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

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

Tidewell Hospice, Inc. (NPI 1417954645)

Field	Value
Entity Type	Organization
Organization	Tidewell Hospice, Inc.
Address	5955 Rand Blvd
City	Sarasota
State	FL
ZIP	34238
Taxonomy	Community Based Hospice Care Agency
NPI Enumerated	July 1, 2005

Payer Source	Total Paid
Medicaid	$51.6M
Medicare	$0

Key Findings

TIDEWELL HOSPICE, INC. reports none (no Medicare billing on file) in Medicare revenue and $51.6M in total Medicaid revenue, making it effectively a Medicaid-focused provider in this dataset. Its NPI was enumerated on 2005-07-01 (~21 years ago), indicating an established presence in the market that aligns with long-running hospice operations rather than a recent entrant.

Revenue is highly concentrated in a narrow set of Medicaid hospice per-diem codes: T2046 ($45.7M, 88.6%), T2042 ($3.4M, 6.6%), and T2045 ($1.8M, 3.4%). These three codes together account for 98.6% of this provider's total Medicaid revenue, so changes to reimbursement, utilization, or eligibility affecting any of these codes would disproportionately affect overall revenue.

The code mix points to an operation centered on long-term care facility hospice services rather than home-only hospice: T2046 (T2046 – Hospice long term care, room and board only; per diem) is by far the dominant line with 267.4K claims and $45.7M in revenue, while T2042 (routine home care; per diem) and T2045 (general inpatient care; per diem) are present but much smaller. This pattern suggests the provider's business model is weighted toward room-and-board hospice arrangements in LTC settings, supplemented by routine home care and episodic inpatient hospice services.

T2046 is an extreme statewide outlier: the provider ranks #1 of 26 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code). That ranking establishes TIDEWELL as a dominant billing entity in Florida for the LTC room-and-board hospice per-diem, indicating market share or contractual relationships with nursing/LTC facilities that are unusually large relative to peers.

T2045 (general inpatient care) also shows a strong statewide position, ranking #1 of 6 providers in-state (100th percentile; notably above typical state volume for this code), while T2042 (routine home care) is a more modest contributor and ranks #9 of 10 providers in-state (11th percentile; typical, unremarkable volume). In short, the provider is a major player for facility-based and inpatient hospice services but a modest participant for routine home-care hospice in the state.

Per-claim payment patterns are mixed and reflect differing service intensities: T2046 pays $171 avg paid/claim across 267.4K claims, while the lower-volume per-diem codes pay substantially more per claim — T2042 $2313 avg paid/claim (1.5K claims) and T2045 $2421 avg paid/claim (723 claims). This combination of high-volume/low-unit-rate (T2046) and low-volume/high-unit-rate (T2042/T2045) reimbursements drives the overall revenue mix and operational focus.

A set of ancillary and supportive-service codes appears at much smaller scale: Q5003 is $639K (1.2%) with 2.4K claims and ranks #15 of 24 in-state (39th percentile), G0176 is $89.1K (0.2%) with 5.9K claims and ranks #2 of 11 in-state (90th percentile), while S9123 ($9.2K) and 99510 ($2.3K) represent immaterial shares. These smaller lines are consistent with ancillary nursing, activity therapy, and counseling services typical of hospice providers, but they do not materially alter the provider's Medicaid revenue concentration.

The extreme concentration in T2046 and the top-three codes accounting for 98.6% of Medicaid revenue create a concentrated revenue risk profile: the provider's financial performance and competitive standing in Florida are tightly tied to long-term care hospice per-diem billing and the state's nursing/LTC facility relationships. The provider's ~21 years of NPI tenure suggests operational stability, but analysts should monitor policy, reimbursement, or utilization shifts that specifically affect T2046, T2042, and T2045 given their outsized influence on the $51.6M Medicaid revenue base.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2046	Hospice long term care, room and board only; per diem	267,440	$170	$45.7M
T2042	Hospice routine home care; per diem	1,470	$2,310	$3.4M
T2045	Hospice general inpatient care; per diem	720	$2,420	$1.8M
Q5003	Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)	2,440	$260	$639K
G0176	Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more)	5,940	$20	$89.1K
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	770	$10	$9.2K
99510	A licensed psychologist or social worker visits the patient in his home to provide counseling.	80	$30	$2.3K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Florida Distribution

Tidewell Hospice, Inc. — 2 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. Florida median

7 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	1	30	13,190	$300	$9.2M
Q5003	Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)	15	20	4,400	$350	$6.6M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	74	100	3,400	$580	$6.4M
T2042	Hospice routine home care; per diem	9	10	2,500	$550	$2.1M
T2045	Hospice general inpatient care; per diem	1	10	90	$1,740	$400.7K
G0176	Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more)	2	10	620	$30	$69.5K
99510	A licensed psychologist or social worker visits the patient in his home to provide counseling.	11	10	460	$30	$20.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pareena Bilkoo	FL	Interventional Cardiology Physician	$2.9M	$0
Metro Treatment Of Florida, LP	FL	Methadone Clinic	$148.7K	$1.5M
Costco Wholesale Corporation	FL	Community/Retail Pharmacy	$117.4K	$0
Arundathi Rao	FL	Surgery Physician	$109.5K	$0
Kelly Durrett	FL	Anesthesiology Physician	$78K	$0
Alla Zilberman	FL	Family Medicine Physician	$57.6K	$0
Kristina Gomes	FL	Physician Assistant	$53.6K	$0
Erica Petty	FL	Speech-Language Pathologist	$52.6K	$0
Michael Ditaranto	FL	Anesthesiology Physician	$38.9K	$0
Robert Brenner	FL	Surgery Physician	$36.2K	$0

Tidewell Hospice, Inc. — Billing Profile & Reimbursement Data

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Tidewell Hospice, 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