Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidHeartland Hospice Services LLC
    Ask Trek AI about this page

    Heartland Hospice Services LLC — Billing Profile & Reimbursement Data

    NPI 1568415032 · Windsor Mill, MD · Community Based Hospice Care Agency

    Customize your policy alerts

    Sign up for Heartland Hospice Services LLC — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Heartland Hospice Services LLC is a community based hospice care agency provider located in Windsor Mill, Maryland. This profile covers 0 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationHeartland Hospice Services LLC
    Address7001 Johnnycake Rd Ste 204
    CityWindsor Mill
    StateMD
    ZIP21244
    TaxonomyCommunity Based Hospice Care Agency
    NPI EnumeratedMay 18, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$29.1M
    Medicare$0

    Key Findings

    This entity reports no Medicare billing on file (none) while recording $29.1M in lifetime Medicaid revenue, indicating it operates effectively as a Medicaid-focused provider rather than a dual-payer provider. Analysts should treat this profile as single-payer–dominated in its historical billing record, with Medicare activity absent from the available data.

    Revenue concentration is extreme within Medicaid: the precomputed top-3 Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, and Q5003 alone is listed with $29.1M in revenue (100.0% of the provider’s Medicaid revenue). This concentration means that nearly all reported Medicaid receipts are driven by a single service line.

    The provider’s taxonomy as a Community Based Hospice Care Agency aligned with the dominant code Q5003 (hospice care provided in nursing long term care facility) indicates a business model focused on facility-based hospice delivery in long-term care settings rather than at-home hospice. The code mix (virtually all revenue from Q5003) suggests operational specialization in nursing-facility hospice services versus broader home-based hospice offerings.

    At the code level Q5003 shows 5.6K claims with a $5173 avg paid/claim, implying substantial per-claim payments consistent with facility hospice reimbursement levels for long-term care. Those claim counts and average payment values further reinforce that the provider’s volume and revenue are concentrated in facility-based hospice encounters rather than low-dollar, high-frequency home visits.

    In-state competitive standing for Q5003 is upper-quartile but not dominant: Q5003 ranks #4 of 20 providers in-state (84th percentile) and is described as "typical, unremarkable volume for this code." This profile portrays the provider as a meaningful regional participant for nursing-facility hospice, with scale above many peers but not at the very top of the state market.

    A secondary Medicaid code, Q5001 (hospice or home health care provided in patient's home/residence), appears with 12 claims, a $0 avg paid/claim, and $0 revenue, ranking #5 of 5 providers in-state (0th percentile) and noted as "typical, unremarkable volume for this code." These entries indicate occasional or administrative reporting of home-based hospice activity that produced no recorded Medicaid revenue during the covered period and therefore contributes no material financial impact.

    Tenure on the registry is long: the NPI was enumerated on 2006-05-18 (~20 years ago), which signals an established operation with a sustained presence in the market. That longevity combined with concentrated Medicaid volume suggests the organization has maintained a consistent service focus over an extended period.

    From a payer-strategy and operational-risk perspective, the provider’s dependence on Medicaid and on a single revenue-driving code (100.0% concentration) creates exposure to Medicaid rate changes, policy adjustments affecting Q5003 reimbursement, or shifts in nursing-facility hospice utilization. For analysts assessing financial resilience or partnership opportunities, this concentration is a key metric for scenario modeling and stress-testing revenue sensitivity to Medicaid policy and code-specific reimbursement changes.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    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 CodeDescriptionClaimsAvg PaidRevenue
    Q5003Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)5,630$5,170$29.1M
    Q5001Hospice or home health care provided in patient's home/residence10$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Maryland median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q5003Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)4202,650$4,280$16.3M
    Q5001Hospice or home health care provided in patient's home/residence510140$2,640$1.3M

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Heartland Hospice Services LLCOHCommunity Based Hospice Care Agency$0$41.4M
    Heartland Hospice Services LLCOHCommunity Based Hospice Care Agency$0$32.9M
    Heartland Hospice Services LLCOHCommunity Based Hospice Care Agency$0$20.7M
    Heartland Hospice Services LLCMDCommunity Based Hospice Care Agency$0$20.6M
    Heartland Hospice Services LLCOHCommunity Based Hospice Care Agency$0$13.1M
    Heartland Hospice Services LLCSCCommunity Based Hospice Care Agency$0$8.6M
    Heartland Hospice Services LLCWICommunity Based Hospice Care Agency$0$7.8M
    Heartland Hospice Services, LLCSCCommunity Based Hospice Care Agency$0$3.8M
    Heartland Hospice Services LLCKSCommunity Based Hospice Care Agency$0$1.8M
    Heartland Hospice Services LLCKSCommunity Based Hospice Care Agency$0$1.7M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Trulife Mental Health ServicesMDCommunity/Behavioral Health Agency$0$30.7M
    Life Renewal Services, Inc.MDMental Health Counselor$0$15.6M
    People Encouraging People, Inc.MDCommunity/Behavioral Health Agency$0$12M
    Volunteers Of America Chesapeake & Carolinas IncMDMental Illness Community Based Residential Treatment Facility$0$10.7M
    Foundations Recovery Center LLCMDSubstance Use Disorder Rehabilitation Clinic/Center$0$9M
    Oasis Health VenturesMDFamily Medicine Physician$0$8.3M
    Chesapeake Rehab Equipment IncMDCustomized Equipment (DME)$0$8.2M
    Mohsin Ansari Md Faap PCMDPediatrics Physician$0$7.4M
    Life Renewal Services, Inc.MDMental Health Counselor$0$6.2M
    Her Mind Her Body Clinical AssociatesMDCommunity/Behavioral Health Agency$0$6.1M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Maryland Providers
    6 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Maryland Distribution
    Heartland Hospice Services LLC — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland