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 Rhode Island for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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.

Continuum Care Of Rhode Island, LLC (NPI 1164948220)

Field	Value
Entity Type	Organization
Organization	Continuum Care Of Rhode Island, LLC
Address	1350 Division Rd Ste 205
City	West Warwick
State	RI
ZIP	02893
Taxonomy	Community Based Hospice Care Agency
NPI Enumerated	August 20, 2017

Payer Source	Total Paid
Medicaid	$25.2M
Medicare	$0

Key Findings

CONTINUUM CARE OF RHODE ISLAND, LLC bills exclusively as a Community Based Hospice Care Agency and its Medicaid activity is almost entirely concentrated in institutional hospice services; the top revenue code is T2046 (Hospice long term care, room and board only; per diem), which aligns with long-term care facility–based hospice operations rather than a diversified mix of home- or outpatient-focused hospice services. The provider’s taxonomy and the T2046 description together suggest its business model centers on per-diem hospice coverage for residents in institutional settings.

All reported Medicaid revenue is concentrated in a single code line: T2046 accounts for $25.2M in revenue and is recorded as 100.0% of this provider’s total Medicaid revenue. This extreme concentration means organizational revenue performance is tightly linked to utilization and reimbursement for that one service category.

Claim volume and unit payments for the dominant code show the operational scale underpinning that concentration: T2046 appears with 8.8K claims and an average paid per claim of $2869, producing the $25.2M Medicaid total. Those unit economics indicate relatively high per-claim payments combined with substantial claim counts, consistent with per-diem payments for long-stay hospice residents.

The provider has no Medicare billing on file, so its public-payer exposure is effectively single-payer—Medicaid only—rather than a mix of Medicare and Medicaid revenues. That absence of Medicare revenue reduces exposure to Medicare hospice reimbursement dynamics but increases concentration risk tied to state Medicaid policy, rates, and managed-Medicaid contracting.

On in-state competitive standing for the principal code, CONTINUUM CARE OF RHODE ISLAND ranks #2 of 25 providers and is in the 96th percentile for T2046, indicating it is a major participant statewide for long-term care hospice per-diem services. At the same time, the data notes this is a "typical, unremarkable volume for this code," so while the provider is high-ranked, the underlying volume is not flagged as an unusual outlier relative to peers.

The provider’s NPI was enumerated on 2017-08-20 (~9 years ago), signaling roughly a near-decade presence in the Medicare/Medicaid provider landscape. That tenure supports a track record long enough for established referral relationships with long-term care facilities and state Medicaid payers, but it is not among long-established legacy providers with multi-decade histories.

The reliance on a single Medicaid per-diem code creates operational and financial vulnerability: changes in T2046 reimbursement, eligibility rules, or the provider’s relationships with long-term care facilities could materially affect overall revenue. For payer analysts, this concentration highlights where contract negotiations, utilization management, or rate changes would have the largest impact.

Given the service-line profile and absence of Medicare claims, potential strategic considerations for payers and partners include whether CONTINUUM CARE OF RHODE ISLAND is intentionally specialized on Medicaid long-term care hospice or whether there is unexploited Medicare hospice opportunity; either scenario has implications for network adequacy, reimbursement negotiations, and market planning in Rhode Island.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2046	Hospice long term care, room and board only; per diem	8,770	$2,870	$25.2M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Rhode Island Distribution

Continuum Care Of Rhode Island, LLC — 1 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. Rhode Island median

1 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	2	30	330	$1,280	$6.5M

Nearby Providers

Other providers in the same ZIP code as Continuum Care Of Rhode Island, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Danielle Murphy	RI	Dentist	$0	$4.2M
Spring Villa Inc.	RI	Assisted Living Facility	$0	$3.4M
Discovery House Utah	RI	Substance Use Disorder Rehabilitation Clinic/Center	$0	$3.3M
Meaningful Outcomes LLC	RI	Behavior Analyst	$0	$3.2M
Meera Sharma	RI	General Practice Dentistry	$0	$1.8M
Yamila Cos	RI	General Practice Dentistry	$0	$1.7M
West Warwick Public Schools	RI	Local Education Agency (LEA)	$0	$1.6M
Beth Cleary	RI	Psychiatric/Mental Health Nurse Practitioner	$0	$1.5M
Karim Khanbhai	RI	Pediatrics Physician	$0	$1.4M
Town Of West Warwick Ri	RI	Land Ambulance	$265.6K	$883.1K

Continuum Care Of Rhode Island, LLC — Billing Profile & Reimbursement Data

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Continuum Care Of Rhode Island, 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