Physician
Ali a Alley MD PC
Ali a Alley MD PC was paid $124K by Medicaid between Jan 2018 and Jul 2022, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoALI A ALLEY MD PC
BERWICK, PA 18603
BERWICK, PA 18603
33aNPI1962479717assigned 03/01/2006
33bProvider typeFamily Medicine Physician
28Total paid$124K
24GClaims6,155
24DCodes billed21
24AFirst – last monthJan 2018 – Jul 2022
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#544 of 2,756
Median peer was paid$19K
This provider vs. median6.5×
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 | 148 | $2K | |
| 2019 | 16 | $70.00 | |
| 2020 | 250 | $7K | |
| 2021 | 3,983 | $75K | |
| 2022 | 1,758 | $40K |
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 | 54% | 2,221 | 1,984 | $67K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 20% | 1,018 | 958 | $25K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 9.3% | 341 | 341 | $12K |
| 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 | 8.5% | 210 | 207 | $11K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 5.5% | 514 | 490 | $7K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 26 | 25 | $729.82 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 20 | 20 | $698.80 |
| 80053 | Comprehensive metabolic panel | <1% | 45 | 43 | $369.70 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 24 | 17 | $338.70 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 13 | 13 | $276.68 |
| 3078F | <1% | 468 | 452 | $210.00 | |
| 3077F | <1% | 186 | 176 | $200.00 |
9 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 28 | $150.00 |
| 3074F | <1% | 524 | $150.00 | |
| 90734 | <1% | 23 | $140.00 | |
| 3079F | <1% | 263 | $120.00 | |
| 92552 | <1% | 26 | $119.00 | |
| 86580 | <1% | 14 | $77.00 | |
| 3080F | <1% | 91 | $60.00 | |
| 3075F | <1% | 86 | $40.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 14 | $24.00 |
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 officialALLEY, ALBERT (OWNER MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Albert J Alley DO PLLC | Berwick, PA | $148K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.