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.

The Hospice Of Dayton, Inc. (NPI 1346220142)

Field	Value
Entity Type	Organization
Organization	The Hospice Of Dayton, Inc.
Address	324 Wilmington Ave
City	Dayton
State	OH
ZIP	45420
Taxonomy	Community Based Hospice Care Agency
NPI Enumerated	January 18, 2006

Payer Source	Total Paid
Medicaid	$71M
Medicare	$0

Key Findings

THE HOSPICE OF DAYTON, INC. is effectively a single-payer Medicaid provider: there is no Medicare billing on file and reported lifetime Medicaid revenue is $71M, indicating Medicaid is the sole measurable payer in this dataset. Its NPI was enumerated 2006-01-18 (~20 years ago), so the organization has been an established hospice entity for roughly two decades in the market.

Revenue is highly concentrated in a narrow set of hospice per-diem services: the precomputed top 3 Medicaid codes account for 99.9% of this provider's total Medicaid revenue, with T2046, T2042, and T2045 driving nearly all reported dollars. This concentration suggests the organization’s financial performance and negotiations will be disproportionately affected by changes to per-diem hospice payment policies or utilization for these specific service lines.

T2046 (Hospice long term care, room and board only; per diem) is the dominant revenue driver: 463.9K claims, $136 avg paid/claim, $63.1M revenue, representing 88.8% of the provider's Medicaid revenue. The provider ranks #2 of 134 in-state for T2046 and is described as an extreme outlier, far above typical state volume for this code, indicating a major operational emphasis on long-term care facility hospice room-and-board services.

T2042 (Hospice routine home care; per diem) accounts for $5.4M (7.6% of Medicaid revenue) across 42K claims at $128 avg paid/claim and ranks #7 of 42 in-state (85th percentile). This placement reflects a meaningful but secondary role for routine home hospice in the provider’s mix — consistent with an organization that primarily serves LTC settings but maintains home-based hospice capacity.

T2045 (Hospice general inpatient care; per diem) generates $2.5M (3.5% of Medicaid revenue) from 4.1K claims at $610 avg paid/claim and ranks #1 of 7 in-state (100th percentile). Being the top-ranked in-state biller for this code signals that the provider also operates or bills for higher-intensity inpatient hospice services and holds a leading position among the small set of peers that provide inpatient hospice care.

Beyond the top three, all other billed codes contribute negligible revenue: examples include Q5001 ($21.8K), Q5003 ($14K), Q5006 ($13.6K), and various low-dollar professional/ancillary codes (e.g., G0299, G0156). These small volumes and low rank positions indicate the provider’s business model is concentrated on per-diem hospice site payments rather than fee-for-service ancillary or professional procedures.

From a competitive-standing perspective, the provider is a dominant state-level player for T2046 (rank #2 of 134 and labeled an extreme outlier) and a market leader for T2045 (rank #1 of 7). For T2042 the provider is a strong but not dominant participant (rank #7 of 42, 85th percentile), so its competitive strength is concentrated in facility-based per-diem hospice rather than broad-based dominance across all hospice service lines.

The extreme concentration in a single code family (T2046/T2042/T2045 = 99.9% of Medicaid revenue) creates strategic and reimbursement risk: any policy, rate, or utilization shifts affecting per-diem hospice payments—particularly LTC room-and-board per diems—would have outsized impact on the provider’s Medicaid revenue. Analysts evaluating partner networks or rate negotiations should treat this provider as highly specialized in LTC facility hospice care rather than a diversified hospice/home-health provider.

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2046	Hospice long term care, room and board only; per diem	463,860	$140	$63.1M
T2042	Hospice routine home care; per diem	42,030	$130	$5.4M
T2045	Hospice general inpatient care; per diem	4,060	$610	$2.5M
Q5001	Hospice or home health care provided in patient's home/residence	20	$1,370	$21.8K
Q5003	Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)	10	$1,000	$14K
Q5006	Hospice care provided in inpatient hospice facility	20	$750	$13.6K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	220	$30	$7.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	580	$10	$4.6K
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	110	$20	$1.9K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	120	$10	$1.3K

Showing 1–10 of 11

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

The Hospice Of Dayton, Inc. — 2 of 11 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

11 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	130	29,680	$150	$9.8M
T2042	Hospice routine home care; per diem	7	40	10,290	$140	$2.8M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	471	480	27,490	$30	$2.5M
T2045	Hospice general inpatient care; per diem	1	10	710	$720	$1.2M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	484	560	3,370	$40	$543.8K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	279	600	480	$30	$132.5K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	339	610	170	$50	$65.9K
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	32	40	100	$50	$33.1K
Q5006	Hospice care provided in inpatient hospice facility	1	10	20	$750	$13.6K
Q5003	Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)	5	10	20	$110	$2.3K

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Access Ohio, LLC	OH	Substance Abuse Rehabilitation Facility	$0	$40.1M
Alliance Physicians Inc	OH	Family Medicine Physician	$0	$38.9M
Ohio Pediatrics, Inc.	OH	Pediatrics Physician	$0	$7.4M
Greater Dayton Surgery Center LLC	OH	Ambulatory Surgical Clinic/Center	$1.1M	$0
Paul Nitz	OH	Orthopaedic Surgery Physician	$196.8K	$0
Jeffrey Hoskins	OH	Orthopaedic Surgery Physician	$137.7K	$0
Kevin Paley	OH	Orthopaedic Surgery Physician	$123.2K	$0
Melissa Rammel	OH	Physician Assistant	$64K	$0
David Seymour	OH	Physical Medicine & Rehabilitation Physician	$44.8K	$0

The Hospice Of Dayton, Inc. — Billing Profile & Reimbursement Data

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The Hospice Of Dayton, Inc. — 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