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

Mississippi 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

84 critical

providers flagged

Home Health

Deep Dive

outlier analysis

Entity Networks

AO Analysis

shared ownership detection

Exclusions

LEIE Matches

post-exclusion billing

Total Spending

$10.1B

Total Claims

200.6M

Unique Providers

6.2K

Watchlist

522

84 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
T1019Personal care ser per 15 min$1.4B14.8M
S5125Attendant care service /15m$563.6M1.7M
99213Office o/p est low 20 min$532.8M9.5M
S5136Adult companioncare per diem$366.0M72.3K
S5100Adult daycare services 15min$336.0M2.0M
T2022Case management, per month$334.3M1.8M
99214Office o/p est mod 30 min$328.2M6.2M
99284Emergency dept visit mod mdm$312.7M2.5M
99283Emergency dept visit low mdm$273.8M2.8M
90837Psytx w pt 60 minutes$193.2M1.9M
View all procedures β†’