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

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

Gilchrist Hospice Care Inc. (NPI 1780773408)

Field	Value
Entity Type	Organization
Organization	Gilchrist Hospice Care Inc.
Address	555 W Towsontown Blvd
City	Towson
State	MD
ZIP	21204
Taxonomy	Inpatient Hospice
NPI Enumerated	October 12, 2006

Payer Source	Total Paid
Medicaid	$60.7M
Medicare	$0

Key Findings

GILCHRIST HOSPICE CARE INC. shows $60.7M in lifetime Medicaid revenue and no Medicare billing on file, making its public billing footprint effectively single-payer (Medicaid) at present. This concentration means analyses of reimbursement, utilization, and risk should focus on Medicaid payment policies and state-level contracting dynamics rather than Medicare trends.

Revenue is highly concentrated: the precomputed top codes account for 100.0% of this provider's Medicaid revenue, with Q5003 representing 90.0% and Q5001 representing 10.0% of total Medicaid revenue. That split indicates the vast majority of Medicaid dollars flow through two hospice service lines rather than a broad array of procedure codes.

The code mix and descriptions identify GILCHRIST as an inpatient/long-term care–focused hospice operator: Q5003 is defined as hospice care provided in nursing long term care facility or non-skilled nursing facility, and Q5001 covers hospice care provided in the patient’s home/residence. Claim counts and average payments reinforce that orientation: Q5003 has 10.9K claims at $5035 avg paid/claim, while Q5001 has 1.9K claims at $3228 avg paid/claim, indicating much higher utilization and per-claim revenue tied to facility-based hospice services.

On the facility-based hospice metric (Q5003), the provider ranks #2 of 20 in-state and sits at the 95th percentile, and this code is labeled as notably above typical state volume. Those placements characterize GILCHRIST as a major in-state participant for nursing/LTC hospice services rather than a marginal operator.

On the home/residence hospice metric (Q5001), GILCHRIST ranks #1 of 5 in-state and is at the 100th percentile, also described as notably above typical state volume. Although Q5001 accounts for a smaller share of revenue (10.0%), the #1 rank indicates local leadership in home hospice within a smaller peer set.

The provider’s NPI enumeration date of 2006-10-12 (~20 years ago) signals a long-tenured operation in the market; combined with concentrated Medicaid revenue and high claim volumes for Q5003, this suggests an established clinical and billing presence in Maryland’s hospice landscape. Longevity strengthens payer relationships and institutional familiarity with state Medicaid enrollment practices.

The narrow service and payer mix — two codes accounting for 100.0% of Medicaid revenue and no Medicare billing on file — implies operational specialization and potential exposure to state Medicaid policy or reimbursement changes that affect hospice in LTC and home settings. Analysts should note this concentration when modeling revenue sensitivity or negotiating managed-Medicaid arrangements.

From a competitive-risk perspective, GILCHRIST’s high ranks and percentiles on its top codes position it as a dominant Medicaid hospice provider in Maryland for both nursing/LTC and home hospice lines; however, its lack of Medicare billing means it may be less diversified across federal payers compared with multi-payer hospice competitors.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q5003	Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)	10,850	$5,040	$54.6M
Q5001	Hospice or home health care provided in patient's home/residence	1,880	$3,230	$6.1M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maryland Distribution

Gilchrist Hospice Care Inc. — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. Maryland median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q5003	Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)	2	20	2,650	$4,280	$16.3M
Q5001	Hospice or home health care provided in patient's home/residence	1	10	140	$2,640	$1.3M

Related Providers

Other providers that share a Tax Identification Number (TIN) with Gilchrist Hospice Care Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Syed Abbas	TX	Family Medicine Physician	$119.7K	$0
Pamela Ogeya	MD	Family Nurse Practitioner	$82.5K	$29.5K
Funmilayo Oluwole	AZ	Psychiatric/Mental Health Nurse Practitioner	$110.8K	$0
Jessica Abrams	MD	Gerontology Nurse Practitioner	$101.3K	$0
Kristen Roller	MD	Family Nurse Practitioner	$93.6K	$0
Rosa Pruett	MD	Family Nurse Practitioner	$73.3K	$0
Laura Ross	MD	Adult Health Nurse Practitioner	$43.4K	$0
Suzanne Fontanesi	MD	Family Medicine Physician	$43K	$0
Stephanie Comer-concordia	MD	Nurse Practitioner	$31.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baltimore County Public Schools	MD	Local Education Agency (LEA)	$0	$102.7M
Sheppard Pratt Physicians, P.A.	MD	Psychiatry Physician	$0	$17.3M
Greater Baltimore Medical Center, Inc.	MD	General Practice Physician	$0	$9.4M
Mei Tang	MD	Medical Oncology Physician	$6.9M	$0
Patient First Maryland Medical Group PLLC	MD	Family Medicine Physician	$0	$6.8M
University Of Maryland St. Joseph Medical Group, LLC	MD	General Practice Physician	$0	$6.2M
Sheppard Pratt Physicians PA	MD	Mental Health Counselor	$0	$5.7M
Baltimore County Deparment Of Health	MD	Public Health or Welfare Agency	$0	$5.2M
David Baranano	MD	Ophthalmology Physician	$4.2M	$0
Raymond Sjaarda	MD	Ophthalmology Physician	$4.2M	$0

Gilchrist Hospice Care Inc. — Billing Profile & Reimbursement Data

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Gilchrist Hospice Care Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References