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 Alabama for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Alabama 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. Alabama (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.

Alabama Dept. Of Rehabilitation Services (NPI 1053489534)

Field	Value
Entity Type	Organization
Organization	Alabama Dept. Of Rehabilitation Services
Address	2129 E South Blvd
City	Montgomery
State	AL
ZIP	36116
Taxonomy	Case Management Agency
NPI Enumerated	December 1, 2006

Payer Source	Total Paid
Medicaid	$58.2M
Medicare	$0

Key Findings

ALABAMA DEPT. OF REHABILITATION SERVICES is effectively a Medicaid-focused provider: there is no Medicare billing on file and all reported lifetime revenue is from Medicaid ($58.2M). Its taxonomy is Case Management Agency, and the billing mix aligns closely with Medicaid waiver and personal care services rather than fee-for-service Medicare care models.

Revenue is highly concentrated in a very small set of service codes: the precomputed top three Medicaid codes (T1019, T1016, T2028) together account for 99.2% of the provider's total Medicaid revenue. This concentration indicates that a few operational lines—personal care, case management, and specialized waiver supplies—drive nearly the entire business.

T1019 is the dominant revenue driver: T1019 generated $38.6M in revenue (66.3% of this provider's total Medicaid revenue) across 184.5K claims with an average paid/claim of $209. The provider ranks #3 of 50 in-state (96th percentile) for T1019, and the dataset characterizes its volume for this code as typical, unremarkable despite the high rank.

T1016 (case management) is the second major line, producing $14M (24.0% of total Medicaid revenue) from 42.9K claims at $326 avg paid/claim. The provider ranks #2 of 5 in-state (75th percentile) for T1016 and the available label describes its volume for this code as typical, unremarkable, signaling steady programmatic activity rather than an outlier.

T2028 (specialized supply, waiver) contributes $5.2M (8.9% of total Medicaid revenue) from 35.7K claims at $145 avg paid/claim, and the provider ranks #2 of 5 in-state (75th percentile) for this code. The presence of T2028 alongside T1019 and T1016 points to integrated service delivery under Medicaid waiver programs, combining personal care, care coordination, and supply provisioning.

Smaller lines such as S5161 (service fee for emergency response system) produce minimal revenue ($418.1K, 0.7% of Medicaid revenue) but the provider ranks #1 of 3 in-state (100th percentile) for that code; other codes (T2029, T2035) show very small claim counts and trivial revenue shares. These minor codes suggest limited ancillary offerings (specialized equipment and utility support) that complement the core personal care and case management services.

From a competitive standpoint in Alabama's Medicaid market, the provider shows strong placement on select codes: a top-3 statewide rank on T1019 and top-2 ranks on T1016 and T2028 indicate it is a major participant for the services it emphasizes, even though each top code is described as having typical, unremarkable volume by the dataset. This profile is consistent with an organization that specializes in a narrow set of Medicaid waiver and personal care services rather than a broad multiservice health system.

Operational tenure is long-standing: the NPI was enumerated on 2006-12-01 (~20 years ago), indicating sustained program participation and billing history in Medicaid over multiple policy cycles, which supports the observed concentration and established position in the state market.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	184,530	$210	$38.6M
T1016	Case management, each 15 minutes	42,880	$330	$14M
T2028	Specialized supply, not otherwise specified, waiver	35,660	$150	$5.2M
S5161	Emergency response system; service fee, per month (excludes installation and testing)	12,300	$30	$418.1K
T2029	Specialized medical equipment, not otherwise specified, waiver	10	$1,610	$19.3K
T2035	Utility services to support medical equipment and assistive technology/devices, waiver	40	$40	$1.7K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Alabama Dept. Of Rehabilitation Services — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	3	50	260	$180	$12.6M
T1016	Case management, each 15 minutes	2	10	200	$10	$6M
T2028	Specialized supply, not otherwise specified, waiver	2	10	10,420	$150	$3.6M
S5161	Emergency response system; service fee, per month (excludes installation and testing)	1	10	5,190	$30	$186.5K
T2029	Specialized medical equipment, not otherwise specified, waiver	5	10	300	$150	$76.9K
T2035	Utility services to support medical equipment and assistive technology/devices, waiver	1	10	40	$40	$1.7K

Nearby Providers

Other providers in the same ZIP code as Alabama Dept. Of Rehabilitation Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rehab Early Intervention	AL	Speech-Language Pathologist	$0	$39.3M
Health Care Authority For Baptist Health, An Affiliate Of Uabhs	AL	General Acute Care Hospital	$0	$16.7M
Partners In Pediatrics, LLC	AL	Primary Care Clinic/Center	$0	$14M
The Center For Pain Of Montgomery LLC	AL	Interventional Pain Medicine Physician	$0	$5.9M
Behavioral Medicine LLC	AL	Mental Health Counselor	$0	$5.9M
Alabama Smiles	AL	General Practice Dentistry	$0	$5.5M
Alabama Department Of Rehabilitation Services	AL	Multi-Specialty Clinic/Center	$0	$3.9M
Easter Seals Central Alabama	AL	Speech-Language Pathologist	$0	$2.2M
Excel Rehabilitation, LLC.	AL	Pediatric Occupational Therapist	$0	$1.9M
Farragut Dialysis, LLC	AL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.1M

Alabama Dept. Of Rehabilitation Services — Billing Profile & Reimbursement Data

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Alabama Dept. Of Rehabilitation Services — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References