Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Alpha Medical, LLC

Alpha Medical, LLC was paid $99K by Medicaid between Jul 2020 and Aug 2024, across 17 billing codes. Its largest line is U0004, 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r — 66% of everything it billed.

33Billing provider infoALPHA MEDICAL, LLC
DOWNERS GROVE, IL 60516
33aNPI1154579811assigned 09/05/2008
28Total paid$99K
24GClaims3,533
24DCodes billed17
24AFirst – last monthJul 2020 – Aug 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Illinois

Rank by total paid#121 of 235
Median peer was paid$123K
This provider vs. median0.8×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2020476$28K
2021761$31K
2022949$33K
202396$663.07
2024incomplete1,251$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 66% 850 589 $65K
G2024 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source 10% 432 261 $10K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 9.1% 410 339 $9K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 7.3% 365 317 $7K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2.5% 404 198 $2K
80048 Basic metabolic panel (calcium, ionized) 1.7% 258 115 $2K
80053 Comprehensive metabolic panel <1% 92 55 $690.84
83735 <1% 78 42 $501.79
83930 <1% 94 56 $481.63
82248 <1% 93 56 $392.19
84550 <1% 91 57 $367.48
36415 Collection of venous blood by venipuncture <1% 245 111 $358.49
5 more codes
84100 <1% 58 $237.79
84443 Thyroid stimulating hormone (TSH) <1% 12 $190.72
80061 Lipid panel <1% 27 $138.80
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 12 $103.24
81001 <1% 12 $33.30

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialSHIMI, SAM (OPERATIONS MANAGER)