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    Alpha Lab Services Inc — Billing Profile & Reimbursement Data

    NPI 1386316685 · Schaumburg, IL · Clinical Medical Laboratory

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    Alpha Lab Services Inc is a clinical medical laboratory provider located in Schaumburg, Illinois. This profile covers 1 Medicare and 1 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)

    FieldValue
    Entity TypeOrganization
    OrganizationAlpha Lab Services Inc
    Address2060 E Algonquin Rd Ste 700
    CitySchaumburg
    StateIL
    ZIP60173
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedOctober 5, 2021

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$15.4M
    Medicaid$2.4K

    Key Findings

    ALPHA LAB SERVICES INC is operating primarily as a clinical diagnostic testing lab focused on COVID-19 self-test provisioning: its Medicare and Medicaid revenue is entirely driven by a single CPT-level code K1034 (Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count), indicating a narrow service line concentrated on distribution/administration of nonprescription self-collected COVID-19 tests.

    Revenue concentration is extreme for Medicare: the precomputed top-3 Medicare codes account for 100.0% of total Medicare revenue, and the single listed Medicare code K1034 represents $15.4M of lifetime Medicare revenue. This indicates virtually all Medicare billings come from that single COVID-19 test code rather than a diversified panel of laboratory services.

    On Medicaid the same pattern holds at a much smaller scale: the precomputed top-3 Medicaid codes account for 100.0% of total Medicaid revenue and K1034 is responsible for the entire reported Medicaid revenue of $2.4K, demonstrating the provider is effectively single-payer in practice but single-service across both payers.

    Payer mix is heavily skewed toward Medicare in scale: lifetime Medicare revenue is $15.4M versus $2.4K in Medicaid, so the provider’s commercial footprint in the public programs is dominated by Medicare receipts while Medicaid contributes a negligible share of reported public-payor revenue.

    Competitive standing for Medicare K1034 is nationally exceptional: the provider ranks #30 of 30143 providers for K1034 (100th percentile) and is labeled an "extreme outlier, far above typical national volume for this code," which identifies ALPHA LAB SERVICES INC as a major national volume source for this specific COVID-19 test code rather than a typical clinical lab.

    In contrast, the provider’s Medicaid position for K1034 is modest within Illinois: it ranks #13 of 59 in-state (79th percentile) and is described as "typical, unremarkable volume for this code," indicating that while the provider is very large nationally on Medicare for this code, its Medicaid activity for the same code is unremarkable within the state peer set.

    Tenure is recent but established: the NPI was enumerated on 2021-10-05 (~5 years ago), so the provider has been active for multiple years during the COVID-19 pandemic period when demand for K1034-type services was high, which aligns with the concentrated COVID-19 testing revenue profile.

    The combined pattern — a single code driving 100.0% of Medicare and Medicaid revenue and an extreme national rank on Medicare — suggests a high-volume, single-service operating model focused on distribution or billing for nonprescription self-collected COVID-19 tests rather than a broad clinical laboratory offering multiple diagnostic services.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count1,285,350$10$15.4M

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    1 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    K1034131,150720$10$414.9K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count2,420$1$2.4K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Illinois median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count1360660$1$3.2K

    Nearby Providers

    Other providers in the same ZIP code as Alpha Lab Services Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Quest Diagnostics LLC IlILClinical Medical Laboratory$3.5M$50.7M
    Prism Health Care Services, Inc.ILDurable Medical Equipment & Medical Supplies$0$4.9M
    Trinity Care Providers IncILIn Home Supportive Care Agency$0$3.7M
    Laxmi DeshabathiniILFamily Nurse Practitioner$3.3M$13.7K
    Ritesh PatelILInternal Medicine Physician$255.6K$2.2M
    Solomon SagerILClinical Cardiac Electrophysiology Physician$1M$236.9K
    Mednow Laboratory LLCILClinical Medical Laboratory$1.1M$0
    Parag DoshiILInterventional Cardiology Physician$885K$122.5K
    Aasita PatelILCardiovascular Disease Physician$843.1K$72.5K
    Elsayed MohamedILInterventional Cardiology Physician$790K$38.8K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Illinois Distribution
    Alpha Lab Services Inc — 1 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Alpha Lab Services Inc — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois