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

Why is the Medicaid comparison limited to Virginia 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. Virginia (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.

Capital Hospice (NPI 1568485894)

Field	Value
Entity Type	Organization
Organization	Capital Hospice
Address	3180 Fairview Park Dr Ste 500
City	Falls Church
State	VA
ZIP	22042
Taxonomy	Community Based Hospice Care Agency
NPI Enumerated	July 26, 2006

Payer Source	Total Paid
Medicaid	$5.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q5001	Hospice or home health care provided in patient's home/residence	7,000	$760	$5.3M
Q5003	Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)	1,980	$130	$254.8K
Q5006	Hospice care provided in inpatient hospice facility	120	$640	$77K
Q5004	Hospice care provided in skilled nursing facility (snf)	190	$300	$57.9K
Q5005	Hospice care provided in inpatient hospital	10	$3,970	$47.6K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	15,900	$1	$31.8K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	80	$90	$6.9K
99487	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	70	$30	$2.3K
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	5,160	$0	$0
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	20,480	$0	$0

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Virginia Distribution

Capital Hospice — 3 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	14	220	1,700	$40	$189.3K
Q5001	Hospice or home health care provided in patient's home/residence	7	150	360	$90	$110.7K
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	29	130	570	$40	$95.5K
Q5004	Hospice care provided in skilled nursing facility (snf)	5	10	190	$170	$72.3K
Q5006	Hospice care provided in inpatient hospice facility	1	10	90	$730	$65.2K
Q5003	Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)	2	30	110	$100	$51.7K
Q5005	Hospice care provided in inpatient hospital	1	10	10	$3,970	$47.6K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	82	110	280	$20	$20.6K
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	1	50	290	$10	$6.8K
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	1	50	1,300	$1	$4.9K

Showing 1–10 of 11

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Capital Hospice	MD	Community Based Hospice Care Agency	$0	$15.8M
Capital Hospice	DC	Community Based Hospice Care Agency	$0	$1.1M
Candyce Greene	PA	Pediatric Hospice and Palliative Medicine Physician	$20.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Inova Health Care Services	VA	General Acute Care Hospital	$0	$176.6M
American Care Partners At Home Inc	VA	In Home Supportive Care Agency	$0	$87.4M
Emergency Medicine Associates P.A., P.C.	VA	Emergency Medicine Physician	$0	$85.6M
Inova Health Care Services	VA	Internal Medicine Physician	$0	$38M
Dominion Home Health Care LLC	VA	Home Health Agency	$0	$22.1M
Ne Virginia Emergency Physicians LLC	VA	Emergency Medicine Physician	$0	$15.5M
Fairfax Radiological Consultants	VA	Specialist	$0	$10.8M
American Anesthesiology Of Virginia PC	VA	Anesthesiology Physician	$0	$8.9M
Fairfax County Public Schools	VA	Local Education Agency (LEA)	$0	$8.2M
Inova Health Care Services	VA	Magnetic Resonance Imaging (MRI) Clinic/Center	$1.6M	$2.9M

Capital Hospice — Billing Profile & Reimbursement Data

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Capital Hospice — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References