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

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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.

Beacon Hospice, LLC (NPI 1558445569)

Field	Value
Entity Type	Organization
Organization	Beacon Hospice, LLC
Address	1 Catamore Blvd
City	East Providence
State	RI
ZIP	02914
Taxonomy	Community Based Hospice Care Agency
NPI Enumerated	October 25, 2006

Payer Source	Total Paid
Medicaid	$47.2M
Medicare	$0

Key Findings

BEACON HOSPICE, LLC reports no Medicare billing on file and $47.2M in lifetime Medicaid revenue, making its publicly observed payer mix effectively single-payer (Medicaid) at scale. Analysts should treat Medicaid as the primary and near-exclusive revenue source in any comparative or regulatory review.

Revenue concentration is extreme: the precomputed top-3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, with a single code, T2046, representing 99.6% of Medicaid receipts. This level of concentration means the provider's financial profile is overwhelmingly driven by one service line rather than a diversified set of Medicaid billings.

The code mix indicates a service model centered on institutional hospice care: T2046 (T2046 – Hospice long term care, room and board only; per diem) accounts for 89.2K claims at $527 avg paid/claim for $47M revenue, which is 99.6% of the provider's Medicaid revenue. By contrast, T2042 (T2042 – Hospice routine home care; per diem) appears only modestly (209 claims, $939 avg paid/claim, $196.3K revenue, 0.4% of Medicaid revenue), suggesting limited routine home-hospice operations relative to long-term care facility-based hospice.

Competitive standing for the dominant code is pronounced: T2046 ranks #1 of 25 providers in-state and is described as a 100th percentile, extreme outlier, far above typical state volume for this code. That ranking signals BEACON HOSPICE is a dominant provider of room-and-board hospice services in long-term care settings within Rhode Island.

Conversely, its presence in the routine home care market is minor and unremarkable: T2042 ranks #3 of 3 providers in-state and is labeled 0th percentile, typical, unremarkable volume for this code. The $196.3K in revenue and 209 claims tied to T2042 indicate routine home care is not a material driver of the organization’s Medicaid business.

The provider has long tenure in federal enrollment, with NPI enumerated on 2006-10-25 (~20 years ago), implying established operational relationships and experience in the hospice space. This longevity, combined with the concentrated LTC-focused billing profile, is consistent with an organization that has embedded contracts or placement patterns with long-term care facilities.

Because nearly all Medicaid revenue is tied to one code and setting (T2046), the provider is highly sensitive to changes in Medicaid reimbursement policy, long-term care placement patterns, or per-diem rate adjustments for room-and-board hospice. Analysts should flag T2046 utilization and state-level policy shifts as high-impact risk/monitoring factors for BEACON HOSPICE's near-term revenue outlook.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2046	Hospice long term care, room and board only; per diem	89,190	$530	$47M
T2042	Hospice routine home care; per diem	210	$940	$196.3K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Rhode Island Distribution

Beacon Hospice, LLC — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. Rhode Island median

2 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	330	$1,280	$6.5M
T2042	Hospice routine home care; per diem	3	10	230	$210	$958.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Beacon Hospice, LLC	MA	Community Based Hospice Care Agency	$0	$75M
Beacon Hospice, LLC	MA	Community Based Hospice Care Agency	$0	$13.2M
Beacon Hospice, LLC	MA	Community Based Hospice Care Agency	$0	$8.7M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
East Side Clinical Laboratory, Inc.	RI	Clinical Medical Laboratory	$4.1M	$48.6M
The Summit Management Group, LLC	RI	Home Health Agency	$0	$10.6M
Independence, LLC	RI	Durable Medical Equipment & Medical Supplies	$0	$8.1M
Access Healthcare, Inc.	RI	Home Health Agency	$0	$7.1M
Winslow Gardens	RI	Assisted Living Facility	$0	$4.9M
Prestige Aba Therapy Services, Inc	RI	Behavior Analyst	$0	$3.8M
Coastline Emergency Medical Services, Inc	RI	Land Ambulance	$1.5M	$1.9M
Primary Medical Center And Walk-in LLC	RI	Family Medicine Physician	$0	$2.9M
Rhode Island Hospital	RI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.6M
Sarah Guarascio	RI	Optometrist	$8.3K	$2M

Beacon Hospice, LLC — Billing Profile & Reimbursement Data

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Beacon 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

Related Providers

Nearby Providers

Frequently Asked Questions

References