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

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

Capital Hospice (NPI 1386667277)

Field	Value
Entity Type	Organization
Organization	Capital Hospice
Address	6404 Ivy Ln Ste 801
City	Greenbelt
State	MD
ZIP	20770
Taxonomy	Community Based Hospice Care Agency
NPI Enumerated	July 25, 2006

Payer Source	Total Paid
Medicaid	$15.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q5003	Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)	4,200	$3,760	$15.8M
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	60	$0	$0
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	100	$0	$0
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	300	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maryland Distribution

Capital Hospice — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. Maryland median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q5003	Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)	8	20	2,650	$4,280	$16.3M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	21	30	2,110	$280	$1.3M
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	1	10	40	$0	$0
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	2	10	430	$0	$0

Related Providers

Other providers that share a Tax Identification Number (TIN) with Capital Hospice, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Capital Hospice	VA	Community Based Hospice Care Agency	$0	$5.8M
Capital Hospice	DC	Community Based Hospice Care Agency	$0	$1.1M
Candyce Greene	PA	Pediatric Hospice and Palliative Medicine Physician	$20.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pm Pediatrics Of Maryland	MD	Urgent Care Clinic/Center	$0	$33.5M
Medstar Health Visiting Nurse Association, Inc.	MD	Home Health Agency	$0	$21.6M
Advanced Behavioral Health, Inc.	MD	Child & Adolescent Psychiatry Physician	$0	$20.2M
Families First Counseling And Psychiatry, LLC	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$19.9M
The Retina Group Of Washington, PLLC	MD	Ophthalmology Physician	$0	$19.5M
Maxim Healthcare Services, Inc.	MD	Home Health Agency	$0	$19.2M
Volunteers Of America Chesapeake & Carolinas, Inc	MD	Voluntary or Charitable Agency	$0	$16.4M
Maryland Health Alliance, Inc.	MD	Mental Health Counselor	$0	$13.1M
Elites Care LLC	MD	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$12.7M
Neurological Medicine, P.A.	MD	Neurology Physician	$0	$9.2M

Capital Hospice — Billing Profile & Reimbursement Data

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Capital Hospice — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References