Lab
OIG excluded
Gamma Healthcare, INC
Gamma Healthcare, INC was paid $598K by Medicaid between Jan 2018 and Nov 2020, across 55 billing codes. Its largest line is 85025, Blood count; complete (CBC), automated, and automated differential WBC count — 20% of everything it billed.
33Billing provider infoGAMMA HEALTHCARE, INC
SAINT LOUIS, MO 63125
SAINT LOUIS, MO 63125
33aNPI1992166599assigned 03/10/2016
33bProvider typeClinical Medical Laboratory
28Total paid$598K
24GClaims109,981
24DCodes billed55
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers
Next to other Clinical Medical Laboratory providers in Missouri
Rank by total paid#19 of 61
Median peer was paid$85K
This provider vs. median7.1×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
OIG exclusionListed on the federal exclusion list (03/25/2024).
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 | 13,454 | $113K | |
| 2019 | 43,630 | $246K | |
| 2020 | 52,897 | $240K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 20% | 23,458 | 15,766 | $120K |
| 80053 | Comprehensive metabolic panel | 17% | 14,486 | 11,969 | $104K |
| 84443 | Thyroid stimulating hormone (TSH) | 11% | 5,642 | 5,127 | $64K |
| 80061 | Lipid panel | 9.1% | 6,483 | 5,949 | $54K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 8.7% | 3,202 | 2,828 | $52K |
| 80048 | Basic metabolic panel (calcium, ionized) | 7.4% | 7,902 | 5,686 | $44K |
| 80164 | 6.1% | 3,857 | 3,356 | $36K | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 3.6% | 276 | 202 | $21K |
| 82140 | 2.7% | 1,395 | 1,111 | $16K | |
| 85610 | 2.5% | 5,649 | 1,908 | $15K | |
| 82607 | 1.7% | 1,145 | 1,034 | $10K | |
| 81001 | 1.3% | 3,939 | 3,545 | $8K |
43 more codes
| 83735 | 1.1% | 1,482 | $7K | |
| 84153 | <1% | 429 | $6K | |
| 80185 | <1% | 599 | $6K | |
| 82746 | <1% | 453 | $5K | |
| 80178 | <1% | 876 | $4K | |
| 84439 | <1% | 787 | $4K | |
| 80076 | <1% | 705 | $4K | |
| 82248 | <1% | 926 | $3K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 48 | $3K |
| 80156 | <1% | 276 | $3K | |
| 85027 | <1% | 566 | $2K | |
| 83540 | <1% | 302 | $1K | |
| 84436 | <1% | 193 | $763.11 | |
| 84134 | <1% | 71 | $715.04 | |
| P9603 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled | <1% | 8,567 | $687.60 |
| 82728 | <1% | 81 | $537.18 | |
| 86140 | <1% | 154 | $514.53 | |
| 85652 | <1% | 175 | $329.04 | |
| 83550 | <1% | 55 | $294.76 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 17 | $251.56 |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | <1% | 12 | $138.96 |
| 36415 | Collection of venous blood by venipuncture | <1% | 13,280 | $85.47 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 12 | $85.43 |
| 84550 | <1% | 25 | $83.41 | |
| 83615 | <1% | 16 | $62.79 | |
| 82550 | <1% | 26 | $56.04 | |
| 85014 | <1% | 23 | $34.00 | |
| 84295 | <1% | 32 | $14.25 | |
| 82947 | <1% | 37 | $7.76 | |
| 84155 | <1% | 17 | $7.24 | |
| 82310 | <1% | 29 | $5.09 | |
| 82565 | <1% | 31 | $5.06 | |
| 82040 | <1% | 19 | $4.88 | |
| 84132 | <1% | 29 | $4.54 | |
| G0471 | Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) | 0% | 1,860 | $0.00 |
| 80050 | General health panel | 0% | 193 | $0.00 |
| 84075 | 0% | 15 | $0.00 | |
| 82435 | 0% | 28 | $0.00 | |
| 82247 | 0% | 15 | $0.00 | |
| 84520 | 0% | 28 | $0.00 | |
| 84450 | 0% | 15 | $0.00 | |
| 82374 | 0% | 28 | $0.00 | |
| 84460 | 0% | 15 | $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 officialMURPHY, JERRY (CHAIRMAN & CEO)
| Provider | Location | Paid |
|---|---|---|
| Gamma Healthcare INC | Poplar Bluff, MO | $2.96M |
| Gamma Healthcare INC | Poplar Bluff, MO | $738K |
| Gamma Healthcare, INC | Tyler, TX | $270K |
| Gamma Healthcare, INC | Poplar Bluff, MO | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.