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 | $17.2B | 295.4M |
| T1000 | Private duty/independent nsg | $3.8B | 10.5M |
| H2016 | Comp comm supp svc, per diem | $3.8B | 30.2M |
| 99213 | Office o/p est low 20 min | $3.2B | 107.4M |
| 99284 | Emergency dept visit mod mdm | $2.8B | 38.5M |
| T1015 | Clinic service | $2.6B | 35.7M |
| T1019 | Personal care ser per 15 min | $1.7B | 95.4M |
| 92507 | Tx sp lang voice comm indiv | $1.4B | 16.0M |
| T2016 | Habil res waiver per diem | $1.3B | 9.2M |
| 99214 | Office o/p est mod 30 min | $1.3B | 53.8M |