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

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

Sprenger Hospice, Inc. (NPI 1629320270)

Field	Value
Entity Type	Organization
Organization	Sprenger Hospice, Inc.
Address	3905 Oberlin Ave
City	Lorain
State	OH
ZIP	44053
Taxonomy	Community Based Hospice Care Agency
NPI Enumerated	October 6, 2012

Payer Source	Total Paid
Medicaid	$11.9M
Medicare	$0

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
T2046	Hospice long term care, room and board only; per diem	37,430	$320	$11.9M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Ohio Distribution

Sprenger Hospice, Inc. — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. Ohio median

1 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	59	130	29,680	$150	$9.8M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Health-regional Medical Center LLC	OH	General Acute Care Hospital	$0	$42.4M
Riveon Mental Health And Recovery	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$30.4M
Lorain County Alcohol & Drug Abuse Services, Inc.	OH	Substance Abuse Rehabilitation Facility	$0	$26M
Silver Maple Recovery, LLC	OH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$17.6M
Mercy Health Physicians Lorain, LLC	OH	Family Medicine Physician	$0	$12.5M
Mercy Health-regional Medical Center LLC	OH	Community Based Hospice Care Agency	$0	$7.4M
Emergency Medical Services Of Lorain, Inc.	OH	Emergency Medicine Physician	$0	$6.9M
Kasra Karamlou	OH	Hematology & Oncology Physician	$1.5M	$0
Aimee Haber	OH	Ophthalmology Physician	$335.7K	$0
Heather Scullin	OH	Physical Medicine & Rehabilitation Physician	$232.3K	$0

Sprenger Hospice, Inc. — Billing Profile & Reimbursement Data

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Sprenger Hospice, 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

Nearby Providers

Frequently Asked Questions

References