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    OpenPayerNPI Medicare & MedicaidNorth Mississippi Commission On Mental Illness/men…
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    North Mississippi Commission On Mental Illness/mental Retardation — Billing Profile & Reimbursement Data

    NPI 1659784569 · Oxford, MS · Mental Health Clinic/Center (Including Community Mental Health Center)

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    North Mississippi Commission On Mental Illness/mental Retardation is a mental health clinic/center (including community mental health center) provider located in Oxford, 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.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationNorth Mississippi Commission On Mental Illness/mental Retardation
    Address152 Highway 7 S
    CityOxford
    StateMS
    ZIP38655
    TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
    NPI EnumeratedJune 9, 2014

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

    Payer SourceTotal Paid
    Medicaid$27.1M
    Medicare$0

    Key Findings

    This provider reports no Medicare billing on file and $27.1M in lifetime Medicaid revenue, making its operational footprint effectively single-payer (Medicaid) based on the available claims data. The absence of Medicare activity implies strategy and reimbursement exposure are concentrated on state Medicaid programs and waiver-funded services rather than fee-for-service Medicare populations.

    Revenue for this provider is extremely concentrated in a very small set of Medicaid service lines: the precomputed top three codes (S5136, S5100, T2015) account for 99.2% of total Medicaid revenue. Within that mix, S5136 alone represents 64.2% of Medicaid dollars and S5100 contributes 33.1%, identifying two dominant revenue drivers that together command the bulk of the organization’s billing.

    The code mix (S5136 – Companion care, adult; per diem, and S5100 – Day care services, adult; per 15 minutes) indicates an operational emphasis on community-based adult support services and day-program delivery rather than acute clinical procedures. High average payments per claim for these codes ($4215 avg paid/claim for S5136 and $1126 avg paid/claim for S5100) suggest reliance on per-diem and unit-based reimbursement for sustained, hands-on services such as ADL/IADL support and structured day care programming.

    S5136 performance places the provider at rank #6 of 17 in-state (69th percentile), which the underlying data characterizes as typical, unremarkable volume for this code. This ranking positions the provider as a solid regional participant for companion care—well-established but not a statewide leader—consistent with the code’s large absolute revenue contribution ($17.4M).

    For S5100 (day care services) the provider ranks #69 of 149 in-state (54th percentile), again labeled as typical, unremarkable volume; this indicates midpack statewide standing for adult day care services despite S5100 being the second-largest revenue source ($9M). The percentile implies the provider offers commonly encountered levels of day-program capacity relative to peers, not an outsized or niche specialization.

    Habilitation and therapeutic behavioral codes (T2015 and H2019) are small contributors to overall revenue—T2015 produced $514.4K (1.9% of Medicaid revenue) and H2019 produced $213K (0.8% of Medicaid revenue)—and both are characterized as typical volumes in their peer sets. T2015 ranks #15 of 28 in-state (48th percentile), indicating modest, middle-tier participation in prevocational habilitation services, while H2019 ranks #4 of 5 (25th percentile), placing the provider toward the lower end among the few in-state providers billing therapeutic behavioral services.

    The provider’s NPI was enumerated on 2014-06-09 (~12 years ago), indicating roughly a decade-plus operational tenure. Combined with the concentrated Medicaid billing profile and the dominant role of companion care and adult day services, this tenure suggests an established community mental health/behavioral support operation with a stable, Medicaid-centric service footprint rather than a rapidly expanding or diversifying billing portfolio.

    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 diem4,140$4,220$17.4M
    S5100Day care services, adult; per 15 minutes7,970$1,130$9M
    T2015Habilitation, prevocational, waiver; per hour910$560$514.4K
    H2019Therapeutic behavioral services, per 15 minutes1,470$150$213K

    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 diem6202,200$5,060$21.5M
    H2019Therapeutic behavioral services, per 15 minutes4101,590$340$3.6M
    S5100Day care services, adult; per 15 minutes691506,390$170$2.3M
    T2015Habilitation, prevocational, waiver; per hour1530940$610$1.3M

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with North Mississippi Commission On Mental Illness/mental Retardation, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Mississippi Commission On Mental Illness/mental RetardationMSMental Health Clinic/Center (Including Community Mental Health Center)$0$18.3M
    North Mississippi Commission On Mental Illness/ MentalMSMental Health Clinic/Center (Including Community Mental Health Center)$0$1.9M

    Nearby Providers

    Other providers in the same ZIP code as North Mississippi Commission On Mental Illness/mental Retardation, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baptist Memorial Hospital North Mississippi, IncMSGeneral Acute Care Hospital$0$38.9M
    North Ms Regional CenterMSCommunity/Behavioral Health Agency$0$9.4M
    Oxford Dental SpecialistsMSPediatric Dentistry$0$8.9M
    Gathright-reed Medical Supply LLCMSCommunity/Retail Pharmacy$0$7.3M
    Baptist And Physicians Outpatient Surgery Center Of North Ms, LPMSAmbulatory Surgical Clinic/Center$2.4M$2.4M
    Go Orthodontics PartnershipMSOrthodontics and Dentofacial Orthopedics Dentistry$0$4.1M
    Oxford Eye Surgery Center,l.pMSOphthalmologic Surgery Clinic/Center$2.5M$851.8K
    North Ms Outpatient TherapyMSPhysical Therapist$0$3.2M
    Priority Medical Transportation, Inc.MSLand Ambulance$0$3.1M
    Oxford Urocare PLLCMSAmbulatory Surgical Clinic/Center$3M$67.6K

    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
    North Mississippi Commission On Mental Illness/mental Retardation — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi