Alexander Michael Ralston , PA-C
Physician Assistant โข Flint, MI
4466 W Bristol Rd
Flint, MI 485073170
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Alexander Ralston is listed in NPPES under Physician Assistant.
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NPI assigned on July 14, 2017; this date does not establish years in practice.
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Published CMS data list 1,289 Original Medicare Part B services in 2022.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022. Published rows only; this is not a quality measure.
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Published Part B service records, 2022:
- J0702 โ Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg: 224 service units.
- J3301 โ Injection, triamcinolone acetonide, not otherwise specified, 10 mg: 208 service units.
- 99213 โ Established patient outpatient office visit: 204 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2021 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2022). CPT notice
See all 20 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 171 Medicare Part D prescriptions, including refills, in 2022.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2022. Published rows only; this is not a quality measure.
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Published Part D records, 2022:
- Methylprednisolone โ 96 prescription fills, including refills.
- Meloxicam โ 31 prescription fills, including refills.
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) โ 27 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2022. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 4 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 417 in 2018 to 1,289 in 2022.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2018โ2022.
Practice Location & Contact Primary Location
4466 W Bristol Rd
Flint, MI 485073170
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $47,488 in 2022
The total amount Medicare approved for these services in 2022. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022.
Paid by Medicare
About $34,608 in 2022
The part of the Medicare-allowed amount that Medicare itself paid in 2022, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022.
30-day fills
175 standardized 30-day fills in 2022
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$945 in 2022
The total cost of these prescriptions in 2022, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2022.
Open Payments general payments, program year 2022
All general payments: $127.40 across 29 records.
By nature of payment
- Food and Beverage: $127.40 across 29 records.
Reporting-company totals
- Horizon Therapeutics plc: $127.40 across 29 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2022 (published June 30, 2026).
NPI first issued
2017
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Flint and Michigan
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Alexander Ralston are from 2022.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Alexander Ralston are from 2022.
149 active clinicians are listed under Physician Assistant with a practice address in Flint, MI (6,989 in Michigan).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Flint
8.7% of these 149 clinicians have the CMS telehealth indicator.
70.5% of these 149 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 209% from 417 in 2018 to 1,289 in 2022.
- 2018: 417
- 2019: 1,205
- 2020: 1,005
- 2021: 1,000
- 2022: 1,289
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Medicare-allowed amount
Medicare-allowed amount increased 106% from $23,107 in 2018 to $47,488 in 2022.
- 2018: $23,107
- 2019: $54,620
- 2020: $49,562
- 2021: $46,290
- 2022: $47,488
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Paid by Medicare
Paid by Medicare increased 114% from $16,148 in 2018 to $34,608 in 2022.
- 2018: $16,148
- 2019: $40,940
- 2020: $36,144
- 2021: $33,034
- 2022: $34,608
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 60% from 423 in 2018 to 171 in 2022.
- 2018: 423
- 2019: 220
- 2020: 229
- 2021: 212
- 2022: 171
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30-day fills
30-day fills decreased 59% from 425 in 2018 to 175 in 2022.
- 2018: 425
- 2019: 222
- 2020: 232
- 2021: 213
- 2022: 175
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Part D drug cost
Part D drug cost decreased 87% from $7,443 in 2018 to $945 in 2022.
- 2018: $7,443
- 2019: $2,667
- 2020: $1,637
- 2021: $1,272
- 2022: $945
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $16.98 in 2021 to $127.40 in 2022.
- 2021: $16.98
- 2022: $127.40
Sources: CMS Medicare Physician & Other Practitioners (2022), CMS Medicare Part D Prescribers (2022), CMS Open Payments (2022), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2022 (payments made January 1 โ December 31, 2022): 29 records totaling $127.40.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Horizon Therapeutics plc |
Food and Beverage
In-kind items and services
|
PENNSAID | General | $7.69 |
| Horizon Therapeutics plc |
Food and Beverage
In-kind items and services
|
PENNSAID | General | $7.36 |
| Horizon Therapeutics plc |
Food and Beverage
In-kind items and services
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PENNSAID | General | $6.86 |
| Horizon Therapeutics plc |
Food and Beverage
In-kind items and services
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PENNSAID | General | $6.85 |
| Horizon Therapeutics plc |
Food and Beverage
In-kind items and services
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PENNSAID | General | $6.02 |
| Horizon Therapeutics plc |
Food and Beverage
In-kind items and services
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PENNSAID | General | $5.99 |
| Horizon Therapeutics plc |
Food and Beverage
In-kind items and services
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PENNSAID | General | $5.88 |
| Horizon Therapeutics plc |
Food and Beverage
In-kind items and services
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PENNSAID | General | $5.75 |
| Horizon Therapeutics plc |
Food and Beverage
In-kind items and services
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PENNSAID | General | $5.45 |
| Horizon Therapeutics plc |
Food and Beverage
In-kind items and services
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PENNSAID | General | $5.38 |
| Horizon Therapeutics plc |
Food and Beverage
In-kind items and services
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PENNSAID | General | $5.31 |
| Horizon Therapeutics plc |
Food and Beverage
In-kind items and services
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PENNSAID | General | $4.71 |
| Horizon Therapeutics plc |
Food and Beverage
In-kind items and services
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PENNSAID | General | $4.44 |
| Horizon Therapeutics plc |
Food and Beverage
In-kind items and services
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PENNSAID | General | $4.17 |
| Horizon Therapeutics plc |
Food and Beverage
In-kind items and services
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PENNSAID | General | $4.08 |
| Horizon Therapeutics plc |
Food and Beverage
In-kind items and services
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PENNSAID | General | $4.07 |
| Horizon Therapeutics plc |
Food and Beverage
In-kind items and services
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PENNSAID | General | $3.90 |
| Horizon Therapeutics plc |
Food and Beverage
In-kind items and services
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PENNSAID | General | $3.73 |
| Horizon Therapeutics plc |
Food and Beverage
In-kind items and services
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PENNSAID | General | $3.59 |
| Horizon Therapeutics plc |
Food and Beverage
In-kind items and services
|
PENNSAID | General | $3.21 |
| Horizon Therapeutics plc |
Food and Beverage
In-kind items and services
|
PENNSAID | General | $3.07 |
| Horizon Therapeutics plc |
Food and Beverage
In-kind items and services
|
PENNSAID | General | $3.06 |
| Horizon Therapeutics plc |
Food and Beverage
In-kind items and services
|
PENNSAID | General | $3.05 |
| Horizon Therapeutics plc |
Food and Beverage
In-kind items and services
|
PENNSAID | General | $2.98 |
| Horizon Therapeutics plc |
Food and Beverage
In-kind items and services
|
PENNSAID | General | $2.86 |
(top 25 shown)
Source: CMS Open Payments, program year 2022, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2021 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2022; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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J0702
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
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224 | 41 | $4.00 | $3.94 |
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J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
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208 | 34 | $11.50 | $1.13 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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204 | 150 | $105.00 | $73.35 |
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20610
Aspiration and/or injection of fluid from large joint
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121 | 88 | $173.55 | $62.93 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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77 | 77 | $145.00 | $91.18 |
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73030
X-ray of shoulder, minimum of 2 views
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66 | 46 | $62.73 | $29.13 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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66 | 58 | $60.00 | $46.07 |
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J7321
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose
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42 | 11 | $250.00 | $75.17 |
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73564
X-ray of knee, 4 or more views
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40 | 40 | $101.25 | $41.97 |
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73100
X-ray of wrist, 2 views
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37 | 18 | $59.03 | $28.82 |
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73620
X-ray of foot, 2 views
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35 | 25 | $47.00 | $22.16 |
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73610
X-ray of ankle, minimum of 3 views
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28 | 25 | $60.00 | $28.65 |
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73110
X-ray of wrist, minimum of 3 views
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21 | 19 | $60.00 | $32.89 |
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73560
X-ray of knee, 1-2 views
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21 | 11 | $57.00 | $27.52 |
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73502
X-ray of hip, 2-3 views
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19 | 16 | $75.00 | $37.76 |
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73130
X-ray of hand, minimum of 3 views
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18 | 16 | $66.67 | $32.81 |
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73080
X-ray of elbow, minimum of 3 views
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17 | 15 | $55.00 | $26.22 |
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73562
X-ray of knee, 3 views
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15 | 15 | $62.93 | $35.04 |
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73600
X-ray of ankle, 2 views
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15 | 13 | $55.00 | $26.00 |
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73630
X-ray of foot, minimum of 3 views
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15 | 15 | $52.00 | $26.04 |
Source: CMS Part B by Provider and Service, 2022; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2022.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Methylprednisolone | Methylprednisolone | 96 | 583 | $681.36 | 93 |
| Meloxicam | Meloxicam | 31 | 1,034 | $90.12 | 12 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 27 | 121 | $113.84 | 24 |
| Cephalexin | Cephalexin | 17 | 131 | $59.41 | 17 |
Source: CMS Part D by Provider and Drug, 2022; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Additional State Medicaid & Healthcare Payer Identifiers
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant (Certified)
Orthopaedic Surgery
Doctor of Osteopathic Medicine (D.O.)
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Occupational Therapist
Occupational Therapist Registered
Physical Therapist
Master of Science in Physical Therapy
Physician Assistant
Physician Assistant (Certified), Master of Science
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 4466 W BRISTOL RD, FLINT, MI 485073170 (Tel: 8107331200)
Registered at 4466 W BRISTOL RD, FLINT, MI 485073170 (Tel: 8107331200)
Physician Assistant
Physician Assistant (license number reported to NPPES: MI 5601008297)
NPI status registered as active in NPPES database
Registered at 818 W KING ST STE 300, OWOSSO, MI 488672117 (Tel: 9897294190)
Registered at 818 W KING ST STE 300, OWOSSO, MI 488672117 (Tel: 9897294190)
Recorded as ALEXANDER RALSTON, PA-C
Anesthesiology (license number reported to NPPES: MI 5601008297)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Flint
- Alexsis Parks, PA
- Petru Pop
- Janelle Gilmore, PA
- Pranjali Wakade, PA
- Jeremy Labelle, PA-C
- Jeffrey Miller, PA-C
Mailing Address
4466 W Bristol Rd
Flint, MI 485073170
Phone: 8107331200