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 Department Of Mental Health And Mental Retardation (NPI 1073666772)

Field	Value
Entity Type	Organization
Organization	Alabama Department Of Mental Health And Mental Retardation
Address	100 N Union St
City	Montgomery
State	AL
ZIP	36130
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 18, 2007

Payer Source	Total Paid
Medicaid	$22.8M
Medicare	$0

Key Findings

This entity is effectively a Medicaid-only biller: there is no Medicare billing on file and total Medicaid revenue is $22.8M. The absence of any Medicare revenue indicates the Alabama Department of Mental Health and Mental Retardation operates primarily within Medicaid-funded behavioral and waiver services rather than as a Medicare provider.

Revenue is highly concentrated in a very small set of service lines: the top 3 Medicaid codes account for 99.0% of the provider's total Medicaid revenue, with T1019 alone representing $14.8M (65.1% of Medicaid revenue) and T2021 contributing $7.1M (31.3%). This concentration implies the organization’s financial profile is dependent on a narrow set of home- and community-based waiver and personal care services.

The code mix (T1019 – personal care services, and T2021 – day habilitation, waiver) indicates the provider’s operational focus is hands-on long-term support and habilitation services for individuals with developmental disabilities or behavioral health needs. T1019’s large share suggests extensive per-15-minute personal care delivery, while T2021’s share reflects substantial day habilitation program activity under waiver authority.

In-state competitive standing for the top codes is mixed but generally modest-to-strong: for T1019 this provider ranks #4 of 50 in Alabama (94th percentile), which positions it as a leading but not dominant provider of personal care services statewide. For T2021 it ranks #2 of 2 providers in-state (0th percentile) — indicating there are very few reported suppliers of that day habilitation waiver code in the state, and this provider is one of the main participants for that service.

Smaller ancillary codes (T2028, T2001, H2021, T2019) contribute minimal revenue relative to the top two codes but show breadth in related waiver support functions: T2028 accounts for $576.5K (2.5%), T2001 $184K (0.8%), and H2021 $45.1K (0.2%). These secondary lines suggest the organization also bills for specialized supplies, non-emergency escort transportation, and community wrap-around services, supporting an integrated waiver-service delivery model beyond direct personal care and day habilitation.

From a payer-mix and risk perspective the provider is essentially single-payer dependent on Medicaid flows; with $0 in Medicare revenue reported and $22.8M in Medicaid revenue, its financial exposure is tightly linked to Medicaid reimbursement policy and waiver program stability. Any change in state Medicaid waiver rules or rates for T1019/T2021 could have outsized impact due to the 99.0% top-3 concentration.

The provider has an established presence: its NPI was enumerated on 2007-01-18 (~19 years ago), indicating long tenure in the market which may reflect stable participation in Alabama’s behavioral health and developmental disability service ecosystem. Longevity combined with high shares for core waiver services suggests institutionalized role in delivering Medicaid personal care and habilitation.

Percentile and rank descriptions indicate typical volume behavior for most codes despite large absolute revenue: T1019’s 94th percentile rank is characterized as typical, unremarkable volume for that code among peers, and other listed codes are similarly labeled as typical across their state peer groups. This signals that while the provider’s revenue is concentrated, its utilization patterns for these codes fall within expected ranges for Alabama providers rather than representing extreme outlier billing behavior.

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…	90,390	$160	$14.8M
T2021	Day habilitation, waiver; per 15 minutes	26,410	$270	$7.1M
T2028	Specialized supply, not otherwise specified, waiver	3,290	$180	$576.5K
T2001	Non-emergency transportation; patient attendant/escort	1,320	$140	$184K
H2021	Community-based wrap-around services, per 15 minutes	370	$120	$45.1K
T2019	Habilitation, supported employment, waiver; per 15 minutes	30	$370	$9.1K

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 Department Of Mental Health And Mental Retardation — 0 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
T2021	Day habilitation, waiver; per 15 minutes	2	10	260,160	$410	$105.8M
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…	4	50	260	$180	$12.6M
H2021	Community-based wrap-around services, per 15 minutes	3	10	330	$660	$6.4M
T2028	Specialized supply, not otherwise specified, waiver	4	10	10,420	$150	$3.6M
T2019	Habilitation, supported employment, waiver; per 15 minutes	2	10	6,330	$480	$3.1M
T2001	Non-emergency transportation; patient attendant/escort	2	10	1,320	$190	$1.3M

Nearby Providers

Other providers in the same ZIP code as Alabama Department Of Mental Health And Mental Retardation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alabama Department Of Mental Health And Mental Retardation	AL	Community/Behavioral Health Agency	$0	$2.3B
Alabama Department Of Senior Services	AL	Home Health Agency	$0	$631.3M
Alabama Department Of Mental Health And Mental Retardation	AL	Community/Behavioral Health Agency	$0	$560.2M
Sate Of Alabama Dept Of Finance	AL	Public Health or Welfare Agency	$0	$205.3M
State Of Alabama Dept Of Finance	AL	Case Management Agency	$0	$98.7M
Alabama Department Of Mental Health And Mental Retardation	AL	Community/Behavioral Health Agency	$0	$95.8M
Alabama Department Of Mental Health And Mental Retardation	AL	Community/Behavioral Health Agency	$0	$85.5M
Alabama Department Of Mental Health And Mental Retardation	AL	Case Management Agency	$0	$42.1M
State Of Alabama Dept Of Finance	AL	Case Management Agency	$0	$36.4M
Jefferson County Home Care Epsdt Cc - Adph	AL	Public Health or Welfare Agency	$0	$1.6M

Alabama Department Of Mental Health And Mental Retardation — Billing Profile & Reimbursement Data

Sign up for Alabama Department Of Mental Health And Mental Retardation — Billing Profile & Reimbursement Data policy alerts

Alabama Department Of Mental Health And Mental Retardation — Billing Profile & Reimbursement Data

Sign up for Alabama Department Of Mental Health And Mental Retardation — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References