Alabama Department of Mental Health and Mental Retardation
Single-Code
Billing almost exclusively for 1-2 procedure codes despite high total volume.
Bills primarily for code G9008 (2 unique codes).
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
▼
Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Single-Code
Single-Code Billing means this provider bills almost exclusively for one or two procedure codes despite high total volume. Legitimate specialists may focus on specific codes, but extreme concentration can indicate a scheme billing repeatedly for the same service.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Compared to Community/Behavioral Health Peers
Total spending distribution among 218 providers in this specialty
This provider's total spending of $95.7M is at the 50th percentile among 218 Community/Behavioral Health providers.
Total Paid
$95.7M
$95,656,297
Total Claims
509K
Beneficiaries
370K
1.4 claims/patient
Avg Cost/Claim
$188
🔍 Analysis
Provider Overview
Alabama Department of Mental Health and Mental Retardation is a Community/Behavioral Health provider based in Montgomery, AL. From the 2018–2024 period, this provider received $95.7M in Medicaid payments across 509K 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
At $95.7M in Medicaid payments, this provider represents significant public healthcare spending. Understanding where these dollars go helps ensure the program serves those who need it most.
Other Top Providers in Alabama
View all →Alabama Department of Mental Health and Mental Retardation
Community/Behavioral Health
$2.25B
Alabama Department of Senior Services
Home Health
$631.6M
Alabama Department of Mental Health and Mental Retardation
Community/Behavioral Health
$559.5M
State of Alabama Department of Public Health
Clinical Medical Laboratory
$373.6M
Laboratory Corporation of America Holdings
Clinical Medical Laboratory
$289.1M
Similar Providers
Other top providers in Community/Behavioral Health