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

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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.

Caris Healthcare LLC (NPI 1467635706)

Field	Value
Entity Type	Organization
Organization	Caris Healthcare LLC
Address	111 Smith Hines Rd Ste D
City	Greenville
State	SC
ZIP	29607
Taxonomy	Community Based Hospice Care Agency
NPI Enumerated	December 10, 2007

Payer Source	Total Paid
Medicaid	$36.3M
Medicare	$0

Key Findings

This provider is effectively single‑payer on file: CARIS HEALTHCARE LLC has no Medicare billing on file and reports $36.3M in total Medicaid revenue, indicating Medicaid is the sole documented source of Medicare/Medicaid revenue in the dataset. The absence of Medicare activity makes the Medicaid profile the primary lens for assessing scale and market behavior.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, and a single code, T2046, is shown as generating $36.3M (100.0% of Medicaid revenue). This concentration means nearly all billed Medicaid dollars derive from one service line rather than a diversified set of procedures.

The operational footprint is hospice‑focused: the provider's taxonomy is Community Based Hospice Care Agency and the dominant code T2046 (Hospice long term care, room and board only; per diem) indicates revenue is generated from per‑diem room‑and‑board hospice services in long‑term care settings. Together, the taxonomy plus the code mix imply the organization principally operates as a hospice provider delivering room-and-board care rather than a broad array of medical procedures.

Volume and unit value both drive revenue: T2046 shows 10.6K claims with an average paid per claim of $3438, which together produce the $36.3M Medicaid total. The combination of high claim count and a large average paid/claim indicates the business is scaled on recurring per‑diem billing rather than episodic, low‑value services.

State competitive standing is dominant for this code: CARIS HEALTHCARE LLC ranks #1 of 42 providers in‑state for T2046 and sits at the 100th percentile, labeled an "extreme outlier, far above typical state volume for this code." This ranking signals the provider is a major, possibly market‑leading supplier of hospice long‑term care room-and-board services within the state.

Concentration creates policy and revenue risk: with 100.0% of Medicaid revenue tied to T2046 and no Medicare billing on file, the provider is vulnerable to changes in Medicaid reimbursement, per‑diem rate adjustments, or shifts in long‑term care contracting practices. Any material change to coverage or rates for T2046 could disproportionately affect the provider's financial performance.

The provider is long‑tenured in the NPI registry — enumerated 2007-12-10 (~19 years ago) — which suggests established operational presence and likely longstanding payer relationships in the Medicaid hospice market. This tenure, combined with the dominant state ranking for T2046, supports the interpretation of an entrenched specialist in hospice room-and-board services.

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	10,570	$3,440	$36.3M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Carolina Distribution

Caris Healthcare LLC — 1 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. South Carolina 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	1	40	820	$3,500	$5.9M

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Caris Healthcare	TN	Community Based Hospice Care Agency	$0	$3.8M
Missouri Caris Healthcare LLC	MO	Community Based Hospice Care Agency	$0	$3.5M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prisma Health University Medical Group	SC	Family Medicine Physician	$0	$171.7M
Greenville County Disabilities And Special Needs Board	SC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$51.7M
Heart Of The Carolinas Medical Supply, LLC	SC	Nursing Care Agency	$0	$36.4M
Greenville County Commission On Alcohol And Drug Abuse	SC	Substance Use Disorder Rehabilitation Clinic/Center	$0	$12.7M
St. Francis Hospital Inc	SC	General Acute Care Hospital	$0	$9M
Tribe513, P.A.	SC	Pediatric Adolescent Medicine Physician	$0	$8.6M
Luxor Scientific, LLC	SC	Clinical Medical Laboratory	$2.2M	$5.6M
Pleasantburg Drive Dental Health Center, P.C.	SC	General Practice Dentistry	$0	$6.5M
Inspirium Ihc Upstate, LLC	SC	Home Health Agency	$0	$6.4M
Bon Secours Ambulatory Services - St. Francis, LLC	SC	Urgent Care Clinic/Center	$0	$6.4M

Caris Healthcare LLC — Billing Profile & Reimbursement Data

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Caris Healthcare 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