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.

East Central Planning & Development District (NPI 1982782694)

Field	Value
Entity Type	Organization
Organization	East Central Planning & Development District
Address	280 Commercial Dr
City	Newton
State	MS
ZIP	39345
Taxonomy	Case Management Agency
NPI Enumerated	November 1, 2006

Payer Source	Total Paid
Medicaid	$27.3M
Medicare	$0

Key Findings

EAST CENTRAL PLANNING & DEVELOPMENT DISTRICT shows a Medicaid-focused billing profile with no Medicare revenue on file; lifetime Medicare revenue is listed as none while total Medicaid revenue is $27.3M, indicating the organization operates effectively as a single-payer (Medicaid) provider in the dataset. The absence of Medicare billing suggests its services and contracts are concentrated on Medicaid-eligible populations and programs rather than fee-for-service Medicare beneficiaries.

Revenue concentration is extremely high: the top 3 Medicaid codes account for 100.0% of the provider’s Medicaid revenue, indicating that a very small set of services generates all reported Medicaid income. This concentration implies limited service-line diversification within Medicaid billing and that changes in reimbursement or utilization for these codes would materially affect the provider’s revenue.

The dominant revenue driver is T2022 (Case management, per month), which accounts for $21.2M or 77.8% of the provider’s Medicaid revenue with 112.4K claims at $189 average paid/claim. This code mix indicates the organization’s primary business activity is ongoing case management services, suggesting an operational model focused on monthly care coordination and management rather than episodic clinical procedures.

The secondary service line is S5170 (Home delivered meals, including preparation; per meal), which accounts for $6.1M or 22.2% of Medicaid revenue across 61.8K claims at $98 average paid/claim. The presence of a substantial home-delivered meals program alongside case management points to a complementary social-support offering targeted at enabling community-based care and addressing social determinants of health.

In-state competitive standing for these Medicaid codes is modest: for T2022 the provider ranks #8 of 17 (56th percentile), which the data characterizes as typical, unremarkable volume for this code; for S5170 it ranks #7 of 12 (45th percentile), also described as typical, unremarkable volume. These percentiles indicate the provider is neither a dominant statewide leader nor an outlier, but rather a middle-tier participant in both case management and meal-delivery services within Mississippi.

The provider’s NPI was enumerated on 2006-11-01 (~20 years ago), reflecting long tenure in the billing system. This extended presence suggests institutional experience delivering Medicaid case management and related community services, which may underpin steady utilization of the core codes reported.

Given the extreme revenue concentration in two code families (T2022 and S5170), payer or policy changes that affect monthly case management reimbursement or meal-delivery coverage could disproportionately impact the provider’s financial picture. Operational risk is therefore concentrated around sustaining volume and reimbursement for those specific services rather than across a broad service portfolio.

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 Code	Description	Claims	Avg Paid	Revenue
T2022	Case management, per month	112,410	$190	$21.2M
S5170	Home delivered meals, including preparation; per meal	61,750	$100	$6.1M

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

East Central Planning & Development District — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2022	Case management, per month	8	20	112,300	$190	$19.7M
S5170	Home delivered meals, including preparation; per meal	7	10	62,450	$100	$6.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Independent Healthcare Management, Inc.	MS	Rural Health Clinic/Center	$0	$3.2M
Angela Reeves	MS	Family Medicine Physician	$141.4K	$0

East Central Planning & Development District — Billing Profile & Reimbursement Data

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East Central Planning & Development District — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References