Alabama Department of Mental Health and Mental Retardation

Alabama Department of Mental Health and Mental Retardation was paid $95.66M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is G9008, Coordinated care fee, physician coordinated care oversight services — 99% of everything it billed.

33Billing provider infoALABAMA DEPARTMENT OF MENTAL HEALTH AND MENTAL RETARDATION
MONTGOMERY, AL 36130

33aNPI1407909930assigned 01/19/2007

33bProvider typeCase Management Agency

28Total paid$95.66M

24GClaims509,451

24DCodes billed2

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Case Management Agency providers in Alabama

Rank by total paid#1 of 19

Median peer was paid$384K

This provider vs. median249×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration99% of spending on code G9008 with only 2 total codes billed. Highly concentrated billing profile.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	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
2024incomplete	57,828	$15.71M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G9008	Coordinated care fee, physician coordinated care oversight services	99%	506,226	367,988	$95.07M
G9005	Coordinated care fee, risk adjusted maintenance	<1%	3,225	2,429	$587K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialHOUSTON, JOHN (COMMISSIONER)

Same official

Other billing entities under HOUSTON, JOHN

Full network →

Provider	Location	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

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.