Managed care
Alpha Care Medical Group, INC
Alpha Care Medical Group, INC was paid $285.27 by Medicaid between Mar 2018 and Aug 2018, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 77% of everything it billed.
33Billing provider infoALPHA CARE MEDICAL GROUP, INC
PASADENA, CA 91107
PASADENA, CA 91107
33aNPI1770655847assigned 11/14/2006
33bProvider typeHealth Maintenance Organization
28Total paid$285.27
24GClaims154
24DCodes billed5
24AFirst – last monthMar 2018 – Aug 2018
Compared with peers
Next to other Health Maintenance Organization providers in California
Rank by total paid#124 of 151
Median peer was paid$59K
This provider vs. median0.0×
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 | 154 | $285.27 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 77% | 20 | 16 | $218.59 |
| 80053 | Comprehensive metabolic panel | 23% | 28 | 26 | $66.68 |
| 81001 | 0% | 12 | 12 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 65 | 54 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 29 | 28 | $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 officialLAM, THOMAS (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| 1 World Medicine Urgent Care Corp | Monterey Park, CA | $5.41M |
| Astrana Care Hospitalists, a Medical Corporation | Alhambra, CA | $4.27M |
| Allied Physicians of California, a Professional Medical Corp | Alhambra, CA | $2.90M |
| Amg, a Professional Medical Corporation | Alhambra, CA | $966K |
| Amg, a Professional Medical Corp | Pasadena, CA | $447K |
| Thomas S.Lam MD. a Professional Corporation | Alhambra, CA | $369K |
| 99 Medical Equipment, Healthcare Supplies & Wheelchair Center | Monterey Park, CA | $237K |
| Amg, a Professional Medical Corporation | Maywood, CA | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.