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    OpenPayerNPI Medicare & MedicaidSate Of Alabama Dept Of Finance
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    Sate Of Alabama Dept Of Finance — Billing Profile & Reimbursement Data

    NPI 1902999022 · Montgomery, AL · Public Health or Welfare Agency

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    Sate Of Alabama Dept Of Finance is a public health or welfare agency provider located in Montgomery, Alabama. This profile covers 0 Medicare and 17 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
    OrganizationSate Of Alabama Dept Of Finance
    Address50 N Ripley St
    CityMontgomery
    StateAL
    ZIP36130
    TaxonomyPublic Health or Welfare Agency
    NPI EnumeratedOctober 2, 2006

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

    Payer SourceTotal Paid
    Medicaid$205.3M
    Medicare$0

    Key Findings

    This provider has no Medicare billing on file and is effectively a single-payer Medicaid operation, with Total Medicaid revenue: $205.3M. The absence of Medicare activity means analyses of scale, growth, and payer risk should focus on Medicaid-only dynamics rather than dual-payer comparisons.

    Revenue is highly concentrated: the precomputed top 3 Medicaid codes account for 90.6% of this provider's total Medicaid revenue. That concentration indicates the provider’s financial performance is driven by a very small set of service lines, increasing sensitivity to rate changes or utilization shifts for those specific codes.

    The code mix (H0036, 90791, H2027 and multiple psychotherapy and family-therapy codes) points to a community behavioral-health operating model focused on high-volume, short-interval supportive services, intake/diagnostic evaluations, and group/educational programming. H0036 (Community psychiatric supportive treatment, per 15 minutes) and H2027 (Psychoeducational service, per 15 minutes) both bill in 15-minute units, implying an operational emphasis on repeated short encounters and outreach or community-based services.

    90791 is an outsized driver of billed activity and is an extreme statistical outlier in the state: 90791 generated $40.6M from 290K claims and ranks #1 of 177 providers in-state (100th percentile; extreme outlier). This suggests the provider performs very large volumes of psychiatric evaluations relative to peers, consistent with a centralized intake/evaluation function or a high-throughput diagnostic workflow.

    H0036 is the single largest revenue contributor by dollars: H0036 produced $137.5M (67.0% of this provider's total Medicaid revenue) across 1.3M claims and ranks #2 of 12 providers in-state (91th percentile; typical, unremarkable volume for this code). The mix of enormous claim counts and 15-minute billing units indicates substantial unit-level intensity (many short encounters) concentrated in community psychiatric supportive services.

    Several psychotherapy and family-therapy codes also show above-typical statewide standing, reinforcing a broad outpatient behavioral-health footprint. For example, 90837 generated $6.3M (56.5K claims) and ranks #4 of 379 providers in-state (99th percentile; notably above typical state volume), while 90846 generated $2.9M (35.1K claims) and ranks #1 of 53 providers in-state (100th percentile; extreme outlier), indicating meaningful capacity in longer-format individual therapy and family-only sessions beyond intake services.

    Operational and competitive implications: the provider is a dominant or extreme outlier on multiple behavioral-health codes (notably 90791 and 90846) while being only a top-but-not-dominant performer on its single largest dollar source H0036 (rank #2). That mixed position — leading on evaluations and family therapy but trailing one peer on community psychiatric supportive treatment — suggests both competitive strength in certain specialized services and potential opportunity or vulnerability in scaling the largest revenue stream.

    Tenure supports institutional stability: the NPI was enumerated on 2006-10-02 (~20 years ago), indicating a long-established Medicaid billing presence. Given the heavy Medicaid concentration, any payer policy changes, rate adjustments, or programmatic shifts in Medicaid behavioral-health reimbursement would materially affect this provider’s revenue profile.

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H0036Community psychiatric supportive treatment, face-to-face, per 15 minutes1,347,600$100$137.5M
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.289,960$140$40.6M
    H2027Psychoeducational service, per 15 minutes160,100$50$8M
    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…56,460$110$6.3M
    90846A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.35,080$80$2.9M
    H0046Mental health services, not otherwise specified50,570$50$2.4M
    H0032Mental health service plan development by non-physician66,540$30$1.7M
    90853Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…49,220$30$1.2M
    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…13,140$80$1M
    H0033Oral medication administration, direct observation74,770$10$972K

    Showing 1–10 of 17

    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

    17 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H0036Community psychiatric supportive treatment, face-to-face, per 15 minutes2102,490$70$28.2M
    H0033Oral medication administration, direct observation31074,770$10$2.6M
    H0004Behavioral health counseling and therapy, per 15 minutes6201,420$60$2.3M
    H2027Psychoeducational service, per 15 minutes320500$40$2M
    H2011Crisis intervention service, per 15 minutes3102,150$80$988K
    H0046Mental health services, not otherwise specified220620$30$911.3K
    H0032Mental health service plan development by non-physician220240$20$868.6K
    H0034Medication training and support, per 15 minutes320750$20$822.8K
    90853Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…420880$20$618.6K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.1180100$120$381.8K

    Showing 1–10 of 17

    Nearby Providers

    Other providers in the same ZIP code as Sate Of Alabama Dept Of Finance, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alabama Department Of Mental Health And Mental RetardationALCommunity/Behavioral Health Agency$0$2.3B
    Alabama Department Of Senior ServicesALHome Health Agency$0$631.3M
    Alabama Department Of Mental Health And Mental RetardationALCommunity/Behavioral Health Agency$0$560.2M
    State Of Alabama Dept Of FinanceALCase Management Agency$0$98.7M
    Alabama Department Of Mental Health And Mental RetardationALCommunity/Behavioral Health Agency$0$95.8M
    Alabama Department Of Mental Health And Mental RetardationALCommunity/Behavioral Health Agency$0$85.5M
    Alabama Department Of Mental Health And Mental RetardationALCase Management Agency$0$42.1M
    State Of Alabama Dept Of FinanceALCase Management Agency$0$36.4M
    Alabama Department Of Mental Health And Mental RetardationALCommunity/Behavioral Health Agency$0$22.8M
    Jefferson County Home Care Epsdt Cc - AdphALPublic Health or Welfare Agency$0$1.6M

    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
    Sate Of Alabama Dept Of Finance — 4 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama