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.

Healthgroup Of Alabama (NPI 1205955135)

Field	Value
Entity Type	Organization
Organization	Healthgroup Of Alabama
Address	699 Gallatin St Sw
City	Huntsville
State	AL
ZIP	35801
Taxonomy	Contractor
NPI Enumerated	March 29, 2007

Payer Source	Total Paid
Medicaid	$13.4M
Medicare	$0

Key Findings

HEALTHGROUP OF ALABAMA is effectively a single-payer Medicaid provider: it has no Medicare billing on file and reports $13.4M in lifetime Medicaid revenue, indicating its financial activity in public programs is concentrated entirely in Medicaid rather than Medicare. This absence of Medicare billing suggests its patient mix or contract relationships favor Medicaid-covered populations or state-contracted services.

Revenue concentration is extremely high: the precomputed top three Medicaid codes account for 98.2% of the provider’s total Medicaid revenue, signaling a narrow service mix dominated by a small set of procedures rather than a broad portfolio of Medicaid services. That concentration creates dependence on a few high-revenue global obstetric codes for the bulk of reported income.

The provider’s code mix and descriptions indicate a primary business line in obstetric inpatient delivery care: the top Medicaid codes are 59400, 59510, and 59410, all global delivery services covering antepartum, delivery (vaginal and cesarean), and postpartum care. This pattern is consistent with an operation focused on hospital-based maternity care or a delivery-centric clinical practice rather than outpatient primary care or chronic disease management.

59400 is the single largest revenue driver: with $8.7M in revenue from 3.8K claims and an average paid per claim of $2307, this code alone represents 64.5% of the provider’s Medicaid revenue and ranks the provider #2 of 76 in-state. The dataset labels this as an "extreme outlier, far above typical state volume for this code," which indicates the provider is a major regional center for vaginal global delivery services.

59510 is the second major driver: 1.8K claims, $4.1M revenue and $2305 avg paid/claim account for 30.5% of Medicaid revenue and rank the provider #2 of 34 in-state (97th percentile). The provider therefore also has very high-volume cesarean global delivery activity and is notably above typical state volume for this code, reinforcing its role as a high-volume obstetric surgical service provider.

59410 contributes a smaller share relative to the top two but still appears in the top three: 264 claims, $427.7K revenue and $1620 avg paid/claim represent 3.2% of Medicaid revenue; the provider ranks #1 of 3 in-state and is described as typical, unremarkable volume for that code. This suggests the provider performs some inpatient vaginal deliveries billed under a different global code mix, but at far lower volume than its dominant codes.

Beyond delivery-specific codes, 99199 appears in the Medicaid top list with 2.5K claims and $213.9K revenue (1.6% of Medicaid revenue) and ranks #3 of 14 in-state (85th percentile). Its presence indicates some reporting of miscellaneous medicine services without specific codes, but it is a minor revenue contributor compared with the dominant obstetric global services.

Competitive standing in-state is strong for the leading delivery codes: ranking #2 (99th percentile) for 59400 and #2 (97th percentile) for 59510 identifies HEALTHGROUP OF ALABAMA as a major, high-volume provider of both vaginal and cesarean global delivery services within Alabama. Those percentile placements and the “extreme outlier” designation for 59400 imply the provider is a regional leader for these Medicaid-paid delivery services.

The provider has long tenure on file, with its NPI enumerated on 2007-03-29 (~19 years ago), indicating nearly two decades of operational presence under this NPI. That longevity, combined with very concentrated, high-volume obstetric billing, suggests an established delivery-focused practice or hospital-affiliated service line with sustained Medicaid activity over time.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	3,750	$2,310	$8.7M
59510	In this global service, the provider provides all of the antepartum care, admission to the hospital for delivery, delivery of the fetus and placenta via an abdominal incision, and inpatient and…	1,780	$2,310	$4.1M
59410	In this global service, the provider admits the patient to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal…	260	$1,620	$427.7K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	2,520	$90	$213.9K
59515	In this global service, the provider provides admission to the hospital for cesarean delivery of the fetus and placenta via an abdominal incision, and inpatient and outpatient postpartum care.…	10	$2,020	$24.2K

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

Healthgroup Of Alabama — 3 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	2	80	150	$1,540	$787.7K
59510	In this global service, the provider provides all of the antepartum care, admission to the hospital for delivery, delivery of the fetus and placenta via an abdominal incision, and inpatient and…	2	30	110	$1,850	$709.7K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	3	10	750	$160	$213.5K
59410	In this global service, the provider admits the patient to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal…	1	10	50	$1,580	$178.6K
59515	In this global service, the provider provides admission to the hospital for cesarean delivery of the fetus and placenta via an abdominal incision, and inpatient and outpatient postpartum care.…	1	10	10	$2,020	$24.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tennessee Valley Neonatology, Inc	AL	Neonatal-Perinatal Medicine Physician	$0	$22.2M
The Health Care Authority Of The City Of Huntsville	AL	General Acute Care Hospital	$0	$17.8M
Happi Health	AL	Federally Qualified Health Center (FQHC)	$0	$17.6M
Emergency Physicians Group	AL	Emergency Medicine Physician	$0	$13.5M
The Valley Foundation	AL	Multi-Specialty Clinic/Center	$0	$11.3M
David White	AL	Neurology Physician	$7M	$0
The Children's Hospital Of Alabama	AL	Pediatric Pulmonology Physician	$0	$5.6M
Huntsville Pediatric Associates, LLC	AL	Pediatrics Physician	$0	$4.8M
Dental Associates Of Huntsville, LLC	AL	General Practice Dentistry	$0	$4.7M
Health Group Of Alabama	AL	Contractor	$0	$4.1M

Healthgroup Of Alabama — Billing Profile & Reimbursement Data

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Healthgroup Of Alabama — 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