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.

Altapointe Health Systems, Inc (NPI 1972083012)

Key Findings

Field	Value
Entity Type	Organization
Organization	Altapointe Health Systems, Inc
Address	13833 Tapia Ave
City	Bayou La Batre
State	AL
ZIP	36509
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	August 17, 2018

Payer Source	Total Paid
Medicaid	$19.8M
Medicare	$0

ALTAPOINTE HEALTH SYSTEMS, INC has no Medicare billing on file and is effectively a Medicaid-only reporter in this dataset, with total Medicaid revenue of $19.8M. The absence of Medicare revenue makes Medicaid the sole material payer reflected in these records and concentrates analytic attention on Medicaid-coded activity and FQHC payment constructs.

Revenue is extremely concentrated: the precomputed top-3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, and that concentration is driven entirely by T1015. T1015 shows 111.8K claims, a $177 avg paid/claim and $19.8M revenue (100.0% of the provider's Medicaid revenue) and ranks #11 of 243 in-state (96th percentile), indicating that the bundled clinic-visit payment is the single dominant revenue driver.

The provider’s taxonomy as a Federally Qualified Health Center (FQHC) and the dominance of T1015 (plus the presence of G0467) indicate operations structured around FQHC-style, bundled per-visit payments and primary care/clinic-based service delivery. Supporting activity in preventive and immunization codes (90688 and 90471) and well-patient visit codes (99391/99392/99393/99394) is consistent with a community health center model that delivers immunizations and routine pediatric/adolescent care alongside primary visits.

Claim volumes for office/outpatient evaluation-and-management are very high even where per-code payments are recorded as $0 in the dataset: 99213 shows 46.2K claims (ranks #31 of 1988, 98th percentile), 99214 shows 22.6K claims (ranks #56 of 1990, 97th percentile), and 99212 shows 10.2K claims (ranks #6 of 498, 99th percentile). These volumes indicate heavy outpatient throughput and a large number of encounters, though the dataset records $0 avg paid/claim for many of these codes—consistent with billing/Payment being captured under T1015 in FQHC reimbursement models or with non-itemized payment reporting.

Behavioral health and screening activity is prominent: 90792 (psychiatric evaluation) has 2.8K claims and ranks #3 of 55 in-state (96th percentile), and 3725F (dementia screening for depression) has 2.2K claims and ranks #1 of 32 (100th percentile, labeled an "extreme outlier"). Together these findings point to substantial behavioral-health services and routine behavioral screening embedded in the clinic’s workflow, aligning with integrated primary care and mental health services common in FQHC settings.

Competitively, ALTAPOINTE is a major state-level participant for core primary-care and behavioral-health encounter codes: high percentile and rank positions on T1015, multiple E/M codes, and psychiatric evaluation place it above typical state volumes for these services. However, because nearly all Medicaid revenue is recorded under a single bundled code (T1015), the provider’s revenue profile is vulnerable to changes in per-visit reimbursement policy despite broad service delivery as evidenced by the claim mix.

The dataset shows many preventive, screening, and assessment codes with sizeable claim counts but $0 recorded payment (for example, 99393 with 2K claims, 96160 with 377 claims, and 96127 with 2.7K claims). This pattern is consistent with bundled FQHC billing where item-level payments may not be separately captured; analysts should therefore interpret per-code revenue zeros cautiously and focus on the bundled T1015 line for financial assessment.

The provider’s NPI was enumerated on 2018-08-17 (~8 years ago), and the combination of that tenure with the high claim volumes reported suggests rapid operational scale-up of clinic encounters over a relatively short period since enumeration. Tenure plus the heavy reliance on FQHC-structure billing are important context for benchmarking growth and assessing operational resilience to Medicaid reimbursement changes.

Medicaid: Competitive Analysis & Benchmarks

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	111,780	$180	$19.8M
90688	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.	100	$10	$570
0241U	N/A	50	$0	$0
1034F	No Summary found for this code	220	$0	$0
1036F	N/A	1,050	$0	$0
1159F	No Summary found for this code	3,980	$0	$0
1160F	No Summary found for this code	3,980	$0	$0
3008F	No Summary found for this code	3,260	$0	$0
3074F	No Summary found for this code	2,550	$0	$0
3075F	No Summary found for this code	40	$0	$0

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

Altapointe Health Systems, Inc — 1 of 2 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

51 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	11	240	6,820	$120	$2.9M
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…	56	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…	181	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…	31	1,990	560	$40	$185.6K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	81	270	1,360	$60	$159.7K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	76	300	1,160	$50	$147.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	97	320	640	$50	$98.1K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	239	300	210	$40	$77.9K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	192	230	410	$40	$59.2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	112	300	330	$50	$56.3K

Showing 1–10 of 51

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Altapointe Health Systems, Inc.	AL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.3M
Bradley Sadler	AL	Psychiatry Physician	$144.2K	$0
Ashlen Aggen	AL	Family Medicine Physician	$44.6K	$0
Margaret Kellar	AL	Psychiatric/Mental Health Nurse Practitioner	$21.1K	$0
Maridith Hollis	AL	Psychiatry Physician	$16.4K	$0
Alyssa Hollingsworth	AL	Physician Assistant	$220	$0

Altapointe Health Systems, Inc — Billing Profile & Reimbursement Data

Sign up for Altapointe Health Systems, Inc — Billing Profile & Reimbursement Data policy alerts

Altapointe Health Systems, Inc — Billing Profile & Reimbursement Data

Sign up for Altapointe Health Systems, Inc — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References