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.
| Code | Description | Total Paid | Claims |
|---|---|---|---|
| S5125 | Attendant care service /15m | $3.6B | 25.3M |
| T1015 | Clinic service | $1.5B | 13.8M |
| T1019 | Personal care ser per 15 min | $1.2B | 18.2M |
| 99214 | Office o/p est mod 30 min | $721.0M | 17.1M |
| 99284 | Emergency dept visit mod mdm | $699.5M | 6.3M |
| 99213 | Office o/p est low 20 min | $664.5M | 26.1M |
| H2036 | A/d tx program, per diem | $643.6M | 4.4M |
| H0036 | Comm psy face-face per 15min | $483.0M | 6.3M |
| 99285 | Emergency dept visit hi mdm | $477.1M | 3.8M |
| 99283 | Emergency dept visit low mdm | $470.7M | 5.4M |