Against 23 peers — similar data coverage. Comparing to a named peer set rather than a 51-state average.
Spending per member/month
$1,028
+3.5% vs peer median
10th highest of 24 similar states
CMS-64 total ÷ CMS enrollment
Total Medicaid spending
$7,154,286,312
33rd highest of 51 states
CMS-64 Total Net, FY2024
Medicaid enrollment
502,060
34th highest of 51 states
Most recent CMS monthly report
Visible in claims
21.0%
+5.4% vs peer median
12th highest of 24 similar states
Share of program these claims see
Published figures are FY2024 CMS-64 and CMS enrollment. Claims figures cover 2018–2024.
Public-record research has been run on 30 flagged Mississippi providers. No referrals; six flagged individuals are on the OIG exclusion list with no billing after exclusion. Methodology
CMS T-MSIS data, 2018-2024
Concourse Sentinel connects to large-scale healthcare billing datasets — including CMS T-MSIS claims, provider enrollment (PECOS), and federal exclusion lists — and runs millions of automated statistical analyses to surface billing anomalies and areas warranting further review.
$10.1B
Cumulative, Jan 2018 – Oct 2024 (6.8 years)
≈ $1.5B / year
200.6M
Cumulative, Jan 2018 – Oct 2024 (6.8 years)
≈ 29.3M / year
6.2K
Distinct billing NPIs, Jan 2018 – Oct 2024
317
4 highest/critical risk
Current (as of latest ETL)
| Code | Description | Total Paid | Claims |
|---|---|---|---|
| T1019 | Personal care ser per 15 min | $1.4B | 14.8M |
| S5125 | Attendant care service /15m | $563.6M | 1.7M |
| 99213 | Office o/p est low 20 min | $532.8M | 9.5M |
| S5136 | Adult companioncare per diem | $366.0M | 72.3K |
| S5100 | Adult daycare services 15min | $336.0M | 2.0M |
| T2022 | Case management, per month | $334.3M | 1.8M |
| 99214 | Office o/p est mod 30 min | $328.2M | 6.2M |
| 99284 | Emergency dept visit mod mdm | $312.7M | 2.5M |
| 99283 | Emergency dept visit low mdm | $273.8M | 2.8M |
| 90837 | Psytx w pt 60 minutes | $193.2M | 1.9M |