Alabama Department of Mental Health and Mental Retardation
Community/Behavioral Health
Montgomery, Alabama
NPI: 1699828970
Risk Tier
Elevated
Total Paid
$85.6M
$85,622,013
Total Claims
1.4M
Beneficiaries
311K
Avg Cost/Claim
$59.76
Statistical Fraud Flags (1)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $67.07 per claim for H0020 (Alcohol/drug services; methadone administration), which is 3.5× the national median of $18.95.
Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.
Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024