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 1689726515)

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	Case Management Agency
NPI Enumerated	January 18, 2007

Payer Source	Total Paid
Medicaid	$42.1M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operator: it reports no Medicare billing on file and $42.1M in lifetime Medicaid revenue, indicating its operating scale and revenue footprint are driven entirely by Medicaid activity. The absence of Medicare revenue suggests payer strategy and risk exposure are concentrated on state Medicaid policies and reimbursement practices.

Revenue is extremely concentrated in a small set of coordinated-care fees: the top three Medicaid codes (G9008, G9002, G9003) account for 100.0% of the provider's total Medicaid revenue. Specifically, G9008 accounts for $23M (54.7%), G9002 for $16.1M (38.3%), and G9003 for $2.9M (7.0%), signaling that nearly all payments flow through these few care-coordination fees rather than traditional procedure-level services.

The code mix (G9008 — Coordinated care fee, physician coordinated care oversight services; G9002 — Coordinated care fee, maintenance rate; G9003 — Coordinated care fee, risk adjusted high, initial) indicates the organization functions primarily as a high-volume case management/coordinated-care entity rather than a fee-for-service clinical provider. High-volume, per-member/per-period coordinated care fees dominate revenue rather than discrete psychotherapy or evaluation CPTs, aligning with its taxonomy as a Case Management Agency.

Operational scale is reflected in claim volumes and per-claim payments for the top codes: G9008 shows 418.5K claims at $55 avg paid/claim, G9002 shows 322.7K claims at $50 avg paid/claim, and G9003 shows 6.2K claims at $472 avg paid/claim. The mix of very high claim counts for maintenance/oversight fees and much higher per-claim payments for the risk-adjusted initial code (G9003) is consistent with front-loaded assessment payments plus ongoing per-member coordination fees.

State-level competitive standing is dominant for these coordinated-care codes: G9002 ranks #1 of 8 providers in-state (100th percentile; notably above typical state volume), G9003 ranks #1 of 61 providers (100th percentile; extreme outlier), and G9008 ranks #2 of 173 providers (99th percentile; extreme outlier). These rankings indicate the provider is a major, high-volume participant statewide for the coordinated-care fee lines rather than a marginal player.

The NPI tenure shows long-established participation in Medicaid billing: enumerated on 2007-01-18 (~19 years ago), which supports the interpretation that the organization has sustained its coordinated-care role over an extended period and is not a recent entrant to these programmatic payments.

Several other commonly billed behavioral-health codes appear on the claim list but report $0 paid and $0 revenue (for example H2027, H0034, 90837, Q3014 and others), suggesting these service codes are either administratively reported or are being captured in bundled/coordination payments rather than paid separately. Those zero-revenue entries indicate the provider’s financial model relies on bundled coordinated-care fees instead of fee-for-service reimbursement for psychotherapy or ancillary services.

High concentration in a handful of coordinated-care fee codes creates policy and reimbursement sensitivity: with 100.0% of Medicaid revenue tied to G9008, G9002, and G9003, any state-level changes to these code definitions, payment levels, or eligibility rules would likely have a material impact on this provider’s revenue stream. Analysts should prioritize monitoring Medicaid policy changes affecting coordinated-care fee schedules and enrollment rules when assessing financial and operational risk.

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G9008	Coordinated care fee, physician coordinated care oversight services	418,530	$60	$23M
G9002	Coordinated care fee, maintenance rate	322,660	$50	$16.1M
G9003	Coordinated care fee, risk adjusted high, initial	6,210	$470	$2.9M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	30	$0	$0
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	20	$0	$0
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	340	$0	$0
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	270	$0	$0
90887	In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or…	1,040	$0	$0
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	220	$0	$0
H0004	Behavioral health counseling and therapy, per 15 minutes	40	$0	$0

Showing 1–10 of 16

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 — 3 of 3 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

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0040	Assertive community treatment program, per diem	4	10	1,240	$40	$9.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	15	20	1,420	$60	$2.3M
G9002	Coordinated care fee, maintenance rate	1	10	2,390	$50	$2.2M
H2027	Psychoeducational service, per 15 minutes	9	20	500	$40	$2M
H0046	Mental health services, not otherwise specified	10	20	620	$30	$911.3K
H0032	Mental health service plan development by non-physician	7	20	240	$20	$868.6K
G9008	Coordinated care fee, physician coordinated care oversight services	2	170	1,500	$100	$860K
H0034	Medication training and support, per 15 minutes	10	20	750	$20	$822.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	142	180	100	$120	$381.8K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	225	380	440	$90	$362K

Showing 1–10 of 16

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	$95.8M
Alabama Department Of Mental Health And Mental Retardation	AL	Community/Behavioral Health Agency	$0	$85.5M
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