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    OpenPayerNPI Medicare & MedicaidHospice Of Cincinnati Incorporated
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    Hospice Of Cincinnati Incorporated — Billing Profile & Reimbursement Data

    NPI 1598740011 · Cincinnati, OH · Community Based Hospice Care Agency

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    Hospice Of Cincinnati Incorporated is a community based hospice care agency provider located in Cincinnati, Ohio. This profile covers 0 Medicare and 8 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationHospice Of Cincinnati Incorporated
    Address4310 Cooper Rd
    CityCincinnati
    StateOH
    ZIP45242
    TaxonomyCommunity Based Hospice Care Agency
    NPI EnumeratedDecember 7, 2005

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

    Payer SourceTotal Paid
    Medicaid$54M
    Medicare$0

    Key Findings

    HOSPICE OF CINCINNATI INCORPORATED is effectively a Medicaid-focused hospice operator: there is no Medicare billing on file and total Medicaid revenue is $54M, making it a single-payer (Medicaid) revenue profile in practice. The provider’s NPI was enumerated 2005-12-07 (~21 years ago), indicating long tenure in the market which supports an established operational footprint.

    Revenue concentration is extreme: the precomputed top three Medicaid codes (T2046, T2042, T2045) account for 99.9% of the provider’s total Medicaid revenue. T2046 alone contributes $42.3M (78.2% of Medicaid revenue), T2042 contributes $8.7M (16.1%), and T2045 contributes $3M (5.6%), so virtually all Medicaid income is tied to routine hospice per-diem services rather than episodic procedures or office visits.

    The product mix indicates a service-line strategy centered on facility-based long-term hospice care: T2046 (Hospice long term care, room and board only; per diem) is the revenue driver with 301.9K claims at $140 avg paid/claim, suggesting a large census of long-term institutional hospice patients rather than short home-based episodes. T2042 (Hospice routine home care; per diem) is the secondary line with 59.1K claims at $147 avg paid/claim, confirming the provider also manages a meaningful home-care hospice population but at a much smaller scale versus long-term room-and-board business.

    T2045 (Hospice general inpatient care; per diem) stands out for high unit cost but low revenue share: 3.7K claims at $827 avg paid/claim generate $3M (5.6% of Medicaid revenue), indicating that costly inpatient hospice events occur but are not the primary revenue source. The presence of higher-cost inpatient per-diem billing alongside dominant long-term care per-diems suggests the provider operates across both routine and acute hospice settings, with inpatient care representing an occasional, high-cost service.

    State-level competitive standing is strong for the provider’s principal codes: for T2046 it ranks #5 of 134 providers (97th percentile) and is described as "notably above typical state volume," indicating a major statewide position in long-term care hospice room-and-board. For T2042 it ranks #4 of 42 providers (93th percentile) and is also "notably above typical state volume," showing the provider is a top-tier operator for routine home care as well. In contrast, T2045 ranks #2 of 7 (83th percentile) and is characterized as "typical, unremarkable volume," so while present in inpatient care the provider is not unusually dominant there.

    Other billed codes (E/M codes such as 99223, 99233, 99232, 99222 and services like 99497) contribute only de minimis Medicaid revenue in aggregate (examples: 99223 $32.3K, 99233 $14.4K, 99232 $7.5K, 99222 $3.6K, 99497 $844) and are ranked in mid-to-lower percentiles statewide. These figures underscore that clinical evaluation and E/M billing are peripheral to the provider’s financial model and that operational focus is squarely on per-diem hospice services.

    Payer risk and business concentration should be noted: reliance on Medicaid for all documented revenue ($54M) and the fact that 99.9% of that revenue comes from three per-diem hospice codes creates concentration risk if state policy, reimbursement rates, or utilization patterns shift for those specific line items. Analysts should treat strategic or reimbursement changes to T2046, T2042, or T2045 as high-impact levers for this provider’s financial performance.

    Given the combination of long tenure (NPI enumerated 2005-12-07 (~21 years ago)), high claim volumes for per-diem facility care (301.9K claims for T2046) and top-state rankings on the key hospice per-diem codes, the organization appears to be an established, specialized hospice operator with a heavy operational emphasis on long-term care settings rather than a diversified multi-payer hospice or hospital-based service line.

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T2046Hospice long term care, room and board only; per diem301,920$140$42.3M
    T2042Hospice routine home care; per diem59,090$150$8.7M
    T2045Hospice general inpatient care; per diem3,670$830$3M
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…730$40$32.3K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…600$20$14.4K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…500$20$7.5K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…150$20$3.6K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…420$1$840

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Ohio median

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2046Hospice long term care, room and board only; per diem513029,680$150$9.8M
    T2042Hospice routine home care; per diem44010,290$140$2.8M
    T2045Hospice general inpatient care; per diem210710$720$1.2M
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…275600480$30$132.5K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…500920640$20$114.7K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…186610170$50$65.9K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…232480140$40$34K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…229090$10$3.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Brittany MeyerOHNurse Practitioner$41.1K$0
    Maki FukunishiOHFamily Nurse Practitioner$39.1K$0
    Julie BicknellOHGerontology Nurse Practitioner$36.8K$0
    Rebecca KruegerOHFamily Nurse Practitioner$30.5K$0
    Christine KearneyOHFamily Nurse Practitioner$27K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maxim Healthcare Services, Inc.OHHome Health Agency$0$63.6M
    Bethesda Hospital IncOHGeneral Acute Care Hospital$0$57M
    Carestar, Inc.OHCase Management Agency$0$43.1M
    Counseling Source IncOHMental Health Counselor$0$41M
    Mercy Health Physicians Cincinnati, LLCOHFamily Medicine Physician$0$27.9M
    Qualified Emergency Specialists IncOHEmergency Medicine Physician$0$18.9M
    Crossroads Hospice Of CincinnatiOHCommunity Based Hospice Care Agency$0$14.6M
    A Best Home Care,inc.OHHome Health Agency$0$10.4M
    Cei Physicians Psc LLCOHOphthalmology Physician$0$8.5M
    Mercy Health Physicians Cincinnati Specialty Care LLCOHSurgery Physician$0$7.1M

    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. Ohio Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Ohio Distribution
    Hospice Of Cincinnati Incorporated — 1 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio