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 1083765689)

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 12, 2007

Payer Source	Total Paid
Medicaid	$560.2M
Medicare	$0

Key Findings

This provider is effectively single‑payer in scale: Total Medicaid revenue is $560.2M and there is no Medicare billing on file, so all billed activity on our dataset is Medicaid‑funded. That concentration means analyses of clinical mix and financial risk should focus on Medicaid policy and rate changes rather than Medicare dynamics.

Revenue concentration is high among a few service lines: the precomputed top 3 Medicaid codes (H0036, 90837, H2012) account for 45.4% of this provider's total Medicaid revenue. Specifically, H0036 generates $131.8M (23.6%), 90837 generates $68.8M (12.3%), and H2012 generates $53.2M (9.5%) of Medicaid revenue, indicating a heavy reliance on these community and psychotherapy services for a large share of receipts.

The mix of top codes indicates an operational model built around intensive community‑based behavioral health and psychotherapy: H0036 (community psychiatric supportive treatment), H2012 (behavioral health day treatment), H2017 (psychosocial rehabilitation), H0040 (assertive community treatment per diem) and high‑volume psychotherapy codes (90837, 90834, 90832) together point to a large network of face‑to‑face outpatient and programmatic services rather than an inpatient or procedure‑driven practice. High volumes of medication administration and medication training codes (H0033, H0034) further support a service model that integrates medication management within community settings.

Operational scale is sizeable in encounter terms: examples include 2.9M claims for H0036, 1M claims for H0040, 806.6K claims for H2017 and large psychotherapy claim counts (90837 at 608.9K claims and 90832 at 562.2K claims). Those claim volumes imply extensive workforce and care coordination capacity to deliver repeated, short‑interval services across community programs.

Competitive standing within Alabama is dominant for many Medicaid codes: the provider ranks #1 in‑state for a long list of high‑revenue codes (e.g., H0036 #1 of 12 providers, 90837 #1 of 379 providers, H2012 #1 of 4 providers, H0032 #1 of 21 providers) almost uniformly at the 100th percentile. Several behavioral health and psychotherapy codes show either 100th percentile leadership or near‑leadership (90791 is #2 of 177 providers at the 99th percentile), indicating the provider is a statewide market leader for core community behavioral health services.

Multiple codes are flagged as statistical outliers relative to peers, underlining the provider's atypical scale: 90837 is an extreme outlier, H0004, 90832, 90834, H0032, H0034, H0046, H2027 and several others are described as extreme outliers or notably above typical state volume. This pattern of outlier labels across assessment, psychotherapy, and program codes reinforces that the provider operates at a very different scale than most in‑state peers.

The revenue mix and code profile create concentrated operational exposure: a large share of revenue comes from repeated community and psychotherapy encounters (for example, H0036 and 90837 together make up over a third of the top‑three share), so changes in reimbursement policy, eligibility, or program definitions for these service categories could materially affect overall revenue. Given the programmatic nature of many codes (per‑diem, per‑hour, and per‑15 minute community services), reimbursement rate or authorization shifts would disproportionately impact cash flow relative to a more diversified payer or service mix.

The provider has long tenure in the dataset (NPI enumerated 2007-01-12, ~19 years ago), which combined with its large Medicaid footprint and frequent #1 in‑state rankings suggests it functions as an established, large‑scale state behavioral health service hub. For payers and competitors, this profile signals a single, entrenched Medicaid counterparty for community behavioral health lines rather than a small or transient vendor.

Medicaid: Complete Services Breakdown

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

53 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	2,864,370	$50	$131.8M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	608,940	$110	$68.8M
H2012	Behavioral health day treatment, per hour	759,700	$70	$53.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	806,590	$60	$46.8M
H0040	Assertive community treatment program, per diem	1,020,380	$40	$36.7M
H0004	Behavioral health counseling and therapy, per 15 minutes	595,120	$60	$35.7M
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…	562,190	$60	$32M
H2022	Community-based wrap-around services, per diem	265,720	$80	$21.5M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	176,110	$120	$21.3M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	102,300	$180	$18.2M

Showing 1–10 of 53

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 — 22 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

53 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	1	10	2,490	$70	$28.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	1	10	403,360	$60	$23.6M
H2022	Community-based wrap-around services, per diem	1	10	265,720	$80	$21.5M
H2012	Behavioral health day treatment, per hour	1	10	460	$70	$13.4M
H0040	Assertive community treatment program, per diem	1	10	1,240	$40	$9.2M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	1	10	51,460	$180	$9.2M
H2021	Community-based wrap-around services, per 15 minutes	1	10	330	$660	$6.4M
T2002	Non-emergency transportation; per diem	4	10	1,500	$20	$4.4M
H0033	Oral medication administration, direct observation	1	10	74,770	$10	$2.6M
H0004	Behavioral health counseling and therapy, per 15 minutes	1	20	1,420	$60	$2.3M

Showing 1–10 of 53

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
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
Alabama Department Of Mental Health And Mental Retardation	AL	Community/Behavioral Health Agency	$0	$22.8M
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