Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Alpha M.D., PLC

Alpha M.D., PLC was paid $124K by Medicaid between Aug 2022 and May 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 93% of everything it billed.

33Billing provider infoALPHA M.D., PLC
GROVE, OK 74344
33aNPI1245978774assigned 05/24/2022
28Total paid$124K
24GClaims1,806
24DCodes billed4
24AFirst – last monthAug 2022 – May 2024
Compared with peers

Next to other Family Medicine Physician providers in Oklahoma

Rank by total paid#188 of 351
Median peer was paid$153K
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$10K2018201920202021202220232024
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
2022367$27K
2023904$67K
2024incomplete535$29K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 93% 1,384 1,348 $114K
99309 Subsequent nursing facility care, per day, low to moderate complexity 5.7% 292 292 $7K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1.4% 14 14 $2K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 116 115 $399.05

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 officialHOSTETLER, JACOB (MANAGER)