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    OpenPayerNPI Medicare & MedicaidBaptist Homes Inc
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    Baptist Homes Inc — Billing Profile & Reimbursement Data

    NPI 1467705277 · Canton, MS · Day Training/Habilitation Specialist

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    Baptist Homes Inc is a day training/habilitation specialist provider located in Canton, Mississippi. This profile covers 0 Medicare and 4 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
    OrganizationBaptist Homes Inc
    Address461 Goodloe Rd
    CityCanton
    StateMS
    ZIP39046
    TaxonomyDay Training/Habilitation Specialist
    NPI EnumeratedOctober 17, 2012

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

    Payer SourceTotal Paid
    Medicaid$22.8M
    Medicare$0

    Key Findings

    This provider has no Medicare billing on file and reports $22.8M in lifetime Medicaid revenue, making it effectively a Medicaid-focused operation rather than a dual-payer provider. The absence of Medicare activity indicates Medicaid is the primary — and on available data, the only — public payer revenue stream for this entity.

    Revenue is highly concentrated in a very small set of service codes: the precomputed top three Medicaid codes account for 99.3% of this provider's total Medicaid revenue, driven overwhelmingly by S5136 and S5100. This concentration means most of the provider's financial performance is tied to a narrow set of adult day/companion and habilitation services.

    The provider’s taxonomy of Day Training/Habilitation Specialist combined with its top codes (S5136, S5100, T2015, H2025) indicates core operations are adult companion/day services and habilitation supports. S5136 (Companion care, adult; per diem) and S5100 (Day care services, adult; per 15 minutes) together represent the operational focus one would expect from a day habilitation and companion-care provider rather than clinical or acute-care services.

    S5136 is the dominant revenue driver with 2.7K claims, a $5606 avg paid/claim, and $14.9M in revenue (65.2% of the provider's Medicaid revenue); the provider ranks #8 of 17 in-state for this code (56th percentile) and is characterized as a typical, unremarkable volume performer for S5136 at the state level. This makes S5136 the single largest financial dependency for the provider and a key service line to monitor for utilization or policy changes.

    S5100 is the second major contributor with 4.8K claims, a $1576 avg paid/claim, and $7.6M in revenue (33.1% of Medicaid revenue); the provider ranks #82 of 149 in-state for S5100 (45th percentile) and is also described as typical, unremarkable in volume. Together with S5136, S5100 forms a two-code revenue base that accounts for the majority of Medicaid receipts and defines the provider’s competitive footprint in adult day services.

    Smaller habilitation and employment-support codes (T2015: 489 claims, $477 avg paid/claim, $233.3K revenue, 1.0%; ranks #20 of 28, 30th percentile; H2025: 135 claims, $1131 avg paid/claim, $152.7K revenue, 0.7%; ranks #11 of 13, 17th percentile) contribute marginally to revenue and are described as typical, unremarkable volume performers. These lower-share codes suggest limited scale in prevocational habilitation and employment supports relative to peers, and they do not materially diversify the provider’s revenue mix.

    The provider’s NPI was enumerated on 2012-10-17 (~14 years ago), indicating more than a decade of enrollment and operational tenure in the Medicaid program. Given the tight concentration in a couple of adult day/companion codes and the complete lack of Medicare billing on record, the provider’s revenue profile is stable in tenure but exposed to policy or reimbursement shifts affecting those specific Medicaid service lines.

    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5136Companion care, adult (e.g., iadl/adl); per diem2,650$5,610$14.9M
    S5100Day care services, adult; per 15 minutes4,800$1,580$7.6M
    T2015Habilitation, prevocational, waiver; per hour490$480$233.3K
    H2025Ongoing support to maintain employment, per 15 minutes140$1,130$152.7K

    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

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5136Companion care, adult (e.g., iadl/adl); per diem8202,200$5,060$21.5M
    S5100Day care services, adult; per 15 minutes821506,390$170$2.3M
    T2015Habilitation, prevocational, waiver; per hour2030940$610$1.3M
    H2025Ongoing support to maintain employment, per 15 minutes1110500$460$764.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    State Of Mississippi - University Of Mississippi Medical CenterMSGeneral Acute Care Hospital$0$13.9M
    Vibha Vig Md PAMSPrimary Care Clinic/Center$0$6.3M
    Baptist Homes IncMSIntellectual Disabilities Intermediate Care Facility$0$3.1M
    Isd Renal IncMSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.7M
    Psp Medical Clinic LLCMSRural Health Clinic/Center$0$2.6M
    G A Carmichael Family Health Center IncMSFederally Qualified Health Center (FQHC)$0$1.9M
    Smilebuilders IncMSDentist$0$1.8M
    Bio-medical Applications Of Mississippi, Inc.MSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.6M
    Mallory Community HealthMSFederally Qualified Health Center (FQHC)$0$1.5M
    Everycare Express ClinicMSClinic/Center$0$1.4M

    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
    Baptist Homes Inc — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi