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.

Mercy Life Of Alabama (NPI 1952609059)

Field	Value
Entity Type	Organization
Organization	Mercy Life Of Alabama
Address	2900 Springhill Ave
City	Mobile
State	AL
ZIP	36607
Taxonomy	PACE Provider Organization
NPI Enumerated	March 14, 2011

Payer Source	Total Paid
Medicaid	$11.5M
Medicare	$0

Key Findings

This provider is effectively single‑payer: Medicare billing is listed as none (no Medicare billing on file) while Medicaid revenue totals $11.5M, so all recorded fee‑for‑service activity in our dataset is driven by Medicaid. Analysts should treat MERCY LIFE OF ALABAMA as operating primarily within the Medicaid payment stream rather than the Medicare market.

Revenue concentration is extremely high and narrowly focused: the precomputed top‑3 Medicaid codes account for 100.0% of the provider’s Medicaid revenue, and that total Medicaid revenue is $11.5M. In practice this means a single code (T1015) is driving the entire reported Medicaid topline for this entity.

The dominant code is T1015 (Clinic visit/encounter, all-inclusive), with 3.8K claims, a $2990 avg paid/claim, and $11.5M revenue. This mix—high claim-level payment combined with a PACE Provider Organization taxonomy—is consistent with an integrated clinic or care‑coordination model that bills comprehensive encounter visits rather than discrete procedure codes.

Competitive standing in the state market is modest: the provider’s T1015 volume ranks #142 of 243 in‑state and sits at the 42th percentile. The platform’s plain‑English characterization for this position is “typical, unremarkable volume,” so MERCY LIFE OF ALABAMA is not a dominant statewide payer of this code but a routine participant.

Tenure is long enough to establish market presence: the NPI was enumerated on 2011-03-14 (~15 years ago), indicating the organization has been active in claims reporting for a multi‑year period. That longevity supports interpreting recent concentration and ranking patterns as stable operational features rather than brand‑new behaviors.

The billing profile implies operational and reimbursement sensitivity: because T1015 accounts for the full reported Medicaid revenue, any changes to Medicaid policy, reimbursement for T1015, or program participation rules could materially affect the provider’s revenue. Risk monitoring should prioritize updates to T1015 reimbursement and Medicaid program structures that affect PACE or comprehensive encounter billing.

The absence of Medicare billing combined with the PACE Provider Organization taxonomy and T1015 dominance suggests the provider’s services are structured around Medicaid‑financed, all‑inclusive encounters rather than fee‑for‑service Medicare procedures. Analysts considering network participation or contract negotiations should treat Medicare exposure as negligible in this dataset.

Statistically, the provider does not present as an outlier on the reported code: the dataset labels its T1015 volume as “typical, unremarkable volume for this code.” That characterization, together with the 42th percentile rank, indicates the provider’s encounter volume is within the common range among in‑state peers rather than being exceptionally high or low.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	3,850	$2,990	$11.5M

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

Mercy Life Of Alabama — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	142	240	6,820	$120	$2.9M

Nearby Providers

Other providers in the same ZIP code as Mercy Life Of Alabama, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mobile Infirmary Association	AL	General Acute Care Hospital	$0	$4.6M
Mobile Pediatric Clinic LLC	AL	Pediatrics Physician	$0	$3.5M
Advantage Diabetic And Medical	AL	Durable Medical Equipment & Medical Supplies	$0	$2.9M
Imc-hospitalists LLC	AL	Hospitalist Physician	$0	$2.6M
Pediatric Physical Therapy, LLC	AL	Pediatric Physical Therapist	$0	$1.5M
Emergency Services Of Mobile PC	AL	Emergency Medicine Physician	$0	$1M
Zachary Reardon	AL	Urology Physician	$505.7K	$0
Paul Scott	AL	Urology Physician	$334.8K	$0
Ankit Gulati	AL	Physical Medicine & Rehabilitation Physician	$271.3K	$0
Peter Pluscht	AL	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$204.6K	$0

Mercy Life Of Alabama — Billing Profile & Reimbursement Data

Sign up for Mercy Life Of Alabama — Billing Profile & Reimbursement Data policy alerts

Mercy Life Of Alabama — Billing Profile & Reimbursement Data

Sign up for Mercy Life Of Alabama — 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