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

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

Sharon S. Richardson Hospice Home, Inc (NPI 1598855207)

Field	Value
Entity Type	Organization
Organization	Sharon S. Richardson Hospice Home, Inc
Address	W2862 State Road 28
City	Sheboygan Falls
State	WI
ZIP	53085
Taxonomy	Community Based Hospice Care Agency
NPI Enumerated	October 13, 2006

Payer Source	Total Paid
Medicaid	$5.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2046	Hospice long term care, room and board only; per diem	2,050	$2,660	$5.5M
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	50	$0	$0
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	200	$0	$0
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	300	$0	$0
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	30	$0	$0
Q5002	Hospice or home health care provided in assisted living facility	20	$0	$0
Q5003	Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)	20	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wisconsin Distribution

Sharon S. Richardson Hospice Home, Inc — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. Wisconsin median

7 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	29	50	2,350	$310	$3.9M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	15	50	170	$1	$1.3K
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	17	40	50	$1	$280
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	21	40	240	$0	$0
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	16	20	60	$0	$0
Q5002	Hospice or home health care provided in assisted living facility	14	30	20	$0	$0
Q5003	Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)	9	20	30	$0	$0

Sharon S. Richardson Hospice Home, Inc — Billing Profile & Reimbursement Data

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Sharon S. Richardson Hospice Home, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References