Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidBoswell Regional Center
    Ask Trek AI about this page

    Boswell Regional Center — Billing Profile & Reimbursement Data

    NPI 1861414781 · Magee, MS · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

    Customize your policy alerts

    Sign up for Boswell Regional Center — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Boswell Regional Center is a intellectual and/or developmental disabilities community based residential treatment facility provider located in Magee, Mississippi. This profile covers 0 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationBoswell Regional Center
    Address1049 Simpson Highway 149 South
    CityMagee
    StateMS
    ZIP39111
    TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
    NPI EnumeratedJuly 24, 2006

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

    Payer SourceTotal Paid
    Medicaid$76.3M
    Medicare$0

    Key Findings

    BOSWELL REGIONAL CENTER operates almost exclusively in the Medicaid market: there is no Medicare billing on file while Medicaid revenue totals $76.3M, indicating an effectively single-payer Medicaid-focused operation rather than a mixed Medicare/Medicaid provider. This concentration implies that payer strategy, contracting, and risk exposure are driven almost entirely by state Medicaid policies and reimbursement practices.

    Revenue concentration is extremely high: the precomputed top 3 Medicaid codes account for 96.3% of the provider’s total Medicaid revenue, indicating the business model is very narrowly focused on a small set of service lines rather than a broad mix of Medicaid offerings. That level of concentration suggests revenue sensitivity to changes in reimbursement or utilization for those few codes.

    The largest revenue driver is S5136 (Companion care, adult; per diem), which generated $48.5M or 63.6% of the provider’s Medicaid revenue and accounts for 8.4K claims. Within Mississippi this provider ranks #4 of 17 for S5136 (81st percentile), so while S5136 dominates its revenues, the provider is a high-volume but not singularly dominant in-state participant for that service.

    H0043 (Supported housing, per diem) is the second major code with $13.2M in revenue (17.3% of Medicaid revenue) from 3.6K claims and the provider ranks #1 of 3 in-state (100th percentile). This indicates a state-leading position for supported housing services even though that code represents a smaller share of total Medicaid revenue than S5136. The combination of high rank for H0043 and large absolute revenue suggests a differentiated strength in housing-related supports.

    S5100 (Day care services, adult; per 15 minutes) contributes $11.8M (15.5% of Medicaid revenue) across 9.1K claims and the provider ranks #65 of 149 in-state (57th percentile). This placement reflects typical, unremarkable volume relative to peers, so while S5100 is a meaningful revenue line, BOSWELL’s competitive advantage appears strongest in companion care and supported housing rather than adult day care.

    Other billed Medicaid codes like T2015, H2023, S5135, and H2025 together make up small shares of revenue (each under 2%) and generally rank in the mid-percentiles statewide (typical, unremarkable volume). These ancillary habilitation, employment, and short-duration companion codes indicate the provider offers a spectrum of community-based supports but derives almost all revenue from the three dominant service lines.

    The provider’s taxonomy as an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility, taken together with its code mix (large per-diem companion care and supported housing revenues plus day services), depicts an operation focused on long-term residential and community supports rather than acute clinical care. The coding profile matches a facility model centered on daily residential and habilitative supports for adults with developmental or intellectual disabilities.

    BOSWELL’s NPI was enumerated around 2006-07-24 (approximately 20 years ago), indicating long tenure in the Medicaid market. That longevity, combined with a state-leading rank on H0043 and substantial volumes on S5136, suggests established relationships with state Medicaid programs and payers that likely underpin its concentrated revenue streams.

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5136Companion care, adult (e.g., iadl/adl); per diem8,390$5,780$48.5M
    H0043Supported housing, per diem3,590$3,680$13.2M
    S5100Day care services, adult; per 15 minutes9,090$1,300$11.8M
    T2015Habilitation, prevocational, waiver; per hour1,750$700$1.2M
    H2023Supported employment, per 15 minutes650$1,110$721.5K
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes250$2,030$498.1K
    H2025Ongoing support to maintain employment, per 15 minutes240$1,430$340.3K

    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

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5136Companion care, adult (e.g., iadl/adl); per diem4202,200$5,060$21.5M
    H0043Supported housing, per diem1101,570$3,590$7.3M
    S5100Day care services, adult; per 15 minutes651506,390$170$2.3M
    T2015Habilitation, prevocational, waiver; per hour1030940$610$1.3M
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes510220$350$1.1M
    H2025Ongoing support to maintain employment, per 15 minutes1010500$460$764.5K
    H2023Supported employment, per 15 minutes510480$670$380.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Brandi's Hope Community ServicesMSDevelopmentally Disabled Services Day Training Agency$0$124.6M
    Rehabilitation Centers, LLCMSRespite Care$0$116.9M
    Rehabilitation Centers, LLCMSDevelopmentally Disabled Services Day Training Agency$0$12M
    Magee Benevolent AssociationMSGeneral Acute Care Hospital$0$8.1M
    The Pedz ClinicMSPediatrics Physician$0$4.2M
    Bio-medical Applications Of Mississippi, Inc.MSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3.4M
    Family Vision Clinic, Inc.MSOptometrist$0$1.6M
    Magee After Hours Clinic PLLCMSPhysician Assistant$0$1.4M
    Covington County HospitalMSRural Health Clinic/Center$0$1.4M
    Charles PruittMSFamily Medicine Physician$150.2K$186.2K

    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
    Boswell Regional Center — 1 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi