Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Brandi's Hope Community Services

Day Training Developmentally Disabled Services·Magee, MS·NPI: 1528387859SharePrint Report

Red Flags Explained

Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:

Cost Outlier

Cost Outlier means this provider charges significantly more per claim than other providers billing the same procedure codes. This could indicate upcoding, inflated charges, or specialized services that justify higher costs.

These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.

Risk Assessment

Bills $5,649.20 per claim for S5136 (Companion care, adult, per 15 minutes) — 18.7× the national median of $302.34.

Bills $1,604.25 per claim for S5100 (Day care services, adult, per half day) — 23.7× the national median of $67.58.

Bills $827.89 per claim for H2025 (Ongoing support to maintain employment, per 15 min) — 8.2× the national median of $100.49.

Billing in the top 1% nationally for 1 procedure code: S5100.

This is a statistical summary, not an accusation. See our methodology.

Compared to Day Training Developmentally Disabled Services Peers

Total spending distribution among 22 providers in this specialty

P25MedianP75P90

This provider's total spending of $124.6M is at the 25th percentile among 22 Day Training Developmentally Disabled Services providers.

Active Billing Period:2018-012024-11(83 months)

Total Paid

$124.6M

$124,648,866

Total Claims

50K

Beneficiaries

35K

1.4 claims/patient

Avg Cost/Claim

$2K

#950 of 618K providers by total spending(top 0.2%)

🔍 Analysis

Provider Overview

Brandi's Hope Community Services is a Day Training Developmentally Disabled Services provider based in Magee, MS. From the 2018–2024 period, this provider received $124.6M in Medicaid payments across 50K claims.

Why This Matters

This provider received $124.6M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 15,581 Medicaid beneficiaries for a full year at average per-enrollee costs.

7% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$18.5M
+0%
2019
$18.6M
-11%
2020
$16.6M
-1%
2021
$16.4M
+1%
2022
$16.5M
+10%
2023
$18.2M
+9%
2024
$19.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (S5136 (Companion care, adult, per 15 minutes)) accounts for 72% of total spending.

S5136Top 10%

Companion care, adult, per 15 minutes

$90.3M

16K claims · 72.4%

Your Cost: $5,649.20/claim|Median: $302.34
18.7× median
S5100Top 1%

Day care services, adult, per half day

$30.3M

19K claims · 24.3%

Your Cost: $1,604.25/claim|Median: $67.58
23.7× median
S5125Top 25%

Attendant care services, per 15 min

$2.0M

13K claims · 1.6%

Your Cost: $160.48/claim|Median: $82.34
1.9× median
H2025Top 5%

Ongoing support to maintain employment, per 15 min

$1.4M

2K claims · 1.1%

Your Cost: $827.89/claim|Median: $100.49
8.2× median
H2023Top 5%

Supported employment, per 15 min

$457K

481 claims · 0.4%

Your Cost: $950.89/claim|Median: $103.94
9.2× median
T2015Top 10%

Habilitation, prevocational, waiver, per diem

$149K

155 claims · 0.1%

Your Cost: $958.48/claim|Median: $88.27
10.9× median