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

Why is the Medicaid comparison limited to Puerto Rico 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. Puerto Rico (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.

Hospicio La Paz Inc (NPI 1609868645)

Field	Value
Entity Type	Organization
Organization	Hospicio La Paz Inc
Address	152 Calle Jose Rodriguez Irizarry
City	Arecibo
State	PR
ZIP	00612
Taxonomy	Community Based Hospice Care Agency
NPI Enumerated	August 16, 2005

Payer Source	Total Paid
Medicaid	$5.7M
Medicare	$0

Key Findings

HOSPICIO LA PAZ INC operates as a Community Based Hospice Care Agency and its Medicaid billing profile is concentrated in hospice-in-home services: the top Medicaid code reported is S9126 (Hospice care, in the home, per diem), which aligns with the provider taxonomy and suggests the organization primarily delivers in-home hospice per-diem care rather than a broader mix of post-acute or outpatient services. This operational focus is reinforced by the code description and the billing pattern.

Revenue concentration is extreme within Medicaid: the precomputed top-3 codes account for 100.0% of the provider's total Medicaid revenue, and S9126 alone accounts for $5.7M in revenue (100.0% of this provider's total Medicaid revenue). That single-code dependency indicates the provider’s Medicaid business is essentially a one-product portfolio.

Volume and unit-payment characteristics show 3.1K claims for S9126 with an $1822 avg paid/claim; together these figures produced the $5.7M Medicaid total. The combination of a high average paid per claim and per-diem billing suggests significant per-encounter revenue sensitivity to changes in length-of-stay or day-count reporting.

Payer mix is effectively single-payer Medicaid: there is no Medicare billing on file for this provider (none below), so Medicaid ($5.7M) represents the entirety of recorded federal payer revenue in the dataset. This lack of Medicare activity means the provider has limited diversification across federal payers in the available records.

State-level competitive standing is modest: S9126 revenue ranks #3 of 5 providers in-state and is at the 50th percentile (described in the source as "typical, unremarkable volume for this code"). That ranking indicates HOSPICIO LA PAZ is a middle-tier participant in its in-home hospice per-diem market rather than a statewide leader or outlier.

The provider has a long tenure in the registry, with its NPI enumerated on 2005-08-16 (~21 years ago), signaling sustained presence and operational continuity in the market. That longevity may support stable referral relationships or local recognition despite modest market share.

From a risk and business-sensitivity perspective, the combination of single-code (S9126) concentration and sole reliance on Medicaid revenue exposes the provider to reimbursement-rate, policy, or utilization shifts tied to that code and to state Medicaid policy. Any material change to S9126 payment policy or per-diem rules would likely have a direct and immediate impact on the provider’s entire recorded revenue base.

There are no statistical outlier flags in the supplied data for S9126 — the code is explicitly described as having "typical, unremarkable volume for this code" in-state — which supports treating the provider’s current billing pattern as consistent with common in-state practice rather than as an anomalous billing behavior.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9126	Hospice care, in the home, per diem	3,130	$1,820	$5.7M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Puerto Rico Distribution

Hospicio La Paz Inc — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Puerto Rico

Full comparison — all codes billed, vs. Puerto Rico median

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9126	Hospice care, in the home, per diem	3	10	3,130	$180	$1.9M

Nearby Providers

Other providers in the same ZIP code as Hospicio La Paz Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sociedad De Servicios Neonatales De Arecibo	PR	Neonatal-Perinatal Medicine Physician	$0	$14.3M
Laboratorio Clinico Toledo, LLC	PR	Clinical Medical Laboratory	$83.2K	$11.9M
Metro Pavia At Home, LLC	PR	Home Health Agency	$0	$6.6M
Retina Care Psc	PR	Ophthalmology Physician	$0	$4.3M
Integral Therapy Center	PR	Hearing and Speech Clinic/Center	$0	$3.8M
Luis Montalvo	PR	Ophthalmology Physician	$8K	$3.5M
Laboratorio Clinico Villa Los Santos	PR	Clinical Medical Laboratory	$360	$3.1M
Emergency Physician Providers, LLC	PR	Emergency Medical Services (Emergency Medicine) Physician	$0	$2.8M
Arraiza Radiology Psc	PR	Diagnostic Radiology Physician	$0	$2.8M
Instituto Del Cancer Y Enfermedades De La Sangre, Csp	PR	Hematology & Oncology Physician	$0	$2.8M

Hospicio La Paz Inc — Billing Profile & Reimbursement Data

Sign up for Hospicio La Paz Inc — Billing Profile & Reimbursement Data policy alerts

Hospicio La Paz Inc — Billing Profile & Reimbursement Data

Sign up for Hospicio La Paz Inc — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References