Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Ohio for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Ohio only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Ohio (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Tridia Hospice Care, LLC (NPI 1013181205)

Field	Value
Entity Type	Organization
Organization	Tridia Hospice Care, LLC
Address	110 Polaris Pkwy Ste 302
City	Westerville
State	OH
ZIP	43082
Taxonomy	Community Based Hospice Care Agency
NPI Enumerated	April 17, 2008

Payer Source	Total Paid
Medicaid	$138.7M
Medicare	$0

Key Findings

This provider is a community-based hospice care agency with an NPI enumeration date of 2008-04-17 (~18 years ago), indicating long tenure in the market and sustained operational presence in Ohio's Medicaid hospice space. The taxonomy and longevity are consistent with an established hospice operator rather than a new entrant or a short-lived program.

Medicaid is effectively the sole payer for this provider: Total Medicare revenue is none (no Medicare billing on file) while total Medicaid revenue is $138.7M, so the organization functions as a single-payer (Medicaid) operation in the available data. Analysts should treat Medicaid policy, rate changes, and state contracting decisions as the primary levers that would materially affect this provider's financial performance.

Revenue is highly concentrated: the precomputed top-3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with two codes explicitly shown. T2046 drives the lion's share at $122.7M (88.5% of Medicaid revenue) and T2042 contributes $15.9M (11.5% of Medicaid revenue), leaving negligible revenue outside these per-diem hospice codes.

The code mix points to a service model heavily weighted toward institutional long-term care hospice billing. T2046 (Hospice long term care, room and board only; per diem) accounts for $122.7M and 693.5K claims at an average paid/claim of $177, while T2042 (Hospice routine home care; per diem) accounts for $15.9M and 105.5K claims at an average paid/claim of $151 — together these figures indicate a high-volume, per-diem reimbursement structure focused on facility-based hospice with a secondary home-care component.

Competitive standing within Ohio is dominant for the provider's top hospice lines: T2046 ranks #1 of 134 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code) and T2042 ranks #1 of 42 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code). Those ranks identify the provider as a statewide leader and an extreme volume outlier for both room-and-board LTC hospice and routine home-care hospice billing.

Operational and revenue profile details reinforce a high-volume, low-margin (per-diem) cash flow characteristic: large claim counts (693.5K for T2046 and 105.5K for T2042) combined with moderate average paid/claim amounts ($177 and $151 respectively) mean total Medicaid revenue is concentrated in continuous per-diem streams rather than episodic high-dollar procedures. This structure can support predictable recurring revenue but also concentrates exposure to per-diem rate adjustments.

The provider's reliance on only Medicaid (no Medicare billing on file) and on a very small set of per-diem hospice codes (top 3 = 100.0% of Medicaid revenue) creates concentration risk: any material change in Medicaid hospice payment policy, eligibility, or state oversight could disproportionately affect this provider's $138.7M Medicaid revenue base. Risk monitoring should prioritize state-level Medicaid rule changes and reimbursement trends for T2046 and T2042.

Given its long enumeration date (~18 years) and its extreme statewide volumes on T2046 and T2042, the provider appears to have established operational and referral pathways into Ohio long-term care settings and home hospice channels. For competitive analysis, treat this entity as a dominant, high-volume Medicaid hospice operator whose strategic position in the state is primarily defined by room-and-board long-term care per-diem billing.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2046	Hospice long term care, room and board only; per diem	693,470	$180	$122.7M
T2042	Hospice routine home care; per diem	105,490	$150	$15.9M

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.

Claims Volume vs. Ohio Distribution

Tridia Hospice Care, LLC — 2 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. Ohio median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2046	Hospice long term care, room and board only; per diem	1	130	29,680	$150	$9.8M
T2042	Hospice routine home care; per diem	1	40	10,290	$140	$2.8M

Related Providers

Other providers that share a Tax Identification Number (TIN) with Tridia Hospice Care, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prime Home Care,llc	OH	Home Health Agency	$0	$38.3M
Traditions Hospice Of Highland Heights, LLC	OH	Community Based Hospice Care Agency	$0	$34M
Hospice Of Miami County, Inc.	OH	Community Based Hospice Care Agency	$0	$11.3M
A-1 Nursing Care Of Cleveland LLC	OH	Home Health Agency	$0	$9.1M
Prime Hha, LLC	OH	Home Health Agency	$0	$9.1M

Nearby Providers

Other providers in the same ZIP code as Tridia Hospice Care, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Ohio Primary Care Physicians, Inc.	OH	Internal Medicine Physician	$0	$12.7M
Dasco Hme, LLC	OH	Oxygen Equipment & Supplies (DME)	$0	$11.9M
Excel Health Services LLC	OH	Home Health Agency	$0	$7.5M
Brian Biernat	OH	MOHS-Micrographic Surgery Physician	$623K	$0
Central Ohio Endoscopy Center, LLC	OH	Endoscopy Clinic/Center	$583.2K	$0
Angela Casey	OH	MOHS-Micrographic Surgery Physician	$571.6K	$0
Peter Seline	OH	MOHS-Micrographic Surgery Physician	$532.2K	$0
Polaris Surgery Center, LLC	OH	Ambulatory Surgical Clinic/Center	$497K	$0
Bradley Soder	OH	Dermatology Physician	$289.3K	$0
Westerville Endoscopy Center LLC	OH	Endoscopy Clinic/Center	$254.6K	$0

Tridia Hospice Care, LLC — Billing Profile & Reimbursement Data

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Tridia Hospice Care, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References