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.

St Croix Hospice LLC (NPI 1841601952)

Field	Value
Entity Type	Organization
Organization	St Croix Hospice LLC
Address	1280 W Clairemont Ave Ste 4
City	Eau Claire
State	WI
ZIP	54701
Taxonomy	Community Based Hospice Care Agency
NPI Enumerated	May 12, 2014

Payer Source	Total Paid
Medicaid	$25.2M
Medicare	$0

Key Findings

This provider is effectively a single-payer operation in the dataset: there is no Medicare billing on file and all recorded federal program revenue is Medicaid, totaling $25.2M. The absence of Medicare billing should be treated as a material characteristic of its payer mix when benchmarking against dual-payer peers.

Revenue is highly concentrated: the precomputed top-3 Medicaid codes account for 100.0% of this provider's Medicaid revenue, with T2046 alone representing $24.8M (98.4% of total Medicaid revenue) and T2042 contributing $397.2K (1.6%). This extreme concentration indicates that nearly all topline Medicaid dollars derive from a single per-diem hospice rate.

The service-line profile implied by the code mix points to a facility-focused hospice model. The dominant code T2046 (Hospice long term care, room and board only; per diem) signals that the provider’s principal business is room-and-board hospice care in long-term care settings rather than home-based routine hospice, which is a small share of revenue via T2042.

Competitive standing on the primary revenue driver is modestly above median in-state: T2046 ranks #14 of 54 providers in Wisconsin (75th percentile) and is characterized as “typical, unremarkable volume for this code.” In other words, the provider is not a statewide leader for T2046 revenue but sits in the upper-middle band among peers.

By contrast, T2042 (Hospice routine home care; per diem) is a minor revenue contributor and ranks #5 of 7 in-state (33th percentile), a small peer set and below-median position that reinforces the limited role of routine home hospice in the provider’s business mix. This suggests minimal footprint in home-based hospice relative to facility-based services.

Several ancillary service codes show notable claim volumes but report $0 avg paid/claim and $0 revenue in the dataset, which is a conspicuous pattern to flag: examples include G0300 (107 claims, ranks #1 of 20, 100th percentile; described as notably above typical state volume), G0156 (1.1K claims, ranks #4 of 36, 91th percentile; notably above typical state volume), and G0299 (1.1K claims, ranks #6 of 46, 89th percentile). High claim counts combined with $0 recorded Medicaid payments for multiple service codes may reflect non-reimbursed reporting categories, alternative payment arrangements, or data capture conventions and should be examined when reconciling service intensity and paid revenue.

The provider has an established enrollment history: the NPI was enumerated on 2014-05-12 (~12 years ago), indicating a multi-year operating presence in the state that supports longitudinal comparisons of utilization and revenue trends. This tenure, combined with heavy dependence on facility-based per-diem payments, can inform contract negotiations and utilization management strategies.

From a payer or network strategy perspective, the combination of single-payer Medicaid reliance, $25.2M in Medicaid revenue, and near-total revenue concentration in T2046 creates concentration risk: any changes to reimbursement policy or utilization for long-term care per-diem hospice could disproportionately affect this provider’s financials. Analysts and contracting teams should treat the provider as a specialized, LTC-focused hospice participant rather than a diversified hospice/home health operator.

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2046	Hospice long term care, room and board only; per diem	6,840	$3,630	$24.8M
T2042	Hospice routine home care; per diem	710	$560	$397.2K
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	140	$0	$0
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	1,110	$0	$0
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	1,110	$0	$0
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	110	$0	$0
Q5001	Hospice or home health care provided in patient's home/residence	30	$0	$0
Q5002	Hospice or home health care provided in assisted living facility	80	$0	$0
Q5003	Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)	70	$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

St Croix Hospice LLC — 0 of 2 codes 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

9 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	14	50	2,350	$310	$3.9M
T2042	Hospice routine home care; per diem	5	10	10,620	$190	$1.7M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	6	50	170	$1	$1.3K
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	6	40	50	$1	$280
Q5001	Hospice or home health care provided in patient's home/residence	6	10	30	$1	$10
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	4	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	1	20	60	$0	$0
Q5002	Hospice or home health care provided in assisted living facility	5	30	20	$0	$0
Q5003	Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)	2	20	30	$0	$0

Related Providers

Other providers that share a Tax Identification Number (TIN) with St Croix Hospice LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Croix Hospice, LLC	WI	Community Based Hospice Care Agency	$0	$13.7M
Hometown Hospice & Homecare Inc	WI	Community Based Hospice Care Agency	$0	$12.1M
St Croix Hospice LLC	KS	Community Based Hospice Care Agency	$0	$3M
St Croix Hospice LLC	NE	Community Based Hospice Care Agency	$0	$339.6K

Nearby Providers

Other providers in the same ZIP code as St Croix Hospice LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mchs Hospitals Inc	WI	General Acute Care Hospital	$0	$12.4M
Steven Kristo	WI	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$7.9M
Mayo Clinic Health System-northwest Wisconsin Region, Inc.	WI	Multi-Specialty Clinic/Center	$0	$7.5M
Milwaukee Health Services System, LLC	WI	Methadone Clinic	$229.3K	$5.6M
Sacred Heart Hospital Of The Hospital Sisters-3rd Order Of St Francis	WI	General Acute Care Hospital	$0	$5.7M
Sacred Heart Hospital Of The Hospital Sisters- 3rd Order Of St Francis	WI	Family Medicine Physician	$0	$4.6M
Mchs Hospitals Inc	WI	Clinic/Center	$0	$4.1M
Lutheran Social Services Of Wisconsin And Upper Michigan, Inc.	WI	Substance Abuse Rehabilitation Facility	$0	$3.9M
Dedra Davis-wallace	WI	Pediatric Dentistry	$0	$3.6M
Caillier Clinic Ltd	WI	Clinical Neuropsychologist	$0	$3.1M

St Croix Hospice LLC — Billing Profile & Reimbursement Data

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St Croix Hospice LLC — 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