLOGIST | 27 | $0 |
2019
| TISSUE EXAM BY PATHOLOGIST | 34 | $0 |
Money from drug and device companies
$26 in 2020
A payment is not proof that care is biased.
| Celgene | Reblozyl | $26 | 1 payment
|
See the published payment
| Celgene | Meals · 2020-09-22 | Reblozyl | $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.