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 Maternity, Inc. (NPI 1730294257)

Field	Value
Entity Type	Organization
Organization	Alabama Maternity, Inc.
Address	417 20th St N
City	Birmingham
State	AL
ZIP	35203
Taxonomy	Case Management Agency
NPI Enumerated	August 21, 2006

Payer Source	Total Paid
Medicaid	$18M
Medicare	$0

Key Findings

ALABAMA MATERNITY, INC. is effectively a Medicaid-focused case management agency: it has no Medicare billing on file and $18M in lifetime Medicaid revenue, indicating the organization’s operations and revenue base are concentrated entirely in the Medicaid program rather than in Medicare relationships. The absence of Medicare activity suggests payer mix is single-payer in practice, with Medicaid supporting the provider’s core clinical volume and financial footprint.

Revenue concentration is extremely high: the top three Medicaid codes account for 99.5% of total Medicaid revenue, with 59400 alone contributing $11.5M (63.8%) and 59510 contributing $5.1M (28.2%). This concentration implies the business is dominated by global obstetric delivery services, and financial performance is tightly tied to delivery volume and reimbursement for those specific global maternity codes.

The code mix — dominated by 59400 and 59510 — indicates primary activity is comprehensive global maternity care for vaginal (59400) and cesarean (59510) deliveries. These global services include antepartum, delivery, and postpartum care, so the provider’s operations likely encompass longitudinal perinatal management and inpatient delivery services integrated with outpatient follow-up.

ALABAMA MATERNITY, INC. is a statewide outlier and market leader for its top delivery codes: it ranks #1 of 76 providers for 59400 and #1 of 34 providers for 59510, both at the 100th percentile and described as extreme outliers. These rankings characterize the provider as a dominant in-state supplier of global delivery services, with volumes far above typical state peers for the same codes.

The provider also reports high utilization of an unspecified catch-all outpatient code, 99199, which generated $1.4M (7.6% of Medicaid revenue) across 6.8K claims and ranks #1 of 14 providers in-state (100th percentile, notably above typical state volume). This suggests supplemental or miscellaneous medicine services are billed regularly in support of the core maternity business, potentially capturing services that lack a more specific code.

Tenure-wise, the NPI was enumerated on 2006-08-21 (about 20 years ago), indicating a long-established presence in the market; combined with the extreme-volume rankings for obstetric global codes, this tenure supports a sustained operational focus on maternity care within Alabama.

Despite dominant Medicaid activity, the provider shows limited procedural diversity: aside from 59400, 59510, and 99199, the next-listed code 59410 accounts for only $83.1K (0.5% of Medicaid revenue) and ranks #2 of 3 providers (typical volume). This concentration in two primary global delivery codes suggests limited expansion into other obstetric or non-obstetric service lines relative to in-state peers.

Medicaid: Complete Services Breakdown

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

4 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…	5,530	$2,080	$11.5M
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…	2,430	$2,090	$5.1M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	6,830	$200	$1.4M
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…	50	$1,660	$83.1K

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

Alabama Maternity, Inc. — 3 of 4 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

4 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…	1	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…	1	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.	1	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…	2	10	50	$1,580	$178.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of Birmingham	AL	Land Ambulance	$1.1M	$5.5M
Alabama Regional Medical Services	AL	Family Medicine Physician	$0	$4.7M
Noahs Ark Child & Family Treatment Center Inc	AL	Preferred Provider Organization	$0	$4.2M
L Williams And Associates, LLC	AL	Community/Behavioral Health Agency	$0	$1.4M
Douglas Counseling Services, LLC	AL	Professional Counselor	$0	$1.1M
James Krell	AL	Dermatology Physician	$273.6K	$0
Brittany Urresta	AL	Family Nurse Practitioner	$137.8K	$0
Medsplus Consulting LLC	AL	Community/Retail Pharmacy	$33K	$0
Juanakee Adams	AL	Optometrist	$7.5K	$0

Alabama Maternity, Inc. — Billing Profile & Reimbursement Data

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Alabama Maternity, Inc. — 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