Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

AL#14 of 49 states

Alabama Medicaid Spending

Alabama's Medicaid program paid $4.74B across 8 providers from 2018–2024. 7 providers in Alabama are flagged on our risk watchlist. The top procedure code is T2016 (Habilitation, residential, waiver; per diem) at $1.83B.

Total Spending

$4.74B

Total Claims

65.5M

Top Providers

8

Beneficiaries

40.8M

Top Procedure

T2016

$1.83B

Flagged Providers

7

on risk watchlist

Avg Per Provider

$593.0M

across 8 providers

Yearly Spending Trend

Spending by Top Procedures

T2016Habilitation, residential, waiver; per diem$1.83B
T1019Personal care services, per 15 min$572.1M
H0036Community psychiatric supportive treatment, per 15 min$268.4M
81479Unlisted molecular pathology procedure$267.8M
T2021Day habilitation, waiver; per 15 min$204.6M

Top Procedures in Alabama

CodeTotal Paid
T2016

Habilitation, residential, waiver; per diem

$1.83B
T1019

Personal care services, per 15 min

$572.1M
H0036

Community psychiatric supportive treatment, per 15 min

$268.4M
81479

Unlisted molecular pathology procedure

$267.8M
T2021

Day habilitation, waiver; per 15 min

$204.6M
A0431

Ambulance service, conventional air, transport, one way

$173.7M
S5130

Homemaker service, NOS; per 15 min

$86.7M
A0436

ALS mileage, per mile, level 2

$82.8M
90837

Psychotherapy, 60 minutes

$75.0M
S5170

Homemaker service, NOS, per diem

$65.4M
90791

Psychiatric diagnostic evaluation

$61.7M
H2012

Behavioral health day treatment, per hour

$53.5M
87633

Respiratory virus detection, 12-25 targets, nucleic acid

$52.0M
H2017

Psychosocial rehabilitation services, per 15 min

$47.1M
U0003

Infectious disease detection (COVID-19)

$42.3M