Alabama
#26 in Medicaid spending (0.95% of national total)
Total Spending
$10.35B
Total Claims
200.7M
Providers
6,550
Avg Cost/Claim
$52
Data Coverage Note: Alabama has 76% of Medicaid enrollees in managed care. This data covers only fee-for-service (FFS) claims (est. 24% of enrollees). Actual total Medicaid spending in Alabama is significantly higher than shown.
Enrollment (Latest)
1.1M
Managed Care
76%
ACA Expansion
Not Expanded
FFS $/Enrollee
$1,394
Yearly Spending Trend
Year-over-Year Growth
Top Providers
| Provider | Total Paid▼ |
|---|---|
ALABAMA DEPARTMENT OF MENTAL HEALTH AND MENTAL RETARDATION Community/Behavioral Health | $2.25B |
ALABAMA DEPARTMENT OF SENIOR SERVICES Home Health | $631.6M |
ALABAMA DEPARTMENT OF MENTAL HEALTH AND MENTAL RETARDATION Community/Behavioral Health | $559.5M |
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH Clinical Medical Laboratory | $373.6M |
LABORATORY CORPORATION OF AMERICA HOLDINGS Clinical Medical Laboratory | $289.1M |
ROCKY MOUNTAIN HOLDINGS, LLC Ambulance | $285.1M |
SATE OF ALABAMA DEPT OF FINANCE Public Health or Welfare | $205.1M |
EUROFINS DIATHERIX LABORATORIES LLC Clinical Medical Laboratory | $145.1M |
STATE OF ALABAMA DEPT OF FINANCE Public Health or Welfare | $98.6M |
ALABAMA DEPARTMENT OF MENTAL HEALTH AND MENTAL RETARDATION Case Management | $95.7M |
UAHSF NEONATOLOGY Pediatrics | $94.0M |
ALABAMA DEPARTMENT OF MENTAL HEALTH AND MENTAL RETARDATION Community/Behavioral Health | $85.6M |
ALABAMA DEPARTMENT OF YOUTH SERVICES Community/Behavioral Health | $81.4M |
UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC Pediatrics | $79.7M |
HEALTH SERVICES INC Clinic/Center | $78.7M |
UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC. Clinic/Center | $77.2M |
CAHABA MEDICAL CARE FOUNDATION Clinic/Center | $68.7M |
ALABAMA DEPARTMENT OF REHABILITATION SERVICES Clinic/Center | $68.0M |
THE CHILDREN'S HOSPITAL OF ALABAMA General Acute Care Hospital | $58.8M |
ALABAMA DEPT. OF REHABILITATION SERVICES Case Management | $58.1M |
20 rows
Top Procedures
| Code | Description | Total Paid▼ |
|---|---|---|
| T2016 | Habil res waiver per diem | $1.83B |
| T1015 | Clinic service | $700.3M |
| T1019 | Personal care ser per 15 min | $627.9M |
| 99214 | Office o/p est mod 30 min | $401.5M |
| 99213 | Office o/p est low 20 min | $369.1M |
| H0036 | Comm psy face-face per 15min | $338.8M |
| 81479 | Unlisted molecular pathology | $267.9M |
| T2021 | Day habil waiver per 15 min | $211.7M |
| 99284 | Emergency dept visit mod mdm | $192.2M |
| A0431 | Rotary wing air transport | $176.1M |
| G9008 | Mccd,phys coor-care ovrsght | $148.8M |
| T2023 | Targeted case mgmt per month | $142.1M |
| 99285 | Emergency dept visit hi mdm | $141.0M |
| 90837 | Psytx w pt 60 minutes | $137.2M |
| T2046 | Hospice long term care, r&b | $116.9M |
| 87633 | Resp virus 12-25 targets | $114.9M |
| 99283 | Emergency dept visit low mdm | $109.1M |
| S5130 | Homaker service nos per 15m | $86.7M |
| A0436 | Rotary wing air mileage | $84.4M |
| 92507 | Tx sp lang voice comm indiv | $73.6M |
20 rows
Provider Classification Breakdown
| Classification | Total Paid▼ | Providers |
|---|---|---|
| Community/Behavioral Health | $3.10B | 63 |
| Clinical Medical Laboratory | $1.03B | 61 |
| Clinic/Center | $983.2M | 771 |
| Pediatrics | $907.7M | 259 |
| Home Health | $680.0M | 68 |
| Public Health or Welfare | $491.1M | 365 |
| Dentist | $482.8M | 606 |
| Ambulance | $424.1M | 135 |
| General Acute Care Hospital | $331.8M | 95 |
| Family Medicine | $221.2M | 467 |
| Case Management | $194.9M | 19 |
| Durable Medical Equipment & Medical Supplies | $148.8M | 297 |
| Emergency Medicine | $112.2M | 111 |
| Hospice Care, Community Based | $107.2M | 44 |
| Internal Medicine | $102.5M | 456 |
| Optometrist | $89.5M | 355 |
| Specialist | $78.1M | 163 |
| Speech-Language Pathologist | $77.5M | 74 |
| Psychologist | $76.9M | 53 |
| Psychiatry & Neurology | $67.4M | 106 |