Mississippi Department of Rehabilitaion Services
Cost Outlier
Billing over 3× the national median for specific procedure codes.
This provider bills $598.08 per claim for S5125 (Attendant care services, per 15 min), which is 7.3× the national median of $82.34.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Cost Outlier
Cost Outlier means this provider charges significantly more per claim than other providers billing the same procedure codes. This could indicate upcoding, inflated charges, or specialized services that justify higher costs.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Risk Assessment
Bills $598.08 per claim for S5125 (Attendant care services, per 15 min) — 7.3× the national median of $82.34.
Bills $373.66 per claim for S5150 (Unskilled respite care, per 15 min) — 4.4× the national median of $84.46.
Bills $126.70 per claim for S5170 (Homemaker service, NOS, per diem) — 6.4× the national median of $19.89.
Billing above the 90th percentile for 2 procedure codes simultaneously.
This is a statistical summary, not an accusation. See our methodology.
Compared to Case Management Peers
Total spending distribution among 137 providers in this specialty
This provider's total spending of $127.0M is at the 50th percentile among 137 Case Management providers.
Total Paid
$127.0M
$127,002,144
Total Claims
240K
Beneficiaries
90K
2.7 claims/patient
Avg Cost/Claim
$528
#927 of 618K providers by total spending(top 0.2%)
🔍 Analysis
Provider Overview
Mississippi Department of Rehabilitaion Services is a Case Management provider based in Jackson, MS. From the 2018–2024 period, this provider received $127.0M in Medicaid payments across 240K claims.
Important Context
- ℹ️This provider appears to operate as a fiscal intermediary or management organization, processing payments on behalf of many individual caregivers. High aggregate billing is expected for this type of entity.
- ℹ️This is a government entity that may serve as a fiscal agent for large populations. Government providers often bill at high volumes due to the scale of public programs they administer.
Why This Matters
This provider received $127.0M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 15,875 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 5 distinct procedure codes. The top code (S5125 (Attendant care services, per 15 min)) accounts for 96% of total spending.
$122.3M
205K claims
$598.08
$82.34
Attendant care services, per 15 min
$122.3M
205K claims · 96.3%
Case management, per month
$4.1M
27K claims · 3.2%
Specialized supply, NOS; per unit
$299K
8K claims · 0.2%
Unskilled respite care, per 15 min
$270K
723 claims · 0.2%
Homemaker service, NOS, per diem
$24K
193 claims · 0.0%
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