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    OpenPayerNPI Medicare & MedicaidMississippi Department Of Rehabilitaion Services
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    Mississippi Department Of Rehabilitaion Services — Billing Profile & Reimbursement Data

    NPI 1124215785 · Jackson, MS · Case Management Agency

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    Mississippi Department Of Rehabilitaion Services is a case management agency provider located in Jackson, Mississippi. This profile covers 0 Medicare and 5 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
    OrganizationMississippi Department Of Rehabilitaion Services
    Address1281 Highway 51 North
    CityJackson
    StateMS
    ZIP39215
    TaxonomyCase Management Agency
    NPI EnumeratedSeptember 27, 2007

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

    Payer SourceTotal Paid
    Medicaid$127M
    Medicare$0

    Key Findings

    This provider has no Medicare billing on file and is effectively single-payer in scale: Total Medicaid revenue is $127M and the NPI was enumerated 2007-09-27 (~19 years ago), indicating a long-tenured, Medicaid-focused operation. The absence of Medicare activity combined with a nearly two-decade presence suggests this entity has specialized its business model around state Medicaid programs and waiver services.

    Revenue is highly concentrated in a single service line: S5125 (Attendant care services; per 15 minutes) generates $122.3M in revenue, representing 96.3% of this provider's total Medicaid revenue, and the precomputed top-3 Medicaid codes together account for 99.8% of Medicaid revenue. That concentration signals that the provider’s financial performance is dominated by attendant care billing rather than a diversified mix of service codes.

    The operational footprint implied by the code mix points to a home- and community-based care model: S5125’s 204.6K claims at $598 avg paid/claim indicate heavy volume of direct attendant care hours, while T2022 (Case management, per month) with 26.9K claims at $151 avg paid/claim aligns with administrative oversight and care coordination consistent with the Case Management Agency taxonomy. This combination suggests core capabilities in delivering hands-on personal care supported by monthly case management.

    State competitive standing for the top revenue driver is notable but not dominant: S5125 ranks #4 of 18 providers in-state (82th percentile; typical, unremarkable volume for this code), indicating a significant market position for attendant care services within Mississippi but not the top provider by volume. The provider therefore appears to be a major, established participant for attendant care without being the statewide leader.

    For case management and specialized supplies the provider is a modest participant: T2022 ranks #16 of 17 (6th percentile), which indicates relatively low case management billings versus in-state peers despite the agency taxonomy; T2028 ranks #2 of 2 (0th percentile) with $297.3K revenue, 8K claims, and $37 avg paid/claim, showing limited activity in specialized supply billing. These rankings point to narrow competitive strength concentrated in attendant care while other Medicaid billing lines are small or peripheral.

    Smaller ancillary services contribute negligible revenue and volume: S5150 (Unskilled respite care) produced $270.4K (0.2% of total Medicaid revenue) across 723 claims at $374 avg paid/claim and ranks #73 of 85 (14th percentile), while S5170 (Home delivered meals) generated $24.5K (0.0% of total) across 193 claims at $127 avg paid/claim and ranks #12 of 12 (0th percentile). These figures indicate respite and meal delivery are marginal service lines for this provider.

    From a business risk and strategy perspective, the extreme concentration in S5125 creates sensitivity to Medicaid policy, waiver program changes, or rate adjustments affecting per-15-minute attendant care reimbursement; with 204.6K S5125 claims and $598 avg paid/claim driving most revenue, any utilization or reimbursement shifts in that code class would disproportionately affect the provider’s financials. Analysts should treat the provider as a specialized HCBS/attendant-care operator with limited revenue diversification.

    In summary, MISSISSIPPI DEPARTMENT OF REHABILITAION SERVICES shows a long-tenured, Medicaid-centric profile with $127M in Medicaid revenue that is overwhelmingly driven by S5125 (96.3%) and with the top three codes accounting for 99.8% of Medicaid revenue. Competitive posture is strong for attendant care at a statewide level but weak or modest across other Medicaid service codes, and there is no Medicare revenue to offset Medicaid concentration.

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5125Attendant care services; per 15 minutes204,550$600$122.3M
    T2022Case management, per month26,940$150$4.1M
    T2028Specialized supply, not otherwise specified, waiver8,040$40$297.3K
    S5150Unskilled respite care, not hospice; per 15 minutes720$370$270.4K
    S5170Home delivered meals, including preparation; per meal190$130$24.5K

    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

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5125Attendant care services; per 15 minutes42012,350$340$31.3M
    T2022Case management, per month1620112,300$190$19.7M
    S5170Home delivered meals, including preparation; per meal121062,450$100$6.3M
    S5150Unskilled respite care, not hospice; per 15 minutes73905,060$60$1.3M
    T2028Specialized supply, not otherwise specified, waiver21017,210$40$609.7K

    Nearby Providers

    Other providers in the same ZIP code as Mississippi Department Of Rehabilitaion Services, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mississippi Department Of Rehabilitaion SvsMSCase Management Agency$0$317.4M

    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
    Mississippi Department Of Rehabilitaion Services — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi