Behavioral
Alpha Care Medical, LLC
Alpha Care Medical, LLC was paid $2.60M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoALPHA CARE MEDICAL, LLC
SEAFORD, DE 19973
SEAFORD, DE 19973
33aNPI1417409905assigned 10/31/2016
33bProvider typeMental Health Counselor
28Total paid$2.60M
24GClaims93,574
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Counselor providers in Delaware
Rank by total paid#3 of 57
Median peer was paid$53K
This provider vs. median49×
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 | 18,356 | $72K | |
| 2019 | 22,712 | $265K | |
| 2020 | 15,974 | $909K | |
| 2021 | 10,491 | $479K | |
| 2022 | 10,957 | $449K | |
| 2023 | 10,693 | $346K | |
| 2024incomplete | 4,391 | $83K |
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 | 43% | 26,309 | 16,487 | $1.13M |
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed | 8.1% | 4,290 | 2,989 | $210K |
| 99493 | 6.8% | 2,584 | 2,420 | $178K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 6.4% | 3,371 | 2,569 | $167K |
| G0397 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes | 6.2% | 8,979 | 5,899 | $162K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.0% | 1,825 | 1,569 | $104K |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 3.9% | 5,785 | 4,395 | $102K |
| 99484 | 2.2% | 5,428 | 4,950 | $57K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.1% | 1,749 | 1,546 | $56K |
| 99494 | 2.0% | 1,999 | 1,900 | $52K | |
| 96138 | 2.0% | 4,659 | 3,154 | $51K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.8% | 975 | 850 | $48K |
25 more codes
| 99215 | Doctor's office visit, returning patient (complex) | 1.4% | 715 | $36K |
| 99354 | 1.4% | 427 | $36K | |
| 99204 | Doctor's office visit, new patient (more involved) | 1.3% | 289 | $35K |
| 99457 | 1.2% | 1,239 | $32K | |
| 90791 | Psychiatric diagnostic evaluation | 1.2% | 399 | $30K |
| 99490 | Ccm add 20min | <1% | 4,536 | $26K |
| 96127 | <1% | 6,808 | $24K | |
| 99454 | <1% | 584 | $13K | |
| 99358 | Prolong nursin fac eval 15m | <1% | 667 | $12K |
| 99205 | Prolong outpt/office vis | <1% | 292 | $11K |
| 99492 | <1% | 245 | $8K | |
| 99359 | Prolong nursin fac eval 15m | <1% | 523 | $8K |
| 95913 | <1% | 221 | $5K | |
| 99458 | <1% | 362 | $5K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 6,316 | $5K |
| 99355 | <1% | 20 | $2K | |
| 96132 | <1% | 60 | $1K | |
| 80305 | <1% | 326 | $573.28 | |
| 99439 | <1% | 87 | $501.84 | |
| 99453 | <1% | 32 | $478.66 | |
| 96103 | <1% | 1,132 | $402.40 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 128 | $247.55 |
| 36415 | Collection of venous blood by venipuncture | <1% | 62 | $129.60 |
| 90785 | <1% | 71 | $128.48 | |
| 99408 | <1% | 80 | $126.60 |
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 officialGALA, NIHAR (MANAGING MEMBER)