Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Mississippi for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Mississippi only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Mississippi (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Southern Ms Planning And Development District (NPI 1568558161)

Field	Value
Entity Type	Organization
Organization	Southern Ms Planning And Development District
Address	9229 Hwy 49
City	Gulfport
State	MS
ZIP	39503
Taxonomy	Case Management Agency
NPI Enumerated	October 4, 2006

Payer Source	Total Paid
Medicaid	$63.1M
Medicare	$0

Key Findings

This provider is effectively single-payer in scale: there is no Medicare billing on file while total Medicaid revenue is $63.1M, indicating the organization’s financial activity is concentrated entirely in Medicaid programs. The absence of Medicare activity suggests organizational focus and operational processes are tailored to Medicaid rules and payment flows rather than mixed-payer billing complexity.

Revenue concentration is extreme: the precomputed top-3 codes account for 100.0% of this provider’s Medicaid revenue, with T2022 contributing $49.2M (78.0%) and S5170 contributing $13.9M (22.0%). This 100.0% concentration across a very small set of codes signals a narrow service mix that drives nearly all reported Medicaid receipts.

Service-line implications from the code mix show the organization operates as a community-based case management and home-delivered meal provider. T2022 (Case management, per month) as the dominant code indicates ongoing monthly care coordination and service navigation as the core operational function, while S5170 (Home delivered meals, including preparation; per meal) points to a large-scale nutrition/meal-delivery program integrated into their service portfolio.

Operational scale is large in absolute claim volume for these lines: T2022 accounts for 254.9K claims at a $193 average paid per claim and S5170 accounts for 133.3K claims at a $104 average paid per claim. These claim counts imply sustained recurring monthly enrollments and a high-frequency meal delivery operation that require substantial care-management and logistics capacity to support the reported revenue levels.

Competitive standing within the state is dominant for both principal codes: the provider ranks #1 of 17 for T2022 and #1 of 12 for S5170, both at the 100th percentile and described as notably above typical state volume. These rankings identify the organization as a leading statewide provider for Medicaid case management and home-delivered meals rather than a marginal participant.

The dataset flags both top codes as “notably above typical state volume,” marking this provider as a statistical outlier in Mississippi for these services. That outlier status, combined with the 100.0% revenue concentration, suggests market leadership but also implies sensitivity to any policy, reimbursement, or contract changes affecting these specific codes.

Tenure is long-standing: the NPI was enumerated on 2006-10-04 (~20 years ago), indicating sustained presence and likely institutional experience in Medicaid service delivery and program administration. This duration supports the provider’s ability to build the operational scale reflected in claims and revenue.

From a business risk and opportunity perspective, the provider’s dominance in T2022 and S5170 creates both leverage and vulnerability: strong statewide market position offers negotiating and contract opportunities within Medicaid programs, but the heavy reliance on two codes means revenue and volume are highly exposed to reimbursement, eligibility, or programmatic changes that affect monthly case management or meal-delivery services.

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 Code	Description	Claims	Avg Paid	Revenue
T2022	Case management, per month	254,850	$190	$49.2M
S5170	Home delivered meals, including preparation; per meal	133,300	$100	$13.9M

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Mississippi providers billing the same CPT/HCPCS codes.

Claims Volume vs. Mississippi Distribution

Southern Ms Planning And Development District — 2 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. Mississippi median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2022	Case management, per month	1	20	112,300	$190	$19.7M
S5170	Home delivered meals, including preparation; per meal	1	10	62,450	$100	$6.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Singing River Gulfport	MS	General Acute Care Hospital	$0	$24.9M
Helping Hands LLC (respite Care)	MS	In Home Supportive Care Agency	$0	$10.3M
Caspoint Care Inc.	MS	Home Health Agency	$0	$5.2M
South Mississippi Smiles Dentistry LLC	MS	General Practice Dentistry	$0	$4.8M
Keystone Medical Services Of Gulfport, Inc.	MS	Emergency Medicine Physician	$0	$4.5M
Eric Hyde	MS	Pediatric Dentistry	$0	$4.1M
Kare-in-home Health Services, Inc.	MS	Home Health Agency	$0	$2.5M
Orange Grove Urgent Care	MS	Urgent Care Clinic/Center	$0	$2M
Memorial Hospital At Gulfport	MS	Pediatrics Physician	$0	$1.9M
Singing River Gulfport	MS	Multi-Specialty Clinic/Center	$0	$1.7M

Southern Ms Planning And Development District — Billing Profile & Reimbursement Data

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Southern Ms Planning And Development District — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References