Physician
Alpha Medical Center, PA
Alpha Medical Center, PA was paid $839K by Medicaid between Jan 2018 and Dec 2024, across 76 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoALPHA MEDICAL CENTER, PA
FAYETTEVILLE, NC 28303
FAYETTEVILLE, NC 28303
33aNPI1285719997assigned 10/25/2006
33bProvider typeInternal Medicine Physician
28Total paid$839K
24GClaims77,652
24DCodes billed76
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in North Carolina
Rank by total paid#89 of 616
Median peer was paid$74K
This provider vs. median11×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,585 | $85K | |
| 2019 | 5,921 | $96K | |
| 2020 | 3,648 | $82K | |
| 2021 | 6,781 | $102K | |
| 2022 | 7,451 | $96K | |
| 2023 | 12,473 | $106K | |
| 2024incomplete | 35,793 | $273K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 49% | 9,199 | 6,282 | $409K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 4,994 | 3,488 | $146K |
| 99199 | Unlisted special service, procedure or report | 12% | 20,504 | 12,590 | $99K |
| 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 | 4.0% | 294 | 252 | $34K |
| 99401 | 3.5% | 3,245 | 2,365 | $29K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 2.8% | 319 | 35 | $23K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.1% | 296 | 250 | $17K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.6% | 2,007 | 1,392 | $14K |
| 99406 | <1% | 1,459 | 1,099 | $8K | |
| 96127 | <1% | 3,519 | 2,651 | $7K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 939 | 700 | $6K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 129 | 96 | $5K |
64 more codes
| 99442 | <1% | 191 | $5K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 44 | $4K |
| 99497 | <1% | 807 | $4K | |
| 99496 | <1% | 143 | $4K | |
| 82962 | <1% | 3,547 | $4K | |
| 99454 | <1% | 139 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 48 | $3K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 168 | $3K |
| 90756 | <1% | 595 | $2K | |
| 95117 | <1% | 393 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 234 | $2K |
| 94010 | <1% | 184 | $2K | |
| 99457 | <1% | 67 | $1K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,318 | $866.01 |
| 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% | 177 | $409.45 |
| 90688 | <1% | 53 | $353.67 | |
| 90674 | <1% | 13 | $348.65 | |
| 90661 | <1% | 64 | $293.85 | |
| 99458 | <1% | 24 | $271.71 | |
| 99453 | <1% | 31 | $228.80 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 132 | $132.30 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 642 | $111.02 |
| 94016 | <1% | 26 | $69.16 | |
| 82947 | <1% | 87 | $38.72 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 1,476 | $0.51 |
| 3074F | <1% | 1,990 | $0.15 | |
| 3079F | <1% | 916 | $0.13 | |
| 3044F | <1% | 361 | $0.13 | |
| 3078F | <1% | 1,733 | $0.11 | |
| 3075F | <1% | 578 | $0.08 | |
| 1159F | <1% | 1,541 | $0.07 | |
| 1160F | <1% | 1,516 | $0.06 | |
| 3077F | <1% | 98 | $0.05 | |
| 1111F | <1% | 165 | $0.04 | |
| 3080F | <1% | 45 | $0.02 | |
| 1170F | <1% | 34 | $0.01 | |
| G0246 | Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education | 0% | 264 | $0.00 |
| 4004F | 0% | 718 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 619 | $0.00 |
| 3288F | 0% | 1,181 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 136 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 979 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 238 | $0.00 |
| 3085F | 0% | 16 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 59 | $0.00 |
| 3725F | 0% | 124 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 475 | $0.00 |
| 3008F | 0% | 1,620 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 645 | $0.00 |
| 1034F | 0% | 463 | $0.00 | |
| 1220F | 0% | 442 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 743 | $0.00 |
| 1036F | 0% | 643 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 382 | $0.00 |
| 1101F | 0% | 388 | $0.00 | |
| 3011F | 0% | 316 | $0.00 | |
| 90656 | 0% | 79 | $0.00 | |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 211 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 217 | $0.00 |
| 1060F | 0% | 20 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 66 | $0.00 |
| 3017F | 0% | 67 | $0.00 | |
| 3014F | 0% | 21 | $0.00 | |
| 3060F | 0% | 36 | $0.00 |
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 officialOJO, BABATUNDE (PRESIDENT)