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.

Whatley Health Services Inc (NPI 1063422756)

Field	Value
Entity Type	Organization
Organization	Whatley Health Services Inc
Address	2731 Mlk Jr Blvd
City	Tuscaloosa
State	AL
ZIP	35401
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	August 8, 2006

Payer Source	Total Paid
Medicaid	$8.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

118 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	115,500	$70	$8.2M
D9430	N/A	5,070	$70	$334.7K
90670	This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…	4,520	$10	$31.7K
90688	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.	3,490	$10	$28K
90680	This code represents a live pentavalent rotavirus vaccine given by mouth in a three–dose schedule to protect against rotavirus infection.	3,660	$10	$25.6K
90633	This code represents a vaccine product administered into a muscle to protect against hepatitis A, a liver infection. This code is specific to a pediatric/adolescent dosage with a two–dose schedule.	3,230	$10	$22.6K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	2,800	$10	$19.6K
90651	This code represents a nonavalent human papillomavirus (HPV) vaccine product administered into the muscle to protect against HPV infection. The vaccine protects against nine HPV types (6, 11, 16, 18,…	1,580	$10	$17.4K
90647	This code represents a Haemophilus influenzae type b (Hib) vaccine product administered into the muscle to protect against Hib disease. This formulation uses a PRP–OMP conjugate and follows a…	2,240	$10	$15.7K
90734	The provider administers a meningococcal conjugate vaccine in a diphtheria toxoid carrier (MenACWY–D) or CRM197 carrier (MenACWY–CRM) to protect the patient from four strains of meningococcal viruses…	1,840	$10	$14.7K

Showing 1–10 of 118

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

Whatley Health Services Inc — 6 of 25 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

118 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	10	240	6,820	$120	$2.9M
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…	63	70	380	$60	$893.8K
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…	14	20	10,040	$40	$825.9K
D9430	N/A	5	30	230	$130	$533.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	154	180	100	$120	$381.8K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	105	120	500	$50	$317.7K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	47	1,990	680	$60	$201.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	113	330	140	$240	$197.4K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	63	1,990	560	$40	$185.6K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	46	270	1,360	$60	$159.7K

Showing 1–10 of 118

Related Providers

Other providers that share a Tax Identification Number (TIN) with Whatley Health Services Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Geoffrey Alilonu	AL	Nephrology Physician	$442.8K	$0
Brian Perrin	AL	Neurology Physician	$110.6K	$0
Muhammad Ehsan Faquih	AL	Internal Medicine Physician	$82.3K	$0
Matthew Smith	GA	Neurology Physician	$47.2K	$0
Kimberly Stewart	AL	Family Nurse Practitioner	$39.5K	$0
Aiesha Hill	AL	Foot Surgery Podiatrist	$20.1K	$0
Mohamed Kazamel	AZ	Neurology Physician	$13.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Dch Healthcare Authority	AL	General Acute Care Hospital	$0	$16M
Capstone Health Services Foundation PC	AL	Family Medicine Physician	$0	$12.5M
Northstar Ems, Inc.	AL	Land Ambulance	$2.1M	$5.6M
Greater Alabama Health Network	AL	Case Management Agency	$0	$5.1M
Relias Emergency Medicine Specialists Of Regional, LLC	AL	Emergency Medicine Physician	$0	$4.4M
Tuscaloosa Neonatal PC	AL	Neonatal-Perinatal Medicine Physician	$0	$2.9M
Dva Healthcare Of Tuscaloosa LLC	AL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.1M
Neonatal Medical Care P.C.	AL	Neonatal-Perinatal Medicine Physician	$0	$1.7M
Greater Alabama Health Network	AL	Exclusive Provider Organization	$0	$1.4M
Samuel Taylor	AL	Retina Specialist (Ophthalmology) Physician	$1.3M	$0

Whatley Health Services Inc — Billing Profile & Reimbursement Data

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Whatley Health Services 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

Related Providers

Nearby Providers

Frequently Asked Questions

References