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    OpenPayerNPI Medicare & MedicaidRehabilitation Centers, LLC
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    Rehabilitation Centers, LLC — Billing Profile & Reimbursement Data

    NPI 1033201157 · Magee, MS · Respite Care

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    Rehabilitation Centers, LLC is a respite care provider located in Magee, Mississippi. This profile covers 0 Medicare and 9 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationRehabilitation Centers, LLC
    Address900 First Ave., N.e.
    CityMagee
    StateMS
    ZIP39111
    TaxonomyRespite Care
    NPI EnumeratedSeptember 28, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$116.9M
    Medicare$0

    Key Findings

    This provider is effectively a Medicaid-focused operator: there is no Medicare billing on file and total Medicaid revenue is $116.9M, so all reported programmatic billing and financial scale in the data come from Medicaid rather than Medicare. That concentration makes payer-policy changes in Medicaid more directly material to the provider’s revenue than anything at the Medicare level.

    Revenue is highly concentrated in a narrow set of service lines: the precomputed top 3 Medicaid codes (S5136, S5100, S5125) account for 90.9% of this provider’s total Medicaid revenue. Individually, S5136 drives $54.2M (46.4%), S5100 drives $37.7M (32.3%), and S5125 drives $14.3M (12.2%) of the $116.9M Medicaid total, indicating heavy reliance on these three codes.

    The code mix and descriptions point to an adult day and community support operational model: S5136 (Companion care, adult; per diem), S5100 (Day care services, adult; per 15 minutes), and S5125 (Attendant care services; per 15 minutes) together dominate revenue, suggesting the provider primarily delivers companion/day‑care services and attendant care rather than inpatient or clinical procedures. This aligns with the registered taxonomy of Respite Care and indicates the organization’s service-line emphasis is on non-institutional, community-based supports.

    Competitive standing by service line is mixed but generally strong in key areas. For S5136 the provider ranks #3 of 17 in-state (88th percentile), signaling a top-tier position for companion care per diem; for S5125 it ranks #5 of 18 (76th percentile), which is a strong but not dominant placement; and for S5100 it ranks #32 of 149 (79th percentile), showing high absolute volume among many providers but not exclusivity in adult day care services.

    Although the provider holds strong percentile positions for its top codes, the data labels the volumes for most listed codes as “typical, unremarkable,” implying these are high-volume but not extreme statistical outliers relative to peers. No top code is flagged as an extreme outlier in the supplied labels, so while the firm is concentrated in a few lines, its utilization patterns fall within common ranges for in-state providers.

    Smaller but notable supplemental services are present and diversify the program offering: T1019 (Personal care services) generates $3.5M (3.0% of Medicaid revenue) and T1005 (Respite care services, up to 15 minutes) generates $2.6M (2.3%). Both codes rank modestly statewide (T1019 at #131 of 171, T1005 at #3 of 6) and indicate the provider also bills discrete personal-care and respite units in addition to day/companion services.

    The provider’s claims and payment profile include very large average paid amounts on its two highest-revenue codes — S5136 with $5320 avg paid/claim and S5100 with $1647 avg paid/claim — which, combined with per‑diem and per‑15‑minute billing constructs, reflect billing conventions for full-day or packaged service delivery rather than single short encounters. These high average payments are a key driver of the concentrated revenue mix and should be reviewed when modeling per-beneficiary economics.

    This entity has a long-enough tenure to be an established local player: the NPI was enumerated on 2006-09-28 (~20 years ago). That longevity, together with concentrated Medicaid revenue and top‑percentile ranks on core companion and attendant services, supports the view that the provider is an established Medicaid-focused adult day/respite care operator in the state rather than a recent entrant or primarily Medicare-oriented organization.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5136Companion care, adult (e.g., iadl/adl); per diem10,190$5,320$54.2M
    S5100Day care services, adult; per 15 minutes22,900$1,650$37.7M
    S5125Attendant care services; per 15 minutes82,510$170$14.3M
    T1019Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…5,420$650$3.5M
    T1005Respite care services, up to 15 minutes9,300$280$2.6M
    T2015Habilitation, prevocational, waiver; per hour2,170$840$1.8M
    H2025Ongoing support to maintain employment, per 15 minutes1,610$1,090$1.8M
    H2023Supported employment, per 15 minutes860$1,070$923.9K
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes140$60$7.5K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Mississippi providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Mississippi median

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5125Attendant care services; per 15 minutes52012,350$340$31.3M
    S5136Companion care, adult (e.g., iadl/adl); per diem3202,200$5,060$21.5M
    T1019Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…13117029,150$100$8.2M
    T1005Respite care services, up to 15 minutes3107,890$340$5M
    S5100Day care services, adult; per 15 minutes321506,390$170$2.3M
    T2015Habilitation, prevocational, waiver; per hour730940$610$1.3M
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes710220$350$1.1M
    H2025Ongoing support to maintain employment, per 15 minutes610500$460$764.5K
    H2023Supported employment, per 15 minutes310480$670$380.9K

    Nearby Providers

    Other providers in the same ZIP code as Rehabilitation Centers, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Brandi's Hope Community ServicesMSDevelopmentally Disabled Services Day Training Agency$0$124.6M
    Boswell Regional CenterMSIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$76.3M
    Rehabilitation Centers, LLCMSDevelopmentally Disabled Services Day Training Agency$0$12M
    Magee Benevolent AssociationMSGeneral Acute Care Hospital$0$8.1M
    The Pedz ClinicMSPediatrics Physician$0$4.2M
    Bio-medical Applications Of Mississippi, Inc.MSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3.4M
    Family Vision Clinic, Inc.MSOptometrist$0$1.6M
    Magee After Hours Clinic PLLCMSPhysician Assistant$0$1.4M
    Covington County HospitalMSRural Health Clinic/Center$0$1.4M
    Charles PruittMSFamily Medicine Physician$150.2K$186.2K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Mississippi Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Mississippi Distribution
    Rehabilitation Centers, LLC — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi