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.

State Of Alabama Department Of Public Health (NPI 1235215898)

Field	Value
Entity Type	Organization
Organization	State Of Alabama Department Of Public Health
Address	1000 S Jackson Hwy
City	Sheffield
State	AL
ZIP	35660
Taxonomy	Home Health Agency
NPI Enumerated	October 27, 2006

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	4,900	$260	$1.3M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	490	$130	$63.1K

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

State Of Alabama Department Of Public Health — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	4	20	990	$280	$903.2K
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	7	10	490	$120	$173.1K

Related Providers

Other providers that share a Tax Identification Number (TIN) with State Of Alabama Department Of Public Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
State Of Alabama Department Of Public Health	AL	Clinical Medical Laboratory	$0	$374.3M
State Of Alabama Department Of Public Health	AL	Home Health Agency	$0	$6.9M
Shelby Nesbitt	AL	Acute Care Nurse Practitioner	$71.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shoals Primary Care, LLC	AL	Family Medicine Physician	$0	$5.8M
Hh Health System - Shoals LLC	AL	General Acute Care Hospital	$0	$5M
Northwest Alabama Health Services, LLC	AL	Ambulance	$1.3M	$2.3M
Northwest Emergency Physician Group	AL	Emergency Medicine Physician	$0	$2.8M
Colbert County Health Dept Fp Clinic	AL	Public Health or Welfare Agency	$0	$1.9M
Oral & Facial Surgery Of The Shoals, L.L.C.	AL	Oral and Maxillofacial Surgery (Dentist)	$0	$1.6M
Faith Based Psychological Associates, Inc	AL	Community/Behavioral Health Agency	$0	$1.3M
Jerry Williams	AL	Cardiovascular Disease Physician	$370.6K	$0
Charles Thompson	AL	Family Medicine Physician	$303.5K	$0
Anthony Horton	AL	Family Medicine Physician	$301.9K	$0

State Of Alabama Department Of Public Health — Billing Profile & Reimbursement Data

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State Of Alabama Department Of Public Health — 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