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    OpenPayerNPI Medicare & MedicaidRem East LLC
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    Rem East LLC — Billing Profile & Reimbursement Data

    NPI 1235569112 · Flowood, MS · Community/Behavioral Health Agency

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    Rem East LLC is a community/behavioral health agency provider located in Flowood, Mississippi. This profile covers 0 Medicare and 6 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
    OrganizationRem East LLC
    Address232 Market St
    CityFlowood
    StateMS
    ZIP39232
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedNovember 14, 2013

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

    Payer SourceTotal Paid
    Medicaid$97M
    Medicare$0

    Key Findings

    REM EAST LLC is effectively a Medicaid-focused community/behavioral health agency: it has no Medicare billing on file and $97M in lifetime Medicaid revenue, indicating the organization’s operations and revenue base are concentrated entirely within Medicaid programs rather than serving a Medicare population. Its NPI has been enumerated since 2013-11-14 (~13 years ago), which provides a long operational window in the state market to establish service lines and payer relationships.

    Revenue concentration is extremely high: the top three Medicaid codes account for 97.0% of the provider’s total Medicaid revenue, showing that a very small set of service lines (S5136, S5100, S5125) drive nearly all Medicaid income and suggesting limited diversification of billable services. This degree of concentration makes the organization’s financial performance highly sensitive to policy or rate changes affecting those specific codes.

    The largest single revenue driver is S5136 (Companion care, adult; per diem), which generated $58.5M and represents 60.3% of the provider’s Medicaid revenue. REM EAST ranks #2 of 17 providers in-state for S5136 and sits in the 94th percentile, indicating it is a major provider of companion care in Mississippi and operates at substantially higher volume for this code than most peers.

    S5100 (Day care services, adult; per 15 minutes) is the second major revenue source with $30.5M, accounting for 31.4% of Medicaid revenue. The provider’s activity on S5100 is an extreme outlier statewide — it ranks #3 of 149 providers and is in the 99th percentile — which signals that REM EAST is a leading day-care services operator in the state and that day-care operations are central to its business model.

    S5125 (Attendant care services; per 15 minutes) contributes $5.1M or 5.2% of Medicaid revenue and ranks #7 of 18 providers (65th percentile), reflecting a more typical, unremarkable participation level for attendant care versus its dominant position in companion care and day care. The code mix (companion care, day care, attendant care) collectively points to a focus on long-duration, community-based adult support and personal assistance rather than short episodic clinical services.

    Other notable Medicaid codes are much smaller contributors: T1019 ($1.2M, 1.2% of revenue) and T2015 ($1.1M, 1.1% of revenue) both sit at typical or unremarkable volume percentiles, and H2019 ($706.9K, 0.7% of revenue) is reported as typical for the state. These smaller code lines indicate the provider offers some habilitation and therapeutic behavioral services but that they are not primary revenue drivers.

    Competitive standing across the state is dichotomous: for S5136 and S5100 REM EAST is a leading, high-volume provider (94th and 99th percentiles respectively), implying strong local market presence in companion and day-care services, while for other codes it is a mid- to lower-tier participant. This profile suggests the organization competes primarily through scale in a narrow set of service types rather than breadth across many Medicaid service categories.

    From a business risk and strategy perspective, the provider’s heavy reliance on per-diem and per-15-minute community support codes (S5136 and S5100 together comprise 91.7% of Medicaid revenue) means reimbursement rate changes, utilization reviews, or waiver rule adjustments affecting those codes could materially impact overall revenue. Payer or state policy shifts targeting adult day-care or companion services would therefore be particularly consequential for REM EAST.

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5136Companion care, adult (e.g., iadl/adl); per diem14,440$4,050$58.5M
    S5100Day care services, adult; per 15 minutes66,410$460$30.5M
    S5125Attendant care services; per 15 minutes37,930$130$5.1M
    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…8,570$140$1.2M
    T2015Habilitation, prevocational, waiver; per hour2,280$470$1.1M
    H2019Therapeutic behavioral services, per 15 minutes860$820$706.9K

    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

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5125Attendant care services; per 15 minutes72012,350$340$31.3M
    S5136Companion care, adult (e.g., iadl/adl); per diem2202,200$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…12217029,150$100$8.2M
    H2019Therapeutic behavioral services, per 15 minutes5101,590$340$3.6M
    S5100Day care services, adult; per 15 minutes31506,390$170$2.3M
    T2015Habilitation, prevocational, waiver; per hour630940$610$1.3M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Love And Faith Personal Care And Respite ServicesMSHome Health Agency$0$24.3M
    M-d Medical Services, Inc.MSParenteral & Enteral Nutrition Supplies (DME)$0$18M
    River Oaks Hospital LLCMSGeneral Acute Care Hospital$0$16.6M
    National Seating & Mobility, Inc.MSDurable Medical Equipment & Medical Supplies$0$12.5M
    Madison Physician Surgery Center, LLCMSAmbulatory Surgical Clinic/Center$12.3M$30.3K
    Mobility Medical IncMSOxygen Equipment & Supplies (DME)$0$10.4M
    Prescribed Pediatric Extended Care, IncMSMedically Fragile Infants and Children Day Care$0$9.5M
    Women's Health Associates, PLLCMSObstetrics & Gynecology Physician$0$9.4M
    Rem East LLCMSDevelopmentally Disabled Services Day Training Agency$0$7.8M
    A&a Home Health Equipment, Inc.MSDurable Medical Equipment & Medical Supplies$0$7.6M

    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
    Rem East LLC — 1 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi