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 |
|---|---|---|---|
| S5140 | Adult foster care per diem | $2.2B | 7.4M |
| T1019 | Personal care ser per 15 min | $1.9B | 27.0M |
| T2031 | Assist living waiver/diem | $1.3B | 7.6M |
| H0044 | Supported housing, per month | $996.7M | 304.7K |
| H2035 | A/d tx program, per hour | $820.6M | 6.7M |
| T2023 | Targeted case mgmt per month | $814.7M | 1.7M |
| T2016 | Habil res waiver per diem | $814.3M | 3.4M |
| 99214 | Office o/p est mod 30 min | $713.0M | 9.3M |
| H2036 | A/d tx program, per diem | $695.9M | 574.6K |
| 99213 | Office o/p est low 20 min | $660.9M | 9.7M |