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    OpenPayerNPI Medicare & MedicaidWillowood Developmental Center
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    Willowood Developmental Center — Billing Profile & Reimbursement Data

    NPI 1831243070 · Jackson, MS · Intellectual and/or Developmental Disabilities Residential Treatment Facility

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    Willowood Developmental Center is a intellectual and/or developmental disabilities residential treatment facility provider located in Jackson, Mississippi. This profile covers 0 Medicare and 10 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
    OrganizationWillowood Developmental Center
    Address1635 Boling St
    CityJackson
    StateMS
    ZIP39213
    TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
    NPI EnumeratedJanuary 23, 2007

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

    Payer SourceTotal Paid
    Medicaid$21.9M
    Medicare$0

    Key Findings

    This provider is effectively single-payer in practice: there is no Medicare billing on file while total Medicaid revenue is $21.9M, so Medicaid represents the entirety of billed government payer activity reported for this entity. The NPI was enumerated 2007-01-23 (~19 years ago), indicating an established presence in the market over nearly two decades.

    Revenue is highly concentrated in a very small set of service lines: the precomputed top 3 Medicaid codes account for 89.5% of this provider’s total Medicaid revenue. Those three codes are S5136 (47.0% of Medicaid revenue), S5100 (28.6%), and H0043 (13.9%), so changes to reimbursement or utilization for any of these codes would materially affect overall revenue.

    Code-level mix and descriptions indicate the operation is centered on residential and community habilitation services: S5136 (Companion care, adult; per diem) and H0043 (Supported housing, per diem) point to per-diem residential/supportive living revenue, while S5100 (Day care services, adult; per 15 minutes) signals a substantive adult day services program. Additional habilitation and employment-support codes (T2015, H2025, T2047, H2023) reinforce that the provider delivers structured habilitation, prevocational, and supported employment services in addition to residential care.

    S5136 is the single largest revenue driver with 2.2K claims, $4675 avg paid/claim, and $10.3M in revenue (47.0% of Medicaid revenue). Despite its outsized revenue share and high avg paid/claim, the provider ranks #9 of 17 in-state for S5136 (50th percentile) and the data labels its volume for this code as typical, unremarkable—suggesting high per-claim payments rather than unusually high relative volume.

    S5100 shows the highest claim volume among reported codes (4.2K claims) and generates $6.3M (28.6% of Medicaid revenue) with an avg paid/claim of $1485. The provider ranks #88 of 149 in-state for S5100 (41th percentile) and again the volume is characterized as typical, unremarkable, indicating the provider’s day services are a substantial revenue source but not an outlier in statewide utilization.

    H0043 (Supported housing, per diem) contributes $3M (13.9% of Medicaid revenue) from 922 claims with an avg paid/claim of $3297, and the provider is one of only three in-state billing this code. It ranks #3 of 3 in-state (0th percentile) and is labeled typical, unremarkable volume—the code is sparsely offered statewide, and this provider participates in that small cohort but is not the leading biller among them.

    Other Medicaid codes (for example T2015 with 1.3K claims and $1.4M revenue, H2025 with 456 claims and $618.8K revenue, and smaller volumes for T2047, H2023, 92507, S5135, 97530) collectively make up the remaining Medicaid revenue. These supporting habilitation and therapy codes underline a mixed service model combining per-diem residential supports with time-based habilitation and therapy services, but none approach the concentration seen in the top three codes.

    Taken together, the provider’s competitive standing in-state appears modest and typical rather than dominant: rank/percentile placements for the top codes are middle- to lower-tier (50th, 41th, 0th percentiles respectively) and the revenue base is highly concentrated in a few high-dollar per-diem codes. This profile suggests sensitivity to policy or rate changes for companion care and supported housing and potential operational leverage if the facility can expand day services or diversify beyond its three revenue-driving codes.

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5136Companion care, adult (e.g., iadl/adl); per diem2,200$4,680$10.3M
    S5100Day care services, adult; per 15 minutes4,210$1,490$6.3M
    H0043Supported housing, per diem920$3,300$3M
    T2015Habilitation, prevocational, waiver; per hour1,290$1,060$1.4M
    H2025Ongoing support to maintain employment, per 15 minutes460$1,360$618.8K
    T2047Habilitation, prevocational, waiver; per 15 minutes120$1,410$169.3K
    H2023Supported employment, per 15 minutes60$1,290$72.1K
    92507The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…750$70$54.1K
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes10$1,840$25.7K
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.30$90$2.9K

    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

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5136Companion care, adult (e.g., iadl/adl); per diem9202,200$5,060$21.5M
    H0043Supported housing, per diem3101,570$3,590$7.3M
    S5100Day care services, adult; per 15 minutes881506,390$170$2.3M
    T2015Habilitation, prevocational, waiver; per hour1230940$610$1.3M
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes910220$350$1.1M
    H2025Ongoing support to maintain employment, per 15 minutes810500$460$764.5K
    T2047Habilitation, prevocational, waiver; per 15 minutes810270$940$381.1K
    H2023Supported employment, per 15 minutes1010480$670$380.9K
    92507The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…1382201,590$50$291.3K
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.3393404,380$20$210.2K

    Nearby Providers

    Other providers in the same ZIP code as Willowood Developmental Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mobile Medic Ambulance Service IncMSAmbulance$7.9M$35.7M
    Kulmoris JoinerMSHome Health Aide$0$41M
    Central Mississippi Civic Improvement Association, IncMSFederally Qualified Health Center (FQHC)$0$10.7M
    State Of Mississippi- University Of Mississippi Medical CenterMSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$8.8M
    Central Mississippi Civic Improvement Association, Inc.MSFederally Qualified Health Center (FQHC)$0$8M
    Srs 2 LLCMSClinical Medical Laboratory$5.2M$1.8M
    Sincere Home Care LLC.MSCommunity Health Registered Nurse$0$2.5M
    Mississippi Smiles Dentistry LLCMSGeneral Practice Dentistry$0$2.4M
    Molly SullivanMSFamily Nurse Practitioner$1.9M$0
    Deborah WrightMSAssisted Living Facility$0$1.5M

    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
    Willowood Developmental Center — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi