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.

University Of Alabama At Birmingham (NPI 1154435824)

Field	Value
Entity Type	Organization
Organization	University Of Alabama At Birmingham
Address	619 19th St S
City	Birmingham
State	AL
ZIP	35249
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 18, 2006

Payer Source	Total Paid
Medicaid	$19.2M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $19.2M in lifetime Medicaid revenue, making its public payer footprint effectively single-payer (Medicaid) in scope. The absence of Medicare activity suggests analyses of payer mix, financial risk, and network leverage should focus on Medicaid performance rather than cross‑payer comparisons.

Revenue is highly concentrated in a small number of high-value Medicaid codes: the precomputed top three Medicaid codes account for 65.0% of this provider's total Medicaid revenue. In particular, J0791 alone represents 36.0% of Medicaid revenue ($6M, 1K claims, $5822 avg paid/claim), followed by G0463 at 21.9% ($3.6M, 98.3K claims) and 99284 at 7.0% ($1.2M, 17.4K claims); this concentration implies that changes in coverage, utilization, or pricing for these specific services would materially affect overall revenue.

The code mix indicates a tertiary acute‑care hospital with substantial outpatient and emergency services: G0463 (hospital outpatient clinic visits) is a major revenue driver with 98.3K claims and $3.6M in revenue, and emergency department E/M codes 99284, 99283, and 99282 together reflect very large ED volume (17.4K, 24.5K, and 12.9K claims respectively). High claim counts for lab and imaging panels (e.g., 85025 66.7K claims, 80048 50.6K claims) further support that the organization operates extensive inpatient/outpatient labs and diagnostics alongside ED and clinic operations.

The provider appears to deliver specialty infusion and high‑cost drug services within its Medicaid population: J0791 (crizanlizumab) is a dominant revenue driver ($6M) and 96365 (initial IV infusion) ranks #1 in‑state with 3.8K claims and $122.6K revenue, indicating a programmatic capacity for infusion therapies and expensive biologic administration. That combination of a single, high-cost drug accounting for 36.0% of Medicaid revenue and elevated infusion procedure volumes suggests a strategic or clinical emphasis on specialty therapeutics.

Several codes show the provider as a statewide volume leader or extreme outlier in specific procedural or diagnostic services: 93005 (ECG recording) ranks #1 of 100 providers in‑state and is labeled an "extreme outlier, far above typical state volume" (15.3K claims, $199.3K revenue), while 96365 and 80306 also rank #1 in‑state and are described as extreme outliers. These rank/percentile signals indicate the provider operates as a central hub for certain technical services and high-frequency testing within Alabama's Medicaid network.

Other high-volume laboratory and diagnostic codes reinforce a centralized clinical lab and imaging footprint: 85025 (CBC) and 80048 (BMP) have 66.7K and 50.6K claims respectively and each contributes multiple percentage points to revenue (85025: $533.7K, 3.2%; 80048: $505.7K, 3.0%), with percentile ranks at or near the 99th percentile in‑state. The combination of massive claim counts for basic chemistries and blood tests supports a referral role for routine and pre‑procedure testing tied to inpatient, outpatient, and ED throughput.

Competitive standing is mixed by service line: for the high-cost drug J0791 the provider is the only in‑state reporter (rank #1 of 1) making formal peer benchmarking infeasible, while for outpatient clinic visits G0463 it is a top regional operator (rank #3 of 43, 95th percentile) indicating strong but not exclusive statewide presence. For several ancillary services (e.g., A9502, 80306, 96365) the provider ranks #1 in‑state and is described as notably or extremely above typical volumes, signaling dominance in those technical areas even if overall Medicaid revenue is concentrated in a few items.

The NPI tenure is long-standing: the provider was enumerated on 2006-08-18 (~20 years ago), indicating persistent presence in the market. Given the long enrollment and the current Medicaid revenue concentration patterns, analysts should prioritize monitoring of specialty infusion access, ED throughput trends, and large‑volume lab/imaging services when assessing operational capacity and contract negotiations with Medicaid plans.

Medicaid: Complete Services Breakdown

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

262 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0791	Injection, crizanlizumab-tmca, 5 mg	1,030	$5,820	$6M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	98,350	$40	$3.6M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	17,400	$70	$1.2M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	24,450	$40	$953.5K
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…	12,670	$50	$595.4K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	12,920	$40	$542.6K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	66,720	$10	$533.7K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	50,570	$10	$505.7K
36430	In this procedure, the provider punctures and places a catheter into a vein to transfuse blood or blood components directly into the patient’s bloodstream.	2,530	$120	$290.7K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	24,830	$10	$248.3K

Showing 1–10 of 262

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

University Of Alabama At Birmingham — 15 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

262 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0791	Injection, crizanlizumab-tmca, 5 mg	1	10	1,030	$5,820	$6M
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	9	10	470	$170	$973.4K
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…	7	70	380	$60	$893.8K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	3	40	1,020	$40	$865.2K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	48	240	4,820	$60	$807.6K
87536	A lab tests a patient’s specimen to measure the amount of HIV–1 present. This may be referred to as viral load.	3	10	1,760	$40	$569.6K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	28	230	5,160	$40	$474.1K
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	19	40	1,540	$10	$397.4K
88175	The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…	5	20	1,500	$20	$389.4K
93320	The provider performs a complete Doppler echocardiography, which uses high–frequency sound waves to create a two–dimensional image of the heart, while the use of Doppler technology allows…	10	10	280	$50	$303.9K

Showing 1–10 of 262

Related Providers

Other providers that share a Tax Identification Number (TIN) with University Of Alabama At Birmingham, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Alabama Health Services Foundation, PC	AL	Pediatrics Physician	$0	$79.6M
University Of Alabama Health Services Foundation, PC.	AL	Multi-Specialty Clinic/Center	$0	$77.1M
University Of Alabama Health Services Foundation PC	AL	Clinic/Center	$0	$18.6M
University Of Alabama Ophthalmology Services Foundation	AL	Ophthalmology Physician	$0	$6.9M
University Of Alabama At Birmingham	AL	Clinical Medical Laboratory	$2.9K	$3.2M
University Of Alabama At Birmingham	AL	General Acute Care Hospital	$0	$2.7M
University Of Alabama At Birmingham	AL	Family Medicine Physician	$0	$2.2M
Primary Care Clinic	AL	Pediatrics Physician	$0	$1.9M
Richard Feist	AL	Ophthalmology Physician	$977.5K	$0
The University Of Alabama At Birmingham	AL	Optometrist	$0	$901.3K

Nearby Providers

Other providers in the same ZIP code as University Of Alabama At Birmingham, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Uahsf Neonatology	AL	Neonatal-Perinatal Medicine Physician	$0	$94M
Ryan Almeida	AL	Interventional Pain Medicine Physician	$757.3K	$0
Mustafa Ahmed	AL	Cardiovascular Disease Physician	$584.3K	$0
Racquel Innis-shelton	AL	Hematology & Oncology Physician	$422.5K	$0
Daniel Allendorf	AL	Student in an Organized Health Care Education/Training Program	$375.7K	$0
John Thomas	AL	Diagnostic Radiology Physician	$262.7K	$0
Ryan Telford	AL	Diagnostic Radiology Physician	$249.7K	$0
Biraj Bista	AL	Diagnostic Radiology Physician	$65.8K	$153.6K
Colin Stewart	AL	Diagnostic Radiology Physician	$206.7K	$0
Rachel Labovitz	AL	Internal Medicine Physician	$198.7K	$0

University Of Alabama At Birmingham — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References