Managed Care Organizations · 2023
Exclusive Provider Organization
Ranked #26 of Mississippi’s specialties by the dollars its flagged providers billed above the national middle rate.
Mississippi providers
2
of 137 nationally
Mississippi middle
$555.36
payment per patient
National middle
$45.87
payment per patient
Excess dollars
$364,209
across 1 flagged provider
Mississippi Medicaid paid $405,633 to this specialty’s providers in 2023.
The chart shows 2 of the 4 Mississippi providers in this specialty. The other 2 billed too little volume for the source data to report them.
Each navy tick is one Mississippi provider. The pale bands behind them are every provider of this kind in the country, so a tick far to the right bills far above the national pattern.
Chart stops at $10,871.00 per patient; 0 of 137 providers nationally bill above that and are outside the chart.
The pale bands vary in width. They come from the national distribution, which is measured in widening steps, so a band near the left covers a narrow range of dollars and a band near the right covers a wide one.
Each diamond under the axis is one state’s middle payment per patient. Mississippi always shows, in bold, with its number of providers in brackets. A neighboring state shows only when at least 12 of its providers bill this specialty.
- Patient counts are reported per service code per month; a patient seen for several services or across months is counted in each, so payment per patient here means payment per patient, per service, per month — the same conservative definition applied to every provider nationally.
- The source suppresses any provider-code-month under 12 claim lines or 12 beneficiaries, so occasional and small-volume billing is invisible; medians are computed over the surviving higher-volume rows.
- Headline figures are calendar-2023; 2024 data are preliminary and excluded.
- Outpatient and professional spending only; an outlier is a statistical lead, not a finding of fraud or improper payment.