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    OpenPayerNPI Medicare & MedicaidNorth Central Planning And Development District
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    North Central Planning And Development District — Billing Profile & Reimbursement Data

    NPI 1710027164 · Winona, MS · Case Management Agency

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    North Central Planning And Development District is a case management agency provider located in Winona, 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
    OrganizationNorth Central Planning And Development District
    Address711 S Applegate St
    CityWinona
    StateMS
    ZIP38967
    TaxonomyCase Management Agency
    NPI EnumeratedFebruary 7, 2007

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

    Payer SourceTotal Paid
    Medicaid$21.6M
    Medicare$0

    Key Findings

    NORTH CENTRAL PLANNING AND DEVELOPMENT DISTRICT has no Medicare billing on file and is effectively a single-payer Medicaid billing entity, with Total Medicaid revenue of $21.6M and no recorded Medicare revenue to compare against. This profile should be analyzed primarily through the Medicaid service mix rather than dual-payer dynamics.

    Revenue is highly concentrated in a very small set of service lines: the precomputed top 3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, indicating almost all Medicaid dollars flow from a narrow set of billable services. That concentration implies that changes to reimbursement or utilization for those codes would materially affect overall revenue.

    The dominant revenue driver is T2022 (Case management, per month), which generated $17.1M (79.2% of Medicaid revenue) from 88.3K claims at an average paid amount of $194 per claim. This indicates the organization’s operation is heavily centered on ongoing, monthly case management activities and suggests a business model focused on care coordination and service planning for Medicaid beneficiaries.

    The secondary service line is S5170 (Home delivered meals, including preparation; per meal), which produced $4.5M (20.8% of Medicaid revenue) from 45.9K claims at an average paid amount of $98 per claim. This mix (case management plus meal delivery) points to community-based long-term services and supports (LTSS) or social support programming that combines care coordination with direct service delivery.

    Competitive standing within the state is modest rather than dominant for both leading codes: T2022 ranks #11 of 17 providers in-state (38th percentile) and S5170 ranks #9 of 12 providers in-state (27th percentile). Both codes are described as “typical, unremarkable volume for this code,” so the provider participates at a routine level in its state market rather than leading it.

    The provider has operational scale in volume terms for these Medicaid services—88.3K T2022 claims and 45.9K S5170 claims—reflecting recurring, transaction-based revenue streams that require sustained member enrollment and operational capacity (e.g., monthly case management processes and meal preparation/delivery logistics). Average paid per claim levels ($194 for T2022 and $98 for S5170) further clarify that the organization’s revenue mix combines higher-dollar monthly care management with lower-dollar per-meal services.

    The organization has long tenure in the registry, with an NPI enumerated on 2007-02-07 (~19 years ago), which supports a history of operating these Medicaid programs and likely established relationships with state Medicaid administration and local care networks. This longevity, combined with the concentrated code mix, suggests institutional experience in this specific set of Medicaid services rather than a broad clinical footprint.

    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 month88,310$190$17.1M
    S5170Home delivered meals, including preparation; per meal45,860$100$4.5M

    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 month1120112,300$190$19.7M
    S5170Home delivered meals, including preparation; per meal91062,450$100$6.3M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medstat Ems IncMSAmbulance$3.1M$12.7M
    Tyler Holmes Memorial HospitalMSCritical Access Hospital$0$6.4M
    Rcg Mississippi, Inc.MSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.4M
    Precious Hands Adult DaycareMSAdult Day Care Clinic/Center$0$1.2M
    Jacquelyn LucasMSOptometrist$10.7K$786.9K

    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 Central 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