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 Puerto Rico for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Puerto Rico 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. Puerto Rico (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.

Quality Care Hospice LLC (NPI 1306253794)

Field	Value
Entity Type	Organization
Organization	Quality Care Hospice LLC
Address	Carr 14 Km 21.3 Bo Rio Caas
City	Juana Diaz
State	PR
ZIP	00795
Taxonomy	Community Based Hospice Care Agency
NPI Enumerated	July 17, 2014

Payer Source	Total Paid
Medicaid	$777.9K
Medicare	$0

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
S9126	Hospice care, in the home, per diem	8,940	$90	$777.9K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Puerto Rico Distribution

Quality Care Hospice LLC — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Puerto Rico

Full comparison — all codes billed, vs. Puerto Rico median

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9126	Hospice care, in the home, per diem	2	10	3,130	$180	$1.9M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Hospital Services Inc	PR	Emergency Care Clinic/Center	$0	$2.4M
Laboratorio Clinico Profesional Emanuel Inc	PR	Clinical Medical Laboratory	$9.8K	$2.4M
Awilda Vazquez Quintana	PR	Physical Therapist	$0	$1.3M
Southern Hospital Service Inc	PR	Clinical Medical Laboratory	$0	$1M
Laboratorio Clinico Irizarry Guasch Inc	PR	Clinical Medical Laboratory	$0	$852.7K
Maria J Lopez Aguado	PR	Clinical Medical Laboratory	$1.9K	$835.2K
Dr Jose E Martinez Campos Csp	PR	Medical Specialty Clinic/Center	$0	$637.1K
Sonia Mercado Cruz	PR	Clinical Medical Laboratory	$140	$612.3K
Glenda Rodriguez	PR	General Practice Physician	$316.2K	$6.1K
Walgreen Co	PR	Pharmacy	$103.1K	$0

Quality Care Hospice LLC — Billing Profile & Reimbursement Data

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Quality Care Hospice LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References