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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Serenity Hospice Care, LLC (NPI 1538451034)

Field	Value
Entity Type	Organization
Organization	Serenity Hospice Care, LLC
Address	56 Georgetown Rd
City	Bordentown
State	NJ
ZIP	08505
Taxonomy	Community Based Hospice Care Agency
NPI Enumerated	May 3, 2011

Payer Source	Total Paid
Medicaid	$117.1M
Medicare	$0

Key Findings

SERENITY HOSPICE CARE, LLC is effectively a single-payer Medicaid hospice operator: it has no Medicare billing on file and reports $117.1M in lifetime Medicaid revenue, indicating its entire documented revenue footprint is concentrated in Medicaid rather than Medicare. This makes the provider’s competitive and operational profile best interpreted through its Medicaid code mix and in-state rankings rather than any Medicare comparisons.

Revenue is highly concentrated in a small set of hospice per-diem codes: the top three Medicaid codes together account for 100.0% of this provider’s Medicaid revenue, with T2046 alone representing $106.1M (90.6% of total Medicaid revenue). This concentration implies the organization’s financial viability depends overwhelmingly on room-and-board long-term care hospice reimbursement rather than a broad set of service lines.

The code mix indicates a facility-focused hospice model: T2046 (Hospice long term care, room and board only; per diem) is by far the dominant revenue driver, and T2042 (Hospice routine home care; per diem) contributes a smaller but material share ($10.9M, 9.3% of Medicaid revenue). Together these codes suggest the provider primarily delivers long-term residential hospice services with a secondary component of routine home hospice care rather than an emphasis on short-term inpatient episodes.

State-level competitive standing is mixed by code: for T2046 the provider ranks #12 of 52 in New Jersey (78th percentile), which is consistent with a typical in-state volume for that code despite producing most of its revenue from it. By contrast, T2042 ranks #2 of 19 (94th percentile), signaling notably above-typical state volume for routine home care and indicating the provider is a market leader in that particular Medicaid hospice service.

Very limited use of inpatient hospice care is reflected in T2045, which generated $65.4K (0.1% of Medicaid revenue) and ranks #2 of 2 providers in-state; this small share signals inpatient general hospice stays are not a major revenue or service focus for the organization. The provider’s operational footprint therefore appears weighted toward long-term/residential and routine home hospice care rather than general inpatient or acute hospice interventions.

Several codes show extreme outlier claim volumes relative to in-state peers but contribute no recorded revenue on file (for example Q5003, Q5002, Q5004, G0156, Q5001, HH250, G0300, G0155, G0299 reporting many thousands of claims but $0 average paid/claim). These patterns suggest high-volume administrative or encounter-level coding in settings such as SNFs, assisted living, and nursing LTC that do not translate to Medicaid paid revenue in the dataset, and they merit attention when reconciling claims activity with paid-revenue figures.

Tenure is long enough to indicate an established operation: the provider’s NPI was enumerated on 2011-05-03 (~15 years ago), so this provider has been active in the Medicaid hospice market for over a decade. That tenure, combined with the concentrated revenue mix, implies a stable, specialized hospice business model centered on long-term care placements.

From a payer or contracting perspective, the extreme revenue concentration in T2046 means payer negotiations, network inclusion, or utilization management discussions should prioritize rates and utilization of long term care per-diem hospice services. Given the provider’s high percentile rank for T2042 as well, payers should also evaluate its routine home care capacity and utilization trends in New Jersey when assessing network impact or payment policy changes.

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2046	Hospice long term care, room and board only; per diem	27,760	$3,820	$106.1M
T2042	Hospice routine home care; per diem	17,420	$630	$10.9M
T2045	Hospice general inpatient care; per diem	60	$1,170	$65.4K
Q5004	Hospice care provided in skilled nursing facility (snf)	29,210	$1	$29.2K
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	12,640	$0	$0
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	200,570	$0	$0
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	39,540	$0	$0
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	4,530	$0	$0
Q5001	Hospice or home health care provided in patient's home/residence	9,810	$0	$0
Q5002	Hospice or home health care provided in assisted living facility	25,070	$0	$0

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Jersey Distribution

Serenity Hospice Care, LLC — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. New Jersey median

12 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	12	50	5,800	$490	$8.3M
T2042	Hospice routine home care; per diem	2	20	2,910	$370	$1.9M
T2045	Hospice general inpatient care; per diem	2	10	130	$900	$118.5K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	1	90	2,790	$1	$25.7K
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	4	50	1,460	$1	$2.6K
Q5004	Hospice care provided in skilled nursing facility (snf)	1	10	650	$1	$2.3K
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	1	50	600	$1	$2.2K
Q5003	Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)	1	20	380	$1	$860
Q5001	Hospice or home health care provided in patient's home/residence	2	60	1,080	$1	$770
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	1	50	5,350	$1	$180

Showing 1–10 of 12

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jeffrey Becker	NJ	Urology Physician	$210.7K	$0
Scott Asroff	NJ	Urology Physician	$205.4K	$0
Robert Goldlust	NJ	Urology Physician	$181.7K	$0
Vasavi Pharmacy Inc	NJ	Community/Retail Pharmacy	$69.6K	$30
Anam Malik	NJ	Gastroenterology Physician	$52K	$0
Natalie Ralph-nelson	NJ	Nurse Practitioner	$46.1K	$0
Melanie Powell	NJ	Family Medicine Physician	$45.2K	$0
Stephanie Schwartz-kravatz	NJ	Obstetrics & Gynecology Physician	$42.7K	$0
Mary Campagnolo	NJ	Family Medicine Physician	$36.5K	$0
Timothy Weimer	NJ	Nurse Practitioner	$31.8K	$0

Serenity Hospice Care, LLC — Billing Profile & Reimbursement Data

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Serenity Hospice Care, 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