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.

Mississippi Department Of Rehabilitaion Svs (NPI 1770795536)

Field	Value
Entity Type	Organization
Organization	Mississippi Department Of Rehabilitaion Svs
Address	1281 Highway 51 North
City	Jackson
State	MS
ZIP	39215
Taxonomy	Case Management Agency
NPI Enumerated	May 4, 2007

Payer Source	Total Paid
Medicaid	$317.4M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and is effectively a single-payer Medicaid operation, reporting $317.4M in total Medicaid revenue. The absence of Medicare activity contrasts with the large Medicaid scale and indicates the organization primarily operates within Medicaid-funded programs and waivers rather than fee-for-service Medicare markets.

Revenue is extremely concentrated in a small set of services: the precomputed top 3 Medicaid codes account for 99.7% of this provider's total Medicaid revenue. In particular, S5125 alone represents 93.2% of Medicaid revenue, while T2022 and S5165 together make up the balance of that concentrated share.

The code mix and taxonomy (Case Management Agency) indicate an operational focus on home- and community-based attendant care and ongoing care coordination. High-volume S5125 (Attendant care services; per 15 minutes) and monthly case management T2022 (Case management, per month) show the provider delivers large-scale, labor-intensive personal care and administrative case management services, while S5165 (Home modifications) and T2028 (Specialized supply, waiver) represent ancillary supports.

S5125 is a statewide outlier: the provider ranks #1 of 18 providers in-state (100th percentile; extreme outlier), marking it as the dominant supplier of attendant care in Mississippi for this code. By contrast, T2022 ranks #7 of 17 providers in-state (63th percentile; typical, unremarkable volume for this code), showing that while the provider is dominant in attendant care, its monthly case management volumes are more typical relative to peers.

Operational scale is evident from raw volume and unit payments: S5125 recorded 630.8K claims at an average paid/claim of $469 for $295.8M in revenue, and T2022 recorded 124.2K claims at $153 avg paid/claim for $19M in revenue. Those claim volumes imply a high-capacity workforce and administrative infrastructure to deliver frequent, short-interval attendant care units and ongoing monthly case management.

The financial profile is highly exposed to policy or reimbursement shifts affecting attendant care: with S5125 at 93.2% of Medicaid revenue and the top 3 codes totaling 99.7%, changes in reimbursement rates, eligibility, or utilization for these codes would materially affect the provider's revenue. This concentration suggests limited revenue diversification within Medicaid.

The provider offers minor but higher-cost episodic supports alongside high-volume care: S5165 (Home modifications; per service) generated $1.5M (0.5% of Medicaid revenue) with a $8950 avg paid/claim and ranks #1 of 1 providers in-state (0th percentile; no state peer volume comparison available). Additional waiver-related lines such as T2028 (26.4K claims, $35 avg, $923.5K) and T2029 (29 claims, $1371 avg, $39.8K) indicate participation in durable/supply and waiver benefit categories, but these are small contributors to total revenue.

The NPI was enumerated on 2007-05-04 (~19 years ago), indicating long-tenured participation in Medicaid programs. Combined with the dominant S5125 position, this tenure supports the interpretation that the provider is an established operator within Mississippi's attendant care and waiver service networks.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	630,770	$470	$295.8M
T2022	Case management, per month	124,240	$150	$19M
S5165	Home modifications; per service	170	$8,950	$1.5M
T2028	Specialized supply, not otherwise specified, waiver	26,390	$40	$923.5K
S5170	Home delivered meals, including preparation; per meal	500	$160	$80.2K
T2029	Specialized medical equipment, not otherwise specified, waiver	30	$1,370	$39.8K

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

Mississippi Department Of Rehabilitaion Svs — 2 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	1	20	12,350	$340	$31.3M
T2022	Case management, per month	7	20	112,300	$190	$19.7M
S5170	Home delivered meals, including preparation; per meal	11	10	62,450	$100	$6.3M
S5165	Home modifications; per service	1	10	170	$8,950	$1.5M
T2028	Specialized supply, not otherwise specified, waiver	1	10	17,210	$40	$609.7K
T2029	Specialized medical equipment, not otherwise specified, waiver	1	10	30	$1,370	$39.8K

Nearby Providers

Other providers in the same ZIP code as Mississippi Department Of Rehabilitaion Svs, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mississippi Department Of Rehabilitaion Services	MS	Case Management Agency	$0	$127M

Mississippi Department Of Rehabilitaion Svs — Billing Profile & Reimbursement Data

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Mississippi Department Of Rehabilitaion Svs — Billing Profile & Reimbursement Data

Sign up for Mississippi Department Of Rehabilitaion Svs — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References