Lab
Alpha Health Services PLLC
Alpha Health Services PLLC was paid $1.75M by Medicaid between May 2018 and Apr 2024, across 4 billing codes. Its largest line is 80307, Drug test(s), presumptive, any number of drug classes; immunoassay — 89% of everything it billed.
33Billing provider infoALPHA HEALTH SERVICES PLLC
PRESTONSBURG, KY 41653
PRESTONSBURG, KY 41653
33aNPI1508210030assigned 04/21/2016
33bProvider typeClinical Medical Laboratory
28Total paid$1.75M
24GClaims47,477
24DCodes billed4
24AFirst – last monthMay 2018 – Apr 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Kentucky
Rank by total paid#20 of 73
Median peer was paid$95K
This provider vs. median18×
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 | 2,732 | $90K | |
| 2019 | 6,204 | $258K | |
| 2020 | 12,987 | $410K | |
| 2021 | 10,179 | $374K | |
| 2023 | 11,918 | $482K | |
| 2024incomplete | 3,457 | $136K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 89% | 44,368 | 23,031 | $1.56M |
| G0481 | 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; 8-14 drug class(es), including metabolite(s) if performed | 6.9% | 1,905 | 1,463 | $121K |
| G0480 | 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; 1-7 drug class(es), including metabolite(s) if performed | 2.9% | 1,034 | 886 | $51K |
| G0482 | 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; 15-21 drug class(es), including metabolite(s) if performed | <1% | 170 | 167 | $14K |
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 officialHANA, ANTOIN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Frontier Behavioral Health Center PLLC | Salyersville, KY | $24.21M |
| Albaree Health Services LLC | Salyersville, KY | $10.15M |
| Eastern Kentucky Tender Care Pediatrics LLC | Prestonsburg, KY | $5.24M |
| Martin County Rural Health Clinic PLLC | Inez, KY | $4.23M |
| Frontier Medical Associates of Prestonsburg INC | Prestonsburg, KY | $1.73M |
| Frontier Medical Associates of Paintsville INC | Paintsville, KY | $1.03M |
| Samaritan Family Care LLC | Paintsville, KY | $359K |
| Frontier Vision LLC | Prestonsburg, KY | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.