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    OpenPayerNPI Medicare & MedicaidCommunity Development Inc.
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    Community Development Inc. — Billing Profile & Reimbursement Data

    NPI 1184767568 · Richton, MS · Developmentally Disabled Services Day Training Agency

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    Community Development Inc. is a developmentally disabled services day training agency provider located in Richton, Mississippi. This profile covers 0 Medicare and 7 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
    OrganizationCommunity Development Inc.
    Address200 N Front St
    CityRichton
    StateMS
    ZIP39476
    TaxonomyDevelopmentally Disabled Services Day Training Agency
    NPI EnumeratedFebruary 15, 2007

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

    Payer SourceTotal Paid
    Medicaid$38.5M
    Medicare$0

    Key Findings

    This provider is effectively a Medicaid-only operator: there is no Medicare billing on file and lifetime Medicaid revenue totals $38.5M. The absence of Medicare activity indicates the organization’s payer exposure and growth opportunities are concentrated entirely in Medicaid programs rather than split across federal fee-for-service Medicare and state Medicaid flows.

    Revenue is highly concentrated in a very small set of Medicaid codes: the precomputed top 3 codes account for 91.0% of this provider’s Medicaid revenue. Those codes are S5136 ($23.4M, 60.8% of Medicaid revenue), S5100 ($7.1M, 18.3%), and T1020 ($4.6M, 11.9%), showing that a handful of service lines drive almost all reported Medicaid dollars.

    The code mix points to an operation focused on adult companion and day services with significant per-diem activity. S5136 (Companion care, adult; per diem) is the single largest revenue driver with 4.3K claims and a high avg paid/claim of $5428, while S5100 (Day care services, adult; per 15 minutes) has 7.9K claims at $891 avg paid/claim and T1020 (Personal care services, per diem) has 3.1K claims at $1485 avg paid/claim. Together these patterns suggest programs built around sustained, site-based or placement-style care and recurring per-diem billing rather than solely high-frequency, short-interval home visits.

    Competitive standing is mixed across the provider’s core services: for S5136 the provider ranks #5 of 17 in-state (75th percentile), which places it above median but not dominant among peers for companion per-diem services. For T1020 it ranks #4 of 38 (92th percentile), indicating a top-tier position in per-diem personal care within the state, while for S5100 it ranks #70 of 149 (53th percentile), a typical in-state presence for day care services.

    Although the top three codes dominate revenue, there is a modest secondary revenue stream in behavioral health-type services: H2019 (Therapeutic behavioral services, per 15 minutes) generates $3.4M (8.7% of Medicaid revenue) with 1.6K claims and ranks #3 of 5 in-state (50th percentile). This suggests the provider also delivers or bills for some therapeutic behavioral services, but those services are currently a smaller part of the overall Medicaid revenue mix compared with companion and day services.

    The claim-level profile reinforces the operational interpretation: high average paid/claim for S5136 ($5428) and T1020 ($1485) versus a lower avg paid/claim for S5100 ($891) reflects a mix of higher-value per-diem placements alongside higher-frequency, shorter-interval day/15-minute billing. These differences imply distinct staffing and scheduling models — sustained placements requiring ongoing staff coverage for per-diem codes versus throughput and unit-based billing for 15-minute day services.

    The provider has long-tenure market presence, with its NPI enumerated on 2007-02-15 (~19 years ago). This sustained enrollment, combined with concentrated Medicaid revenue and top-quartile ranking on at least one major per-diem code, signals an established local operator whose financial performance is tightly tied to a narrow set of Medicaid service lines and payment rules.

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5136Companion care, adult (e.g., iadl/adl); per diem4,320$5,430$23.4M
    S5100Day care services, adult; per 15 minutes7,920$890$7.1M
    T1020Personal care services, per diem, 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…3,080$1,490$4.6M
    H2019Therapeutic behavioral services, per 15 minutes1,590$2,120$3.4M
    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…1,230$40$50.3K
    S5125Attendant care services; per 15 minutes40$1,100$48.6K
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes10$1,130$13.5K

    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

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5125Attendant care services; per 15 minutes172012,350$340$31.3M
    S5136Companion care, adult (e.g., iadl/adl); per diem5202,200$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…14717029,150$100$8.2M
    H2019Therapeutic behavioral services, per 15 minutes3101,590$340$3.6M
    S5100Day care services, adult; per 15 minutes701506,390$170$2.3M
    T1020Personal care services, per diem, 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…440880$1,200$1.7M
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes1010220$350$1.1M

    Nearby Providers

    Other providers in the same ZIP code as Community Development Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Forrest County General HospitalMSRural Health Clinic/Center$0$1.6M
    Forrest County General HospitalMSRural Acute Care Hospital$0$1.4M
    John BeamanMSFamily Medicine Physician$93.5K$19.6K
    Hannah InmanMSOccupational Therapist$53.9K$0

    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
    Community Development Inc. — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi