Against 23 peers โ similar data coverage. Comparing to a named peer set rather than a 51-state average.
Spending per member/month
$861
โ16.0% vs peer median
16th highest of 24 similar states
CMS-64 total รท CMS enrollment
Total Medicaid spending
$7,789,473,294
32nd highest of 51 states
CMS-64 Total Net, FY2024
Medicaid enrollment
712,971
30th highest of 51 states
Most recent CMS monthly report
Visible in claims
18.9%
โ10.1% vs peer median
17th highest of 24 similar states
Share of program these claims see
Published figures are FY2024 CMS-64 and CMS enrollment. Claims figures cover 2018โ2024.
Public-record research has been run on 30 flagged Arkansas providers. One referral rests on an Arkansas Attorney General conviction already on the public record; none of 33 recent Arkansas enforcement actions names a billing provider present in the source data. Methodology
CMS T-MSIS data, 2018-2024
Concourse Sentinel connects to large-scale healthcare billing datasets โ including CMS T-MSIS claims, provider enrollment (PECOS), and federal exclusion lists โ and runs millions of automated statistical analyses to surface billing anomalies and areas warranting further review.
$8.5B
Cumulative, Jan 2018 โ Oct 2024 (6.8 years)
โ $1.2B / year
170.1M
Cumulative, Jan 2018 โ Oct 2024 (6.8 years)
โ 24.9M / year
6.9K
Distinct billing NPIs, Jan 2018 โ Oct 2024
310
18 highest/critical risk
Current (as of latest ETL)
| Code | Description | Total Paid | Claims |
|---|---|---|---|
| T1015 | Clinic service | $1.4B | 19.7M |
| H2016 | Comp comm supp svc, per diem | $661.7M | 2.8M |
| 92507 | Tx sp lang voice comm indiv | $454.4M | 7.0M |
| 97530 | Therapeutic activities | $414.1M | 7.0M |
| T1019 | Personal care ser per 15 min | $352.2M | 5.5M |
| 90837 | Psytx w pt 60 minutes | $299.9M | 3.6M |
| 97110 | Therapeutic exercises | $261.2M | 4.6M |
| 99214 | Office o/p est mod 30 min | $198.2M | 4.4M |
| H2019 | Ther behav svc, per 15 min | $189.4M | 2.4M |
| H0019 | Behavioral health; long-term residential (non-medical, non-acute care in a | $187.5M | 719.9K |