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.

Queen City Hospice, LLC (NPI 1437432929)

Field	Value
Entity Type	Organization
Organization	Queen City Hospice, LLC
Address	4605 Duke Dr Ste 220
City	Mason
State	OH
ZIP	45040
Taxonomy	Community Based Hospice Care Agency
NPI Enumerated	September 21, 2011

Payer Source	Total Paid
Medicaid	$61.1M
Medicare	$0

Key Findings

QUEEN CITY HOSPICE, LLC reports no Medicare billing on file and $61.1M in lifetime Medicaid revenue, making its paid activity effectively single-payer (Medicaid) in scale for the available claims data. Analysts should treat Medicare comparisons as inapplicable for this provider because the Top 25 Medicare section is listed as “none below.”

The provider’s NPI was enumerated on 2011-09-21 (~15 years ago), indicating a multi-year presence in the market; over that tenure it has accumulated $61.1M of Medicaid-paid business, showing sustained Medicaid engagement rather than a recent entrant profile.

Revenue concentration is extreme: the precomputed top-3 Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, with T2046 responsible for the lion’s share. Specifically, T2046 (Hospice long term care, room and board only; per diem) is reported as 398.6K claims, $137 avg paid/claim, $54.6M revenue (89.3% of this provider's total Medicaid revenue).

Service-line mix implied by the code mix points to a facility-centric hospice model: the dominance of T2046 (room and board per diem) indicates primary revenue from long-term care/residential hospice stays, while T2042 (Hospice routine home care; per diem) at 48.3K claims, $135 avg paid/claim, $6.5M revenue (10.7% of this provider's total Medicaid revenue) represents a much smaller home-care volume. Together these two per-diem codes form the operational backbone of the business.

T2046’s competitive standing is notable: it ranks #3 of 134 providers in-state and is described as in the 98th percentile and an "extreme outlier, far above typical state volume for this code," signaling that QUEEN CITY HOSPICE is a major statewide provider for facility-based hospice room-and-board services compared with peers.

By contrast, T2042 ranks #6 of 42 providers in-state (88th percentile) and is labeled "typical, unremarkable volume for this code," indicating the provider’s home-care hospice activity is above average but not an outlier. This suggests a concentrated strategic focus on residential hospice rather than on scaling routine home-care services.

G0299 (Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes) is present at 47 claims, $0 avg paid/claim, $0 revenue (0.0% of this provider's total Medicaid revenue) and ranks #552 of 561 providers in-state (2th percentile; typical, unremarkable volume). The negligible paid revenue for G0299 suggests skilled nursing services are either bundled into per-diem payments or not billed/separately reimbursed at scale.

The heavy reliance on a single code line—T2046 at 89.3% of Medicaid revenue—creates a concentrated revenue profile that amplifies exposure to any state-level reimbursement changes or policy adjustments affecting hospice long-term care per-diem rates. At the same time, the near-equal avg paid/claim ($137 for T2046 vs $135 for T2042) but starkly different volumes points to clear operational specialization and a potential strategic opportunity to grow routine home-care volume if diversification is a goal.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2046	Hospice long term care, room and board only; per diem	398,630	$140	$54.6M
T2042	Hospice routine home care; per diem	48,260	$140	$6.5M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	50	$0	$0

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

Queen City Hospice, LLC — 1 of 2 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

3 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	3	130	29,680	$150	$9.8M
T2042	Hospice routine home care; per diem	6	40	10,290	$140	$2.8M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	552	560	3,370	$40	$543.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Assurex Health, Inc.	OH	Clinical Medical Laboratory	$27.3M	$90.3M
Mira Precision Health, Inc	OH	Clinical Medical Laboratory	$313.2K	$15M
Amazing Smiles Dental, LLC	OH	General Practice Dentistry	$0	$12.1M
Luxottica Of America Inc.	OH	Point of Service	$0	$7.7M
Elizabeth Uhlenhake	OH	Dermatology Physician	$966.3K	$0
Samir Patel	OH	Dermatology Physician	$936.5K	$0
Southwest Ohio Pain Management LLC	OH	Ambulatory Surgical Clinic/Center	$661.3K	$0
City Of Mason Ohio	OH	Ambulance	$308.9K	$292.7K
Edward Meier	OH	Ophthalmology Physician	$339.3K	$0
Nathan Weir	OH	Dermatology Physician	$245.3K	$0

Queen City Hospice, LLC — Billing Profile & Reimbursement Data

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Queen City Hospice, 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

Nearby Providers

Frequently Asked Questions

References