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 Dept Of Finance (NPI 1427147859)

Field	Value
Entity Type	Organization
Organization	State Of Alabama Dept Of Finance
Address	50 N Ripley St
City	Montgomery
State	AL
ZIP	36130
Taxonomy	Case Management Agency
NPI Enumerated	October 12, 2006

Payer Source	Total Paid
Medicaid	$36.4M
Medicare	$0

Key Findings

The provider is structured as a Case Management Agency and its Medicaid billing mix is dominated by targeted case management activity; the single listed code T2023 (Targeted case management; per month) aligns directly with that taxonomy and suggests the organization’s operations are focused on ongoing care coordination and monthly case-management encounters rather than episodic clinical procedures.

Revenue is highly concentrated in a single service area: the precomputed top-3 Medicaid codes account for 100.0% of this provider’s Medicaid revenue, with T2023 alone representing $36.4M of lifetime Medicaid revenue. This concentration indicates the business is effectively a specialized case-management billing operation.

The operational scale of the T2023 activity is substantial in raw volume: the provider reported 88.6K claims for T2023 with an average paid per claim of $411, which together produce the $36.4M revenue figure. These metrics point to a steady, recurring monthly billing pattern consistent with per-member/per-month case management reimbursement.

This entity is effectively single-payer in its footprint: there is no Medicare billing on file and total reported Medicare revenue is none, while total Medicaid revenue is $36.4M, so the provider’s financial exposure and contracting leverage are concentrated exclusively in the Medicaid program.

On relative competitive standing within the state for this code, the provider ranks #2 of 5 providers and sits at the 75th percentile for T2023 volume; the supplied characterization is "typical, unremarkable volume for this code," indicating the organization is a solid mid-to-upper-tier participant statewide but not a dominant outlier.

The provider’s NPI was enumerated on 2006-10-12 (~20 years ago), signaling long tenure in the market and likely established operational and payer relationships that have supported sustained targeted case management billing.

The combination of high revenue concentration in T2023 and the lack of Medicare activity presents both risk and opportunity: the provider is vulnerable to Medicaid policy or rate changes affecting targeted case management, but its scale in T2023 also creates a platform for potential service-line expansion or diversification into adjacent Medicaid care-coordination/reimbursement codes if strategic and clinical capabilities allow.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2023	Targeted case management; per month	88,630	$410	$36.4M

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 Dept Of Finance — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2023	Targeted case management; per month	2	10	12,540	$370	$28.4M

Nearby Providers

Other providers in the same ZIP code as State Of Alabama Dept Of Finance, 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	$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
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

State Of Alabama Dept Of Finance — Billing Profile & Reimbursement Data

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State Of Alabama Dept Of Finance — 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