Concourse Sentinel

Medicaid Integrity Analytics

πŸ“ŠOverviewπŸ₯ProvidersπŸ’ŠProcedures🚨WatchlistπŸ”Statistical Outliersβš–οΈCompareπŸ“ˆTrendsπŸ—ΊοΈGeography

Cross-Dataset

πŸ•ΈοΈEntity Networks🏠Home Healthβ›”Exclusions (LEIE)πŸ“‹Context & Disclaimers
πŸ‡ΊπŸ‡ΈAll States
by Concourse

Data: CMS T-MSIS 2018-2024

Source: opendata.hhs.gov

Arkansas Medicaid Provider Spending

CMS T-MSIS data, 2018-2024

Concourse Sentinel connects to large-scale healthcare billing datasets β€” including CMS T-MSIS claims, provider enrollment (PECOS), and federal exclusion lists β€” and runs millions of automated statistical analyses to surface billing anomalies and areas warranting further review.

Cross-Dataset Analysis Available

Watchlist

129 critical

providers flagged

Home Health

Deep Dive

outlier analysis

Entity Networks

AO Analysis

shared ownership detection

Exclusions

LEIE Matches

post-exclusion billing

Total Spending

$8.5B

Total Claims

170.1M

Unique Providers

6.9K

Watchlist

500

129 highest/critical risk

Monthly Spending Trend
Top 10 Providers by Spending
View all providers β†’
Spending by Category
Top 10 Procedures by Spending
CodeDescriptionTotal PaidClaims
T1015Clinic service$1.4B19.7M
H2016Comp comm supp svc, per diem$661.7M2.8M
92507Tx sp lang voice comm indiv$454.4M7.0M
97530Therapeutic activities$414.1M7.0M
T1019Personal care ser per 15 min$352.2M5.5M
90837Psytx w pt 60 minutes$299.9M3.6M
97110Therapeutic exercises$261.2M4.6M
99214Office o/p est mod 30 min$198.2M4.4M
H2019Ther behav svc, per 15 min$189.4M2.4M
H0019Behavioral health; long-term residential (non-medical, non-acute care in a$187.5M719.9K
View all procedures β†’