Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Georgia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Georgia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Georgia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Alpha Genomix Laboratories Inc (NPI 1437585262)

Alpha Genomix Laboratories Inc is a clinical medical laboratory provider located in Peachtree Corners, Georgia. This profile covers 0 Medicare and 16 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Alpha Genomix Laboratories Inc
Address	333 Research Ct Ste 200
City	Peachtree Corners
State	GA
ZIP	30092
Taxonomy	Clinical Medical Laboratory
NPI Enumerated	September 25, 2013

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
81479	Use 81479 to report a molecular pathology procedure that does not have a specific code.	3,420	$70	$239.3K
81401	The lab analyst performs the technical lab test to complete one of the specific genetic analyses listed in this Tier 2, Level 2 molecular pathology code.	3,260	$40	$130.2K
81226	The lab analyst performs the technical lab test to detect the presence of common changes in the gene for cytochrome P450, family 2, subfamily D, polypeptide 6, also known as CYP2D6.	3,060	$40	$119.2K
81241	The lab analyst performs the technical lab test to detect the presence of a common change, called the Leiden variant, in the gene for coagulation factor V, also known as Factor V Leiden or F5.	2,660	$40	$109.1K
81240	The lab analyst performs the technical lab test to detect the presence of common changes in the gene for prothrombin, coagulation factor II, also known as F2.	2,660	$40	$93.1K
81400	The lab analyst performs the technical lab test to complete one of the specific genetic analyses listed in this Tier 2, Level 1 molecular pathology code.	1,680	$50	$87.5K
81225	The lab analyst performs the technical lab test to detect the presence of common changes in the gene for cytochrome P450, family 2, subfamily C, polypeptide 19, also known as CYP2C19.	3,040	$30	$79K
81227	The lab analyst performs the technical lab test to detect the presence of common changes in the gene for cytochrome P450, family 2, subfamily C, polypeptide 9, also known as CYP2C9.	3,170	$10	$44.4K
81291	The lab analyst performs the technical lab test to detect the presence of common changes in the gene for 5,10–methylenetetrahydrofolate reductase, also known as MTHFR.	3,180	$10	$38.2K
81350	The lab analyst performs the technical lab test to detect the presence of common changes in the gene for UDP glucuronosyltransferase 1 family, polypeptide A1, also known as UGT1A1.	2,670	$10	$24K

Showing 1–10 of 16

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Georgia Distribution

Alpha Genomix Laboratories Inc — 6 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
81479	Use 81479 to report a molecular pathology procedure that does not have a specific code.	2	10	320	$40	$42.4K
81226	The lab analyst performs the technical lab test to detect the presence of common changes in the gene for cytochrome P450, family 2, subfamily D, polypeptide 6, also known as CYP2D6.	2	10	110	$30	$26.4K
81241	The lab analyst performs the technical lab test to detect the presence of a common change, called the Leiden variant, in the gene for coagulation factor V, also known as Factor V Leiden or F5.	2	10	300	$30	$25.3K
81400	The lab analyst performs the technical lab test to complete one of the specific genetic analyses listed in this Tier 2, Level 1 molecular pathology code.	1	10	290	$40	$25.1K
81350	The lab analyst performs the technical lab test to detect the presence of common changes in the gene for UDP glucuronosyltransferase 1 family, polypeptide A1, also known as UGT1A1.	1	10	2,670	$10	$24.8K
81401	The lab analyst performs the technical lab test to complete one of the specific genetic analyses listed in this Tier 2, Level 2 molecular pathology code.	1	10	170	$40	$23.4K
81240	The lab analyst performs the technical lab test to detect the presence of common changes in the gene for prothrombin, coagulation factor II, also known as F2.	1	10	300	$20	$19.6K
81225	The lab analyst performs the technical lab test to detect the presence of common changes in the gene for cytochrome P450, family 2, subfamily C, polypeptide 19, also known as CYP2C19.	2	10	110	$20	$18.8K
81335	The lab analyst performs the technical lab test to detect the presence of specific changes in the thiopurine S–methyltransferase (TPMT) gene for common variants, such as 2, 3.	2	10	1,160	$10	$15.9K
81230	The lab analyst performs the technical lab test to analyze the common variants of the cytochrome P450 family 3 subfamily A member 4 gene (CYP3A4), such as 2, 22.	3	10	220	$20	$10K

Showing 1–10 of 16

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatria Healthcare LLC	GA	Nursing Care Agency	$0	$11.1M
La Clinica Del Nino PC	GA	Pediatrics Physician	$0	$7.7M
Advanced Medical Diagnostics Of Texas, LLC	GA	Clinical Medical Laboratory	$2.9M	$1.4K
Oxy-gen Laboratory LLC	GA	Clinical Medical Laboratory	$77.4K	$1.1M
Rishi Singhal	GA	Retina Specialist (Ophthalmology) Physician	$668.8K	$0
Sam Daliri	GA	General Practice Dentistry	$0	$648.5K
Galina Vayner	GA	Internal Medicine Physician	$477.3K	$0
Atlas Ambulance Inc	GA	Land Ambulance	$458.1K	$0
Kendra Cole	GA	Specialist	$236.1K	$0
Purnima Patel	GA	Ophthalmology Physician	$200.9K	$0

Alpha Genomix Laboratories Inc — Billing Profile & Reimbursement Data

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Alpha Genomix Laboratories Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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References