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 |
|---|---|---|---|
| T2016 | Habil res waiver per diem | $291.0M | 786.1K |
| T1015 | Clinic service | $184.7M | 1.2M |
| T2022 | Case management, per month | $58.5M | 222.3K |
| H2019 | Ther behav svc, per 15 min | $48.7M | 666.4K |
| T1004 | Nsg aide service up to 15min | $32.5M | 421.0K |
| 99213 | Office o/p est low 20 min | $26.3M | 874.9K |
| T2024 | Serv asmnt/care plan waiver | $26.0M | 525.6K |
| T2031 | Assist living waiver/diem | $23.3M | 13.1K |
| 99214 | Office o/p est mod 30 min | $21.0M | 555.4K |
| D1206 | Topical fluoride varnish | $19.6M | 561.1K |