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ALABAMA DEPARTMENT OF MENTAL HEALTH AND MENTAL RETARDATION

Case Management·MONTGOMERY, AL·NPI: 1689726515Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $42.3M is at the 25th percentile among 137 Case Management providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$42.3M

$42,255,636

Total Claims

754K

Beneficiaries

241K

3.1 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$7.0M
+1%
2019
$7.1M
-16%
2020
$6.0M
+5%
2021
$6.3M
-8%
2022
$5.8M
+2%
2023
$5.9M
-28%
2024
$4.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (G9008 (Coordination of long-term care services, per month)) accounts for 55% of total spending.

G9008Normal range

Coordination of long-term care services, per month

$23.0M

419K claims · 54.5%

Your Cost: $55.07/claim|Median: $66.78
0.8× median
G9002Normal range

Coordinated care fee, maintenance period

$16.3M

323K claims · 38.5%

Your Cost: $50.46/claim|Median: $108.80
0.5× median
G9003Top 10%

$2.9M

6,206 claims · 6.9%

Your Cost: $471.74/claim|Median: $46.36
10.2× median
H0032Normal range

Mental health service plan development

$0

803 claims · 0.0%

Your Cost: $0.00/claim|Median: $80.64
H0034Normal range

Medication training and management, per 15 min

$0

283 claims · 0.0%

Your Cost: $0.00/claim|Median: $56.90
H0046Normal range

Mental health services, not otherwise specified

$0

185 claims · 0.0%

Your Cost: $0.00/claim|Median: $85.02
90791Normal range

Psychiatric diagnostic evaluation

$0

27 claims · 0.0%

Your Cost: $0.00/claim|Median: $99.21
H2027Normal range

Psychoeducational service, per 15 minutes

$0

533 claims · 0.0%

Your Cost: $0.00/claim|Median: $82.72
Q3014Normal range

Telehealth originating site facility fee

$0

3,202 claims · 0.0%

Your Cost: $0.00/claim|Median: $15.37
90792Normal range

Psychiatric diagnostic evaluation with medical services

$0

22 claims · 0.0%

Your Cost: $0.00/claim|Median: $108.91
90837Normal range

Psychotherapy, 60 minutes

$0

268 claims · 0.0%

Your Cost: $0.00/claim|Median: $85.66
90832Normal range

Psychotherapy, 30 minutes

$0

342 claims · 0.0%

Your Cost: $0.00/claim|Median: $41.28
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$0

37 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.63
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$0

215 claims · 0.0%

Your Cost: $0.00/claim|Median: $37.81
H0040Normal range

Assertive community treatment, face-to-face, per 15 minutes

$0

116 claims · 0.0%

Your Cost: $0.00/claim|Median: $266.41
90887Normal range

Interpretation/explanation of results

$0

1,040 claims · 0.0%

Your Cost: $0.00/claim|Median: $47.55

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Similar Providers

Other top providers in Case Management

Department of Developmental Services

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$1.35B

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$1.14B

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$1.10B

Community Assistance Resources & Extended Services INC

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$1.04B

Stavros Center for Independent Living Inc.

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$1.04B

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