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    OpenPayerNPI Medicare & MedicaidAlabama Department Of Mental Health
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    Alabama Department Of Mental Health — Billing Profile & Reimbursement Data

    NPI 1750710117 · Montgomery, AL · Community/Behavioral Health Agency

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    Alabama Department Of Mental Health is a community/behavioral health agency provider located in Montgomery, Alabama. This profile covers 0 Medicare and 15 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationAlabama Department Of Mental Health
    Address100 N Union St
    CityMontgomery
    StateAL
    ZIP36104
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedNovember 6, 2013

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$18.2M
    Medicare$0

    Key Findings

    ALABAMA DEPARTMENT OF MENTAL HEALTH has no Medicare billing on file and is effectively a single-payer Medicaid provider in this dataset, with Total Medicaid revenue of $18.2M and no recorded Medicare revenue; this indicates its operations are focused on Medicaid-covered services rather than fee-for-service Medicare lines.

    Revenue is highly concentrated in a single procedure: T2002 (Non-emergency transportation; per diem) accounts for $18.2M and 100.0% of the provider's total Medicaid revenue, indicating the organization’s Medicaid billing is dominated entirely by transportation services rather than clinical or therapy codes.

    The top-3 Medicaid codes were precomputed to account for 100.0% of the provider’s Medicaid revenue, reinforcing that Medicaid income is effectively limited to a very small set of service categories and is not diversified across many billable clinical procedures.

    By rank and percentile for T2002, this provider ranks #1 of 4 in-state and is at the 100th percentile for this code, which positions it as the leading in-state biller for non-emergency transportation among the small peer set; this suggests a dominant role in that specific service line within Alabama.

    Clinical and therapy codes such as 90791, H0032, H0040, H0036, and various psychotherapy codes (90832/90834/90837/90847) appear in the claim list but contribute negligible revenue (examples: 90791 shows 44 claims for $132 revenue), signaling that while the agency documents clinical activity, those services do not drive Medicaid revenue compared with T2002.

    Several Medicaid behavioral-health program codes (H0032, H0040, H0036, H2012, H2017) show nonzero claim volumes but report $0 average paid/claim and $0 revenue in the data provided; this pattern may reflect alternative funding arrangements, bundled payments, or that billing for those service lines does not generate direct Medicaid fee-for-service revenue for this entity.

    The provider has been enumerated since 2013-11-06 (~13 years), indicating more than a decade of presence in the NPI registry; combined with concentrated Medicaid revenue, this suggests a sustained operational focus on Medicaid transportation services rather than recent pivots into Medicare or expanded fee-for-service clinical billing.

    Competitive standing across the varied behavioral-health codes is modest to low: many clinical codes rank in lower percentiles statewide (examples include 90791 at the 30th percentile, H0036 at the 9th percentile, and H0034 at the 7th percentile), indicating the agency is not a major statewide competitor for most direct clinical service categories despite its leadership in T2002.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T2002Non-emergency transportation; per diem1,071,650$20$18.2M
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.40$1$130
    90832In 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…160$0$0
    90834In 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…90$0$0
    90837In 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…310$0$0
    90847A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…50$0$0
    A0120Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems270$0$0
    H0004Behavioral health counseling and therapy, per 15 minutes110$0$0
    H0032Mental health service plan development by non-physician300$0$0
    H0034Medication training and support, per 15 minutes50$0$0

    Showing 1–10 of 15

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Alabama providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Alabama median

    15 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H0036Community psychiatric supportive treatment, face-to-face, per 15 minutes11102,490$70$28.2M
    H2017Psychosocial rehabilitation services, per 15 minutes210403,360$60$23.6M
    H2012Behavioral health day treatment, per hour210460$70$13.4M
    H0040Assertive community treatment program, per diem3101,240$40$9.2M
    H2021Community-based wrap-around services, per 15 minutes510330$660$6.4M
    T2002Non-emergency transportation; per diem1101,500$20$4.4M
    H0004Behavioral health counseling and therapy, per 15 minutes13201,420$60$2.3M
    H0032Mental health service plan development by non-physician1020240$20$868.6K
    H0034Medication training and support, per 15 minutes1420750$20$822.8K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.125180100$120$381.8K

    Showing 1–10 of 15

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alabama Department Of Rehabilitation ServicesALClinic/Center$0$68M
    State Of Alabama Department Of FinanceALMental Health Clinic/Center (Including Community Mental Health Center)$0$6.8M
    Alabama Department Of Senior ServicesALCase Management Agency$0$3.1M
    Alabama Department Of Mental Health And Mental RetardationALCommunity/Behavioral Health Agency$0$2.9M
    Alabama Department Of Public Health Ehr MuALNurse Practitioner$0$2.6M
    Alabama Department Of Mental HealthALCase Management Agency$0$2.2M
    Bio-medical Applications Of Alabama, Inc.ALEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1M
    Jennifer SmithALSpeech-Language Pathologist$8.1K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Alabama Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Alabama Distribution
    Alabama Department Of Mental Health — 1 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama