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

Why is the Medicaid comparison limited to Alabama 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. Alabama (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.

New Beacon Healthcare Group, LLC (NPI 1376572255)

Field	Value
Entity Type	Organization
Organization	New Beacon Healthcare Group, LLC
Address	3835 Watermelon Rd Ste B&c
City	Northport
State	AL
ZIP	35473
Taxonomy	Community Based Hospice Care Agency
NPI Enumerated	July 2, 2006

Payer Source	Total Paid
Medicaid	$11M
Medicare	$0

Key Findings

This provider is effectively single‑payer at present: Medicare activity is listed as none (no Medicare billing on file) while all reported government reimbursement comes from Medicaid, with Total Medicaid revenue of $11M. The absence of Medicare billing suggests the organization’s revenue strategy and patient mix are concentrated in Medicaid‑eligible populations rather than fee‑for‑service Medicare beneficiaries.

Revenue concentration is extreme: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, and a single code, T2046, alone is reported as representing $11M of revenue. That level of concentration indicates the provider’s financial performance is highly dependent on one service line within the Medicaid program.

The Medicaid volume is driven entirely by T2046 (T2046 – Hospice long term care, room and board only; per diem): 3.1K claims at a $3554 avg paid/claim producing $11M in revenue. This code mix aligns with the provider taxonomy (Community Based Hospice Care Agency) and indicates operations focused on long‑term care hospice per‑diem arrangements rather than discrete outpatient procedures or episodic visits.

Competitive standing in‑state for T2046 is prominent: the provider ranks #2 of 47 providers in-state and sits in the 98th percentile, characterized in the source as an "extreme outlier, far above typical state volume for this code." That ranking signals the organization is a major regional player for hospice long‑term care room‑and‑board per diems and is likely one of the largest in the state for this specific service.

The average paid per claim ($3554 avg paid/claim) combined with the per‑diem description of T2046 suggests revenue is driven by daily residential hospice placements or facility room‑and‑board arrangements rather than bundled clinical procedures. This implies operational emphasis on facility relationships and ongoing care placements where per‑diem billing dominates the revenue stream.

The provider’s high dependence on a single Medicaid code creates concentration risk: because 100.0% of reported Medicaid revenue is tied to T2046, any policy change, rate adjustment, or competitive shift affecting that per‑diem hospice service could materially affect overall revenue. Analysts should flag this single‑code reliance when modeling revenue sensitivity or payer‑policy impacts.

Tenure is long enough to consider the provider established in the market: NPI enumerated (registered) on 2006-07-02 (~20 years ago), suggesting roughly two decades of enrollment that could support developed payer and facility relationships. Longevity paired with the high in‑state ranking for T2046 is consistent with an entrenched specialty provider in the Medicaid hospice long‑term care segment.

Given the absence of Medicare billing and the Medicaid concentration in T2046, growth or competitive threat analyses should prioritize state Medicaid policy, facility referral patterns, and reimbursement rate trends for hospice long‑term care per diems. Market surveillance on other in‑state providers offering T2046 and any regulatory changes to room‑and‑board hospice payments will be the most relevant drivers of future performance.

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	3,100	$3,550	$11M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

New Beacon Healthcare Group, LLC — 1 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama 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	50	410	$3,490	$2.5M

Related Providers

Other providers that share a Tax Identification Number (TIN) with New Beacon Healthcare Group, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Beacon Healthcare Group, LLC	AL	Community Based Hospice Care Agency	$0	$6.2M
New Beacon Healthcare Group, LLC	AL	Community Based Hospice Care Agency	$0	$5.6M
New Beacon Healthcare Group, LLC	AL	Community Based Hospice Care Agency	$0	$1.5M

Nearby Providers

Other providers in the same ZIP code as New Beacon Healthcare Group, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Reliant Renal Care - Alabama, LLC	AL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.9M
Richard Jones	AL	Rheumatology Physician	$3.8M	$0
Landreth & Associates Inc	AL	Optometrist	$0	$1.5M
Sakina Kamal	AL	Cardiovascular Disease Physician	$531.4K	$0
Geoffrey Alilonu	AL	Nephrology Physician	$442.8K	$0
Adam Richardson	AL	MOHS-Micrographic Surgery Physician	$298.4K	$0
Jeffery Weeks	AL	Dermatology Physician	$255.9K	$0
Charles Gambla	AL	Dermatology Physician	$248.9K	$0
Clinton Mcentyre	AL	Family Medicine Physician	$180K	$0
Sunil Chandra	AL	Internal Medicine Physician	$170.4K	$0

New Beacon Healthcare Group, LLC — Billing Profile & Reimbursement Data

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New Beacon Healthcare Group, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References