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 1407909930)

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 19, 2007

Payer Source	Total Paid
Medicaid	$95.8M
Medicare	$0

Key Findings

This entity is effectively a single-payer Medicaid billing organization: there is no Medicare billing on file and lifetime Medicaid revenue is reported at $95.8M, so Medicaid represents the entirety of its recorded payer activity. Analysts should treat Medicare-level comparisons as not applicable when evaluating this provider’s payment patterns.

Revenue is extremely concentrated in a single Medicaid code set: the precomputed top-3 Medicaid codes account for 100.0% of this provider’s Medicaid revenue, with G9008 alone accounting for $95.2M (99.4% of the provider’s Medicaid revenue). The second listed driver, G9005, contributes $587K (0.6%); together these two codes explain essentially all billed Medicaid dollars.

The dominant codes indicate a service model built around coordinated care and oversight rather than procedural or volume-based clinical interventions. G9008 is described as a coordinated care fee for physician coordinated care oversight services and G9005 as a coordinated care fee for risk-adjusted maintenance, which aligns with the provider’s taxonomy as a Community/Behavioral Health Agency and suggests operations focused on care management and ongoing case oversight.

Claim volume and per-claim pricing point to ongoing, high-frequency billing for care coordination: G9008 shows 506.2K claims at an average paid/claim of $188, while G9005 shows 3.2K claims at $182 avg paid/claim. The magnitude of G9008 claims implies recurring, programmatic billing (for example per-member/per-period coordination fees) rather than infrequent episodic procedures.

Competitive standing within the state is pronounced for the primary code: the provider ranks #1 of 173 providers in-state for G9008 and is at the 100th percentile, labeled an "extreme outlier, far above typical state volume for this code," which signals market dominance for that service line statewide. By contrast, G9005 is ranked #1 of 2 providers (100th percentile) but is described as a typical, unremarkable volume for that code, so its leadership there is less informative about competitive scale.

From a payer risk and contracting perspective, the near-total dependence on coordinated-care fees concentrates financial exposure: with $95.2M (99.4%) tied to G9008, changes to coverage policy, code valuation, or care-management program design for that single code would materially affect this provider’s Medicaid revenue. Payers and analysts should prioritize audit, utilization review, and contract terms for coordinated-care fee arrangements given this concentration.

The provider’s NPI was enumerated on 2007-01-19 (~19 years ago), indicating a long-tenured presence in the state Medicaid landscape. That tenure, combined with the scale shown in G9008 billing, is consistent with an established, programmatic role in delivering coordinated behavioral-health services to the Medicaid population.

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
G9008	Coordinated care fee, physician coordinated care oversight services	506,230	$190	$95.2M
G9005	Coordinated care fee, risk adjusted maintenance	3,230	$180	$587K

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 — 2 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
G9008	Coordinated care fee, physician coordinated care oversight services	1	170	1,500	$100	$860K
G9005	Coordinated care fee, risk adjusted maintenance	1	10	1,710	$180	$312.5K

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	$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