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

Why is the Medicaid comparison limited to South 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. South 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.

Agape Hospice Of The Lowcountry LLC (NPI 1033309877)

Field	Value
Entity Type	Organization
Organization	Agape Hospice Of The Lowcountry LLC
Address	3955 Faber Place Dr Ste 202
City	North Charleston
State	SC
ZIP	29405
Taxonomy	Community Based Hospice Care Agency
NPI Enumerated	July 27, 2007

Payer Source	Total Paid
Medicaid	$23.7M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $23.7M in lifetime Medicaid revenue, making its observable business activity effectively single-payer Medicaid in scope. Analysts should treat Medicaid trends as the primary signal for this entity rather than cross‑payer comparisons.

Revenue for this provider is highly concentrated: the precomputed top three Medicaid codes account for 100.0% of its total Medicaid revenue. Those codes are T2046 ($14.7M revenue, 4.1K claims, $3579 avg paid/claim, 62.2% of Medicaid revenue), S9126 ($8.9M revenue, 3.7K claims, $2386 avg paid/claim, 37.4% of Medicaid revenue), and T1015 ($92.2K revenue, 36 claims, $2562 avg paid/claim, 0.4% of Medicaid revenue).

The code mix indicates a hospice-centric operation with two dominant per‑diem services: T2046 (Hospice long term care, room and board only; per diem) and S9126 (Hospice care, in the home, per diem). This split of high-volume LTC room-and-board and in‑home hospice per‑diem business suggests the provider operates across both facility-based long‑term care settings and home hospice markets, with T1015 clinic encounters playing a minimal role.

Competitive standing by code is modestly above median within the state for the two largest lines: T2046 ranks #6 of 42 providers (88th percentile) and S9126 ranks #5 of 20 providers (79th percentile), both described as "typical, unremarkable volume for this code." Conversely, T1015 ranks #333 of 353 providers (5th percentile) and is similarly characterized as "typical, unremarkable volume for this code," indicating almost no market presence in clinic/encounter billing relative to peers.

High per‑claim payments and claim volumes drive revenue concentration: 4.1K claims at $3579 avg paid/claim for T2046 and 3.7K claims at $2386 avg paid/claim for S9126 together generate the vast majority of the $23.7M Medicaid lifetime revenue. The predominance of per‑diem payments (rather than large numbers of brief encounters) shapes revenue predictability and operational focus on ongoing custodial and in‑home hospice care.

The provider’s NPI was enumerated on 2007-07-27 (~19 years ago), indicating a long-tenured presence in the market. Combined with $23.7M in Medicaid revenue and concentrated per‑diem service lines, this tenure suggests an established local hospice operator with entrenched LTC and home-hospice relationships.

Because the top three codes account for 100.0% of reported Medicaid revenue and are dominated by per‑diem hospice codes, the provider is exposed to changes in Medicaid per‑diem reimbursement policy or utilization patterns in long‑term care versus home settings. Analysts should flag this concentration as a potential operational risk and also as a strategic lever: diversification beyond the two primary per‑diem lines (T2046 and S9126) would materially change revenue composition.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2046	Hospice long term care, room and board only; per diem	4,120	$3,580	$14.7M
S9126	Hospice care, in the home, per diem	3,710	$2,390	$8.9M
T1015	Clinic visit/encounter, all-inclusive	40	$2,560	$92.2K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Carolina Distribution

Agape Hospice Of The Lowcountry LLC — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

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

3 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	6	40	820	$3,500	$5.9M
S9126	Hospice care, in the home, per diem	5	20	690	$1,580	$3.7M
T1015	Clinic visit/encounter, all-inclusive	333	350	3,560	$30	$525.5K

Nearby Providers

Other providers in the same ZIP code as Agape Hospice Of The Lowcountry LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kool Smiles Sc-2, PC	SC	General Practice Dentistry	$0	$28.5M
Charleston County Government	SC	Land Ambulance	$4.1M	$7.6M
Charleston County Government	SC	Substance Abuse Rehabilitation Facility	$62.3K	$11M
Lowcountry Nursing Group LLC	SC	Nursing Care Agency	$0	$7.9M
Curana Health Of South Carolina PC	SC	Internal Medicine Physician	$0	$6.4M
Lifeguard Ambulance Service LLC	SC	Land Ambulance	$2.1M	$651.1K
Danyel Mcevoy	SC	Anatomic Pathology & Clinical Pathology Physician	$2.3M	$0
Steven Lopez Psychiatric Services	SC	Psychiatry Physician	$0	$2.2M
Center For Behavioral Health South Carolina LLC	SC	Methadone Clinic	$145.2K	$2M
Roper Saint Francis Physicians Network	SC	Clinical Medical Laboratory	$40.4K	$1.3M

Agape Hospice Of The Lowcountry LLC — Billing Profile & Reimbursement Data

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Agape Hospice Of The Lowcountry 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

Nearby Providers

Frequently Asked Questions

References