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Alabama Department of Senior Services

Home Health·Montgomery, AL·NPI: 1326111337Share

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $631.6M is at the 90th percentile among 322 Home Health providers.

Above 90th percentile for this specialty — higher spending than 289 of 322 peers

Active Billing Period:2018-012024-12(84 months)

Total Paid

$631.6M

$631,608,445

Total Claims

10.8M

Beneficiaries

1.9M

5.7 claims/patient

Avg Cost/Claim

$59

#83 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

Alabama Department of Senior Services is a Home Health provider based in Montgomery, AL. From the 2018–2024 period, this provider received $631.6M in Medicaid payments across 10.8M claims.

Important Context

  • ℹ️This is a government entity that may serve as a fiscal agent for large populations. Government providers often bill at high volumes due to the scale of public programs they administer.

Why This Matters

This provider received $631.6M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 78,951 Medicaid beneficiaries for a full year at average per-enrollee costs.

128% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$68.9M
-10%
2019
$61.9M
+0%
2020
$62.1M
+12%
2021
$69.6M
+31%
2022
$91.3M
+32%
2023
$120.7M
+30%
2024
$157.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 68% of total spending.

T1019Top 25%

Personal care services, per 15 min

$430.6M

2.5M claims · 68.2%

Your Cost: $171.86/claim|Median: $82.47
2.1× median
S5130Normal range

Homemaker service, NOS; per 15 min

$86.7M

2.8M claims · 13.7%

Your Cost: $31.10/claim|Median: $48.76
0.6× median
S5170Normal range

Homemaker service, NOS, per diem

$65.4M

1.9M claims · 10.3%

Your Cost: $33.75/claim|Median: $19.89
1.7× median
S5150Normal range

Unskilled respite care, per 15 min

$16.7M

292K claims · 2.6%

Your Cost: $57.19/claim|Median: $84.46
0.7× median
T1016Normal range

Case management, each 15 min

$15.8M

3.0M claims · 2.5%

Your Cost: $5.27/claim|Median: $49.62
0.1× median
T1005Top 25%

Respite care services, per 15 minutes

$8.5M

61K claims · 1.3%

Your Cost: $138.49/claim|Median: $71.40
1.9× median
S5135Normal range

Companion care, adult, per diem

$4.9M

125K claims · 0.8%

Your Cost: $38.96/claim|Median: $52.25
0.8× median
T2028Normal range

Specialized supply, NOS; per unit

$1.1M

10K claims · 0.2%

Your Cost: $106.91/claim|Median: $79.30
1.4× median
S5102Top 5%

Day care services, adult; per 15 min

$1.1M

3K claims · 0.2%

Your Cost: $323.72/claim|Median: $81.10
4.0× median
T1001Normal range

Nursing assessment/evaluation, per visit

$603K

38K claims · 0.1%

Your Cost: $15.94/claim|Median: $49.05
0.3× median
S5161Normal range

Emergency response system, per month

$140K

5K claims · 0.0%

Your Cost: $27.03/claim|Median: $29.97
0.9× median
S5165Normal range

Home modifications, per service

$90K

28 claims · 0.0%

Your Cost: $3,222.09/claim|Median: $2,196.32
1.5× median
T2029Normal range

Specialized transportation, waiver, per mile, extra

$34K

134 claims · 0.0%

Your Cost: $256.49/claim|Median: $141.34
1.8× median
S5121Top 25%

Attendant care services, in-home, per 15 min

$9K

12 claims · 0.0%

Your Cost: $766.50/claim|Median: $111.06
6.9× median
S5160Normal range

Emergency response system, per month

$311

14 claims · 0.0%

Your Cost: $22.21/claim|Median: $38.52
0.6× median