Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ALPHA CARE MEDICAL, LLC

NPI: 1417409905 · SEAFORD, DE 19973 · Mental Health Counselor · NPI assigned 10/31/2016

$2.60M
Total Medicaid Paid
93,574
Total Claims
67,056
Beneficiaries
37
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGALA, NIHAR (MANAGING MEMBER)
NPI Enumeration Date10/31/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 4,391 $83K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 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 4,290 2,989 $210K
99493 2,584 2,420 $178K
90837 Psychotherapy, 53 minutes with patient 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 8,979 5,899 $162K
90834 Psychotherapy, 45 minutes with patient 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 5,785 4,395 $102K
99484 5,428 4,950 $57K
90832 Psychotherapy, 30 minutes with patient 1,749 1,546 $56K
99494 1,999 1,900 $52K
96138 4,659 3,154 $51K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 975 850 $48K
99215 Prolong outpt/office vis 715 450 $36K
99354 427 326 $36K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 289 274 $35K
99457 1,239 1,072 $32K
90791 Psychiatric diagnostic evaluation 399 373 $30K
99490 Ccm add 20min 4,536 4,160 $26K
96127 6,808 5,121 $24K
99454 584 462 $13K
99358 Prolong nursin fac eval 15m 667 526 $12K
99205 Prolong outpt/office vis 292 260 $11K
99492 245 212 $8K
99359 Prolong nursin fac eval 15m 523 461 $8K
95913 221 67 $5K
99458 362 288 $5K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 6,316 2,826 $5K
99355 20 15 $2K
96132 60 48 $1K
80305 326 280 $573.28
99439 87 60 $501.84
99453 32 28 $478.66
96103 1,132 759 $402.40
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 128 92 $247.55
36415 Collection of venous blood by venipuncture 62 59 $129.60
90785 71 61 $128.48
99408 80 48 $126.60