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

Statewide Healthcare Services, INC

Home Health·Jackson, MS·NPI: 1679601645SharePrint 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:

Single-Code

Single-Code Billing means this provider bills almost exclusively for one or two procedure codes despite high total volume. Legitimate specialists may focus on specific codes, but extreme concentration can indicate a scheme billing repeatedly for the same service.

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

Advanced Detection Signals

Additional statistical tests from advanced fraud detection methods

ConcentrationHHI: 1 on 1 codes

These signals use advanced statistical methods including digit distribution analysis, change-point detection, and market concentration metrics. Learn more.

Risk Assessment

Extreme procedure concentration — 100% of all billing flows through a single code (T1019).

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

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $146.0M is at the 50th percentile among 322 Home Health providers.

Active Billing Period:2018-012024-12(84 months)

Extreme procedure concentration — 100% of $146.0M billed through a single code

Total Paid

$146.0M

$146,044,054

Total Claims

2.0M

Beneficiaries

144K

14.0 claims/patient

Avg Cost/Claim

$72

#742 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Statewide Healthcare Services, INC is a Home Health provider based in Jackson, MS. From the 2018–2024 period, this provider received $146.0M in Medicaid payments across 2.0M claims.

Why This Matters

This provider received $146.0M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 18,255 Medicaid beneficiaries for a full year at average per-enrollee costs.

148% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$14.6M
+6%
2019
$15.4M
-6%
2020
$14.5M
+9%
2021
$15.8M
+37%
2022
$21.6M
+30%
2023
$28.1M
+29%
2024
$36.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 1 distinct procedure code. The top code (T1019 (Personal care services, per 15 min)) accounts for 100% of total spending.

T1019Normal range

Personal care services, per 15 min

$146.0M

2.0M claims · 100.0%

Your Cost: $72.40/claim|Median: $82.47
0.9× median