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 North Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Hospice & Palliative Care Of The Blue Ridge Inc (NPI 1023084399)

Field	Value
Entity Type	Organization
Organization	Hospice & Palliative Care Of The Blue Ridge Inc
Address	236 Hospital Dr
City	Spruce Pine
State	NC
ZIP	28777
Taxonomy	Exclusive Provider Organization
NPI Enumerated	February 27, 2006

Payer Source	Total Paid
Medicaid	$14.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	87,050	$120	$10.4M
T1016	Case management, each 15 minutes	15,430	$180	$2.7M
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	3,070	$300	$917K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	220	$20	$4.9K
A4554	Disposable underpads, all sizes	100	$30	$3.2K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	70	$40	$2.8K
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…	40	$70	$2.7K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Carolina Distribution

Hospice & Palliative Care Of The Blue Ridge Inc — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. North Carolina median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	26	400	15,030	$100	$3M
T1016	Case management, each 15 minutes	45	230	3,210	$110	$1.1M
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	60	120	2,780	$150	$966.8K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	48	60	530	$50	$669.2K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	83	100	860	$100	$640.4K
A4554	Disposable underpads, all sizes	177	200	1,300	$40	$493.2K
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…	91	100	900	$90	$204.5K

Nearby Providers

Other providers in the same ZIP code as Hospice & Palliative Care Of The Blue Ridge Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robert Van Brederode	NC	Primary Podiatric Medicine Podiatrist	$48.6K	$0

Hospice & Palliative Care Of The Blue Ridge Inc — Billing Profile & Reimbursement Data

Sign up for Hospice & Palliative Care Of The Blue Ridge Inc — Billing Profile & Reimbursement Data policy alerts

Hospice & Palliative Care Of The Blue Ridge Inc — Billing Profile & Reimbursement Data

Sign up for Hospice & Palliative Care Of The Blue Ridge Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References