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NPI 1154783074 · Tulsa, OK · Clinical Medical Laboratory
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Alpha Medical Laboratory LLC is a clinical medical laboratory provider located in Tulsa, Oklahoma. This profile covers 133 Medicare and 74 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Alpha Medical Laboratory LLC |
| Address | 2448 E 81st St Ste 4000 |
| City | Tulsa |
| State | OK |
| ZIP | 74137 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | March 22, 2016 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $6.6M |
| Medicaid | $1.2M |
ALPHA MEDICAL LABORATORY LLC presents as a clinical medical laboratory with a pronounced mix of molecular infectious-disease testing and routine chemistry/hematology work. Medicare top codes such as 87798, 87150, 87481, 87801 and 87653 reflect heavy use of amplified nucleic acid probe techniques, while presence of 85025 and 80053 shows ongoing volume in CBC and metabolic panel testing, indicating a combined diagnostic and high-complexity molecular testing operation.
Medicare revenue is highly concentrated: the precomputed top three Medicare codes account for 49.0% of the provider’s Medicare revenue, driven specifically by 87798 (23.6% of Medicare revenue), P9604 (14.2%), and 87150 (11.3%). This concentration means nearly half of the $6.6M Medicare take is tied to a small set of services, making those codes material to the lab’s Medicare business risk and growth profile.
P9604 is a clear operational outlier nationally and a defining feature of the business model: the provider reported 79.8K claims and $877.5K revenue for P9604 and ranks #2 of 400 providers nationally (100th percentile; extreme outlier). Combined with very large volumes for P9603 (303.7K claims, $303.7K revenue) and G0471 (45.3K claims, $453.4K revenue), these codes point to a substantial specimen-collection and mobile/field-visit capability serving homebound and nursing-home populations.
Although 87798 is the single largest Medicare code by revenue ($1.5M, 23.6% of Medicare revenue), its national descriptor is “typical, unremarkable volume” despite ranking #44 of 1319 providers (97th percentile); by contrast several molecular codes such as 87481 (ranks #26 of 1117; 98th percentile; notably above typical national volume) place the lab above-average in molecular infectious testing activity. In aggregate, the lab competes at above-average to high activity levels in infectious-disease molecular testing at a national scale for several codes.
On Medicaid the revenue profile is more weighted toward routine panels and screening: the top three Medicaid codes account for 31.8% of Medicaid revenue, led by 80050 (11.5%), 85025 (11.1%), and 80053 (9.2%). With $1.2M in total Medicaid revenue, these panel and basic test codes drive a significant share of the Medicaid book, suggesting the lab’s Medicaid business leans more on general health screening and routine diagnostics than on travel allowances.
State-level rankings show the lab is a major player for several specialized microbiology and molecular codes in Oklahoma. Examples include 87150 (ranks #1 of 14 in-state; 100th percentile; notably above typical state volume), 87653 (ranks #1 of 22 in-state; 100th percentile; extreme outlier, far above typical state volume), and 87640 (ranks #1 of 17 in-state; 100th percentile; notably above typical state volume), indicating dominance in specific molecular testing niches within the state.
Payer mix is Medicare-dominant: the provider reports $6.6M in Medicare revenue versus $1.2M in Medicaid revenue, so Medicare is the principal revenue source while Medicaid represents a meaningful but smaller contribution. This split suggests strategic sensitivity to Medicare reimbursement and utilization trends for the lab’s specialized and collection-related services.
The NPI was enumerated on 2016-03-22 (~10 years ago), giving the lab roughly a decade of recorded activity; during that tenure it has built high-volume specimen-collection capabilities and concentrated molecular testing lines (evidenced by large claim counts such as 303.7K claims for P9603 and tens of thousands of claims for multiple molecular codes). That combination of tenure plus concentrated high-volume codes frames ALPHA MEDICAL LABORATORY as an established regional operator with nationally notable volumes in specific collection and molecular services.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
133 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 87798 | The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified… | 42,850 | $30 | $1.5M |
| P9604 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge | 79,770 | $10 | $877.5K |
| 87150 | The lab analyst performs an analysis using amplified DNA or RNA probe technique on a previously isolated and identified organism to categorize the organism more specifically, such as to the taxonomic… | 20,550 | $30 | $698.5K |
| 87481 | The lab analyst performs a test for Candida species using amplified nucleic acid probe technique. | 14,880 | $30 | $506K |
| 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) | 45,340 | $10 | $453.4K |
| 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 | 303,670 | $1 | $303.7K |
| 87801 | The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique. | 3,430 | $70 | $236.8K |
| 87187 | The lab analyst performs the technical steps to determine the minimum lethal concentration, called MLC, for an antimicrobial agent, commonly called an antibiotic, for a specific culture isolate. | 5,100 | $40 | $199.1K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 24,620 | $10 | $197K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 18,090 | $10 | $180.9K |
Showing 1–10 of 133
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 133 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
133 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 87150 | 2 | 10 | 11,000 | $30 | $672.7K |
| P9604 | 1 | 10 | 1,670 | $10 | $290.3K |
| G0471 | 1 | 10 | 23,060 | $10 | $234.1K |
| 87187 | 1 | 10 | 5,100 | $40 | $200.9K |
| 87798 | 3 | 40 | 1,090 | $30 | $188.7K |
| 87801 | 3 | 20 | 640 | $70 | $148.4K |
| G0483 | 26 | 30 | 140 | $240 | $134.2K |
| P9603 | 1 | 10 | 34,490 | $1 | $125.9K |
| U0004 | 4 | 10 | 210 | $70 | $94.2K |
| 87481 | 2 | 40 | 360 | $30 | $70.3K |
Showing 1–10 of 133
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
74 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 80050 | The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the… | 4,080 | $30 | $130.7K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 31,690 | $1 | $126.8K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 20,890 | $10 | $104.5K |
| 87187 | The lab analyst performs the technical steps to determine the minimum lethal concentration, called MLC, for an antimicrobial agent, commonly called an antibiotic, for a specific culture isolate. | 3,810 | $20 | $80.1K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 10,520 | $10 | $73.6K |
| 87481 | The lab analyst performs a test for Candida species using amplified nucleic acid probe technique. | 3,800 | $20 | $72.1K |
| 83036 | Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).… | 13,140 | $10 | $65.7K |
| 87801 | The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique. | 2,080 | $30 | $58.2K |
| 87186 | The lab analyst performs the technical steps to evaluate a culture isolate’s susceptibility, or sensitivity, to multiple antimicrobial agents, commonly called antibiotics, by observing growth of the… | 4,090 | $10 | $49.1K |
| 80164 | The lab analyst measures the amount of total valproic acid, also called dipropylacetic acid, in the blood. Valproic acid is a drug that a provider uses to treat certain types of seizures. | 5,010 | $10 | $40.1K |
Showing 1–10 of 74
How this provider's Medicaid billing volume and revenue compare to other Oklahoma providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oklahoma median
74 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 87801 | The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique. | 3 | 20 | 60 | $60 | $404.2K |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by… | 8 | 30 | 120 | $60 | $243.6K |
| 80050 | The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the… | 8 | 40 | 440 | $30 | $230.3K |
| 87088 | The lab analyst or microbiologist observes a urine culture with an unknown organism or organisms and makes a presumptive identification of each organism that needs identification. | 8 | 10 | 260 | $10 | $85.2K |
| 87187 | The lab analyst performs the technical steps to determine the minimum lethal concentration, called MLC, for an antimicrobial agent, commonly called an antibiotic, for a specific culture isolate. | 1 | 10 | 3,810 | $20 | $80K |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 7 | 80 | 280 | $20 | $72.5K |
| 87502 | The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly… | 68 | 110 | 160 | $80 | $69.9K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 11 | 150 | 1,280 | $10 | $67.8K |
| 82306 | The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced… | 6 | 40 | 70 | $30 | $61.6K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 5 | 100 | 320 | $10 | $51.4K |
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Other providers in the same ZIP code as Alpha Medical Laboratory LLC, ranked by combined Medicare and Medicaid revenue.
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