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    OpenPayerNPI Medicare & MedicaidSouthwest Mississippi Planning And Development Dis…
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    Southwest Mississippi Planning And Development District — Billing Profile & Reimbursement Data

    NPI 1467556092 · Natchez, MS · Case Management Agency

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    Southwest Mississippi Planning And Development District is a case management agency provider located in Natchez, Mississippi. This profile covers 0 Medicare and 2 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
    OrganizationSouthwest Mississippi Planning And Development District
    Address100 S Wall St
    CityNatchez
    StateMS
    ZIP39120
    TaxonomyCase Management Agency
    NPI EnumeratedSeptember 12, 2006

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

    Payer SourceTotal Paid
    Medicaid$37.9M
    Medicare$0

    Key Findings

    SOUTHWEST MISSISSIPPI PLANNING AND DEVELOPMENT DISTRICT is a Case Management Agency based in NATCHEZ, MS, with its NPI enumerated on 2006-09-12 (~20 years ago). The organization reports no Medicare billing on file and $37.9M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid)-driven operation at present.

    Revenue is highly concentrated in a very narrow set of services: the precomputed top 3 Medicaid codes account for 100.0% of the provider's Medicaid revenue. The two itemized lines driving all reported Medicaid dollars are T2022 (Case management, per month) and S5170 (Home delivered meals, including preparation; per meal), indicating almost all Medicaid income is tied to these community-based support services.

    T2022 is the dominant revenue driver by dollar amount: 150.6K claims, $193 avg paid/claim, $29.1M revenue (76.8% of this provider's total Medicaid revenue). This coding profile indicates the provider operates at scale in recurring, monthly case management services rather than episodic clinical procedures, implying operational focus on care coordination and ongoing service management.

    S5170 represents the secondary revenue stream: 83.8K claims, $105 avg paid/claim, $8.8M revenue (23.2% of this provider's total Medicaid revenue). The presence of substantial home-delivered meals billing alongside case management suggests an integrated community support model that pairs care coordination with in-home support services.

    Competitive standing within Mississippi is modest-to-strong on these lines: the provider ranks #3 of 17 in the state for T2022 (88th percentile; typical, unremarkable volume for this code) and #4 of 12 for S5170 (73th percentile; typical, unremarkable volume for this code). In other words, it is among the larger in-state billers for monthly case management but the reported volumes are characterized as typical rather than exceptional, and its meal-delivery activity sits in the upper-middle of in-state peers.

    Operational and policy sensitivity is elevated because nearly all Medicaid revenue is concentrated in case management and meal-delivery codes; changes to Medicaid long-term services and supports (LTSS) reimbursement, case management payment models, or meal program funding could materially affect this provider's revenue given the lack of diversification. Analysts should monitor state-level program rules and unit-rate adjustments for T2022 and S5170.

    Both major codes are labeled in the source as "typical, unremarkable volume for this code," indicating they are not statistical outliers in the dataset despite the provider's relatively large dollar totals. This suggests the provider achieves its $37.9M Medicaid scale through sustained, high-volume delivery of standard services rather than atypical billing patterns.

    The provider's ~20 years of enumeration (NPI 2006-09-12) indicates an established presence in the market, which, combined with concentrated Medicaid revenue and high claim counts for recurring monthly services, is consistent with longstanding operational relationships with state or local care-management and home- and community-based service programs.

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T2022Case management, per month150,570$190$29.1M
    S5170Home delivered meals, including preparation; per meal83,810$110$8.8M

    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

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2022Case management, per month320112,300$190$19.7M
    S5170Home delivered meals, including preparation; per meal41062,450$100$6.3M

    Nearby Providers

    Other providers in the same ZIP code as Southwest Mississippi Planning And Development District, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Heart2heart Homecare Services, Inc.MSIn Home Supportive Care Agency$0$70.5M
    Metro Ambulance Service Rural IncMSAmbulance$4.6M$16.5M
    Natchez Hospital Company LLCMSGeneral Acute Care Hospital$0$17.5M
    J H Fairbanks Md PLLCLAOrthopaedic Surgery Physician$0$5.7M
    Natchez Pediatric Clinic PLLCMSPediatric Adolescent Medicine Physician$0$4.8M
    David Alan TimmMSRural Health Clinic/Center$0$4.2M
    Rcg Mississippi, Inc.MSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3.8M
    Miss-lou Ambulance Service LLCMSLand Ambulance$408.4K$3M
    Key Rehab Associates, Inc.MSPhysical Therapist$0$2.9M
    David Alan TimmMSRural Health Clinic/Center$0$2.5M

    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
    Southwest Mississippi Planning And Development District — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi