Alpha Medical Associates, INC
Alpha Medical Associates, INC was paid $244K by Medicaid between Jan 2018 and Jan 2022, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoALPHA MEDICAL ASSOCIATES, INC
LAFAYETTE, TN 37083
LAFAYETTE, TN 37083
33aNPI1831175603assigned 12/22/2005
33bProvider typeLegal Medicine
28Total paid$244K
24GClaims15,188
24DCodes billed20
24AFirst – last monthJan 2018 – Jan 2022
Compared with peers
Next to other Legal Medicine providers in Tennessee
Rank by total paid#7 of 16
Median peer was paid$110K
This provider vs. median2.2×
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 | 5,394 | $71K | |
| 2019 | 5,093 | $80K | |
| 2020 | 3,066 | $55K | |
| 2021 | 1,554 | $34K | |
| 2022 | 81 | $3K |
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 | 39% | 3,286 | 2,180 | $96K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 17% | 1,018 | 713 | $41K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.6% | 1,278 | 901 | $23K |
| 99223 | Prolong inpt eval add15 m | 6.7% | 682 | 424 | $16K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.7% | 732 | 428 | $14K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 4.1% | 2,258 | 1,238 | $10K |
| 99220 | 3.9% | 208 | 150 | $9K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.0% | 740 | 426 | $7K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.8% | 713 | 446 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.5% | 507 | 367 | $6K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.8% | 300 | 186 | $4K |
| 99217 | 1.5% | 205 | 145 | $4K |
8 more codes
| 99307 | 1.3% | 1,239 | $3K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 783 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 735 | $823.41 |
| 81002 | <1% | 324 | $292.32 | |
| 80305 | <1% | 40 | $90.40 | |
| 99304 | <1% | 56 | $55.57 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 68 | $9.50 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 16 | $4.74 |
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 officialODUNUSI, OLUFEMI (PROVIDER)
| Provider | Location | Paid |
|---|---|---|
| 3 Ple O LLPC | Red Boiling Springs, TN | $206K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.