Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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ALABAMA DEPARTMENT OF MENTAL HEALTH AND MENTAL RETARDATION

NPI: 1407909930 · MONTGOMERY, AL 36130 · Case Management Agency · NPI assigned 01/19/2007

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

99% of spending on code G9008 with only 2 total codes billed. Highly concentrated billing profile.

$95.66M
Total Medicaid Paid
509,451
Total Claims
370,417
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHOUSTON, JOHN (COMMISSIONER)
NPI Enumeration Date01/19/2007

Related Entities

Other providers sharing the same authorized official: HOUSTON, JOHN

ProviderCityStateTotal Paid
ALABAMA DEPARTMENT OF MENTAL HEALTH AND MENTAL RETARDATION MONTGOMERY AL $2.25B
ALABAMA DEPARTMENT OF MENTAL HEALTH AND MENTAL RETARDATION MONTGOMERY AL $559.48M
ALABAMA DEPARTMENT OF MENTAL HEALTH AND MENTAL RETARDATION MONTGOMERY AL $85.62M
ALABAMA DEPARTMENT OF MENTAL HEALTH AND MENTAL RETARDATION MONTGOMERY AL $42.26M
ALABAMA DEPARTMENT OF MENTAL HEALTH AND MENTAL RETARDATION MONTGOMERY AL $457K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 67,335 $9.50M
2019 69,946 $11.59M
2020 77,537 $12.86M
2021 77,627 $13.53M
2022 80,748 $14.86M
2023 78,430 $17.61M
2024 57,828 $15.71M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G9008 Coordinated care fee, physician coordinated care oversight services 506,226 367,988 $95.07M
G9005 Coordinated care fee, risk adjusted maintenance 3,225 2,429 $587K