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 Rehabilitation Services (NPI 1891849725)

Field	Value
Entity Type	Organization
Organization	Alabama Department Of Rehabilitation Services
Address	602 S Lawrence St
City	Montgomery
State	AL
ZIP	36104
Taxonomy	Clinic/Center
NPI Enumerated	January 22, 2007

Payer Source	Total Paid
Medicaid	$68M
Medicare	$0

Key Findings

ALABAMA DEPARTMENT OF REHABILITATION SERVICES is effectively a single-payer provider in these files: it has no Medicare billing on file and all reported lifetime revenue is from Medicaid, totaling $68M. This concentration means any analysis of scale, utilization, or competitive position should be interpreted through the Medicaid lens rather than a mixed-payer view.

Medicaid revenue is heavily concentrated in a very small set of E/M office visit codes: the top three Medicaid codes account for 98.1% of the provider’s total Medicaid revenue. That extreme concentration indicates the organization’s billing activity and revenue base are overwhelmingly driven by routine outpatient evaluation-and-management encounters rather than diverse procedure or ancillary service lines.

Code 99215 is the dominant revenue driver within Medicaid, generating $42M (61.9% of Medicaid revenue) from 22.5K claims and an average paid/claim of $1871. The provider ranks #3 of 334 in-state for 99215 and is described as an extreme outlier, indicating a very large volume and high-dollar intensity for high-complexity established-patient visits compared with other Alabama providers.

Code 99212 is the second major driver, producing $17.1M (25.2% of Medicaid revenue) across 9.3K claims with an average paid/claim of $1835, and ranks #7 of 498 in-state as an extreme outlier. The combination of very high ranks for both 99215 and 99212 suggests the clinic/center operates a high-throughput outpatient evaluation-and-management practice that bills both high- and low-complexity established-visit codes at volumes far above typical state peers.

Code 99213 and 99214 contribute the remaining material Medicaid revenue but at markedly lower shares: 99213 accounts for $7.5M (11.1% of Medicaid revenue) and ranks in the 80th percentile in-state (typical volume), while 99214 contributes $1.3M (1.9% of Medicaid revenue) and sits at the state median (50th percentile). These patterns show a steep skew toward the highest-revenue established-visit code (99215) with smaller, more typical volumes for mid-level E/M codes.

From a business and service-line perspective, the dominant use of E/M office visit codes—especially 99215—indicates this entity functions primarily as an outpatient clinic/center focused on evaluation and management of established patients, likely managing complex ongoing conditions or delivering intensive visits rather than episodic procedures or durable medical equipment.

Competitive standing in-state is strong for the high-complexity established-visit market: ranking #3 of 334 for 99215 and #7 of 498 for 99212 places the provider among the top-tier Medicaid billers for those services in Alabama. By contrast, its rank for 99213 (401 of 1988) is more typical, signaling the provider’s dominance is concentrated specifically in certain E/M intensity tiers rather than across the full mix of outpatient visit codes.

The provider has a long tenure in the NPI registry, enumerated since 2007-01-22 (~19 years ago), which supports interpretation of these billing patterns as established operational behavior rather than a transient billing spike. Long tenure plus concentrated Medicaid volume suggests stable, mission-driven service delivery focused on outpatient rehabilitation and related ongoing care.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	22,470	$1,870	$42M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	9,330	$1,840	$17.1M
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…	4,170	$1,810	$7.5M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	670	$1,870	$1.3M
99203	The provider sees a new 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 provider…	10	$0	$0
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	10	$0	$0

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 Rehabilitation Services — 2 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	999	1,990	680	$60	$201.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	3	330	140	$240	$197.4K
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…	401	1,990	560	$40	$185.6K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	587	630	60	$80	$45.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	7	500	120	$60	$42.2K
99203	The provider sees a new 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 provider…	616	660	80	$50	$26.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alabama Department Of Mental Health	AL	Community/Behavioral Health Agency	$0	$18.2M
State Of Alabama Department Of Finance	AL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.8M
Alabama Department Of Senior Services	AL	Case Management Agency	$0	$3.1M
Alabama Department Of Mental Health And Mental Retardation	AL	Community/Behavioral Health Agency	$0	$2.9M
Alabama Department Of Public Health Ehr Mu	AL	Nurse Practitioner	$0	$2.6M
Alabama Department Of Mental Health	AL	Case Management Agency	$0	$2.2M
Bio-medical Applications Of Alabama, Inc.	AL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1M
Jennifer Smith	AL	Speech-Language Pathologist	$8.1K	$0

Alabama Department Of Rehabilitation Services — Billing Profile & Reimbursement Data

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Alabama Department Of Rehabilitation Services — 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