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.

Visiting Nurse Hospice And Health Care (NPI 1750376430)

Field	Value
Entity Type	Organization
Organization	Visiting Nurse Hospice And Health Care
Address	5855 Monroe St
City	Sylvania
State	OH
ZIP	43560
Taxonomy	Community Based Hospice Care Agency
NPI Enumerated	September 19, 2005

Payer Source	Total Paid
Medicaid	$8.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2046	Hospice long term care, room and board only; per diem	76,880	$110	$8.5M
99510	A licensed psychologist or social worker visits the patient in his home to provide counseling.	450	$150	$66.2K
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	510	$60	$31.2K

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

Visiting Nurse Hospice And Health Care — 0 of 3 codes 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

3 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	31	130	29,680	$150	$9.8M
99510	A licensed psychologist or social worker visits the patient in his home to provide counseling.	1	10	450	$150	$66.3K
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	8	40	100	$50	$33.1K

Nearby Providers

Other providers in the same ZIP code as Visiting Nurse Hospice And Health Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sylvania Township Office Of Clerk	OH	Land Ambulance	$320.9K	$301.2K
Mandar Joshi	OH	Retina Specialist (Ophthalmology) Physician	$369.1K	$0
Mohamad Adam	OH	Internal Medicine Physician	$264.2K	$550
Thomas Andreshak	OH	Orthopaedic Surgery Physician	$252.4K	$0
Eric Snyder	OH	Physical Therapist	$236K	$0
Naeem Lughmani	OH	Sleep Medicine (Internal Medicine) Physician	$225.9K	$0
Jaydutt Patel	OH	Clinical Cardiac Electrophysiology Physician	$214.7K	$0
Van Boggus	OH	Orthopaedic Surgery Physician	$199.6K	$0
Craig Burkhart	OH	Dermatology Physician	$142.3K	$42.8K
Steven Rubin	OH	Radiation Oncology Physician	$157.4K	$0

Visiting Nurse Hospice And Health Care — Billing Profile & Reimbursement Data

Sign up for Visiting Nurse Hospice And Health Care — Billing Profile & Reimbursement Data policy alerts

Visiting Nurse Hospice And Health Care — Billing Profile & Reimbursement Data

Sign up for Visiting Nurse Hospice And Health Care — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References