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

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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.

Hopehealth Hospice & Palliative Care (NPI 1871674796)

Field	Value
Entity Type	Organization
Organization	Hopehealth Hospice & Palliative Care
Address	1085 N Main St
City	Providence
State	RI
ZIP	02904
Taxonomy	Community Based Hospice Care Agency
NPI Enumerated	October 18, 2006

Payer Source	Total Paid
Medicaid	$33.3M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $33.3M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid-focused) hospice operator in the available data. The absence of Medicare claims means any payer-mix analysis should treat Medicaid as the de facto sole public revenue stream for this entity.

Revenue is highly concentrated in a very small set of Medicaid codes: the top three Medicaid codes account for 100.0% of the provider’s Medicaid revenue. Specifically, T2046 drives $30.6M (91.9%), T2042 contributes $2.6M (8.0%), and T2045 contributes $40.1K (0.1%) of the $33.3M total.

The code mix indicates a facility-oriented hospice model: T2046 (Hospice long term care, room and board only; per diem) is the dominant revenue source, with 8.4K claims and a high average paid/claim of $3657, consistent with per-diem room-and-board billing tied to long-term care settings rather than brief episodic care. This suggests the organization’s primary operations center on providing residential hospice services in LTC facilities or similar settings.

T2042 (Hospice routine home care; per diem) shows 13.4K claims but a much lower average paid/claim of $197 and only $2.6M in revenue, indicating the provider also bills for routine home hospice services but that those payments are a much smaller portion of total revenue despite higher claim volume. The provider ranks #1 of 3 in-state for this code (100th percentile; typical, unremarkable volume), so while it is the largest routine-home-care reporter among a small peer set, the activity is not unusually large in absolute terms.

T2045 (Hospice general inpatient care; per diem) is effectively negligible in financial impact — 57 claims, $704 avg paid/claim, $40.1K revenue — and the provider is the sole state reporter for this code (ranks #1 of 1; 0th percentile; no state peer volume comparison available). This points to limited use of higher-intensity inpatient hospice billing in their mix, either because they rarely provide inpatient hospice or because those services are billed by other organizations.

Competitive standing for the largest code, T2046, is substantial but not singular: the provider ranks #3 of 25 in-state for T2046 (92th percentile; typical, unremarkable volume), indicating it is a meaningful statewide participant in long-term care room-and-board hospice but not an extreme outlier. For T2042 the #1 rank among three providers suggests local leadership in routine home care reporting, though the accompanying label of typical volume tempers claims of dominance.

The provider’s NPI has been enumerated since 2006-10-18 (~20 years ago), indicating a long-tenured presence in the market. This longevity supports the interpretation that the current Medicaid billing patterns reflect an established operating model rather than a very recent shift in service mix.

The heavy reliance on a single revenue driver—T2046 at 91.9% of Medicaid revenue—creates concentration risk: any policy, rate, or reimbursement changes affecting hospice long term care room-and-board per diems could materially affect the provider’s revenue base. Given the negligible Medicare footprint, that risk is not easily mitigated through diversification across Medicare fee-for-service volumes in the available data.

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	8,360	$3,660	$30.6M
T2042	Hospice routine home care; per diem	13,450	$200	$2.6M
T2045	Hospice general inpatient care; per diem	60	$700	$40.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Rhode Island Distribution

Hopehealth Hospice & Palliative Care — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. Rhode Island 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	3	30	330	$1,280	$6.5M
T2042	Hospice routine home care; per diem	1	10	230	$210	$958.9K
T2045	Hospice general inpatient care; per diem	1	10	60	$700	$40.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hopehealth Hospice & Palliative Care	MA	Community Based Hospice Care Agency	$0	$8.6M
Jennifer Giatas	RI	Nurse Practitioner	$46.3K	$22.4K
Julie Colantuoni	MA	Nurse Practitioner	$49.9K	$0
Audra Noonan	MA	Psychiatric/Mental Health Nurse Practitioner	$40.5K	$0
Gregory Rachu	WI	Hospice and Palliative Medicine (Family Medicine) Physician	$40.5K	$0
Carolee Nevulis	RI	Family Nurse Practitioner	$39.4K	$0
Sarah Swenson	CT	Nurse Practitioner	$34K	$0
Bethany Sheahan	RI	Acute Care Nurse Practitioner	$27.9K	$0
Hannah Barth	RI	Adult Health Nurse Practitioner	$27.4K	$0
Amy Buzzi	VT	Adult Health Nurse Practitioner	$26.5K	$0

Nearby Providers

Other providers in the same ZIP code as Hopehealth Hospice & Palliative Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Providence Center Inc	RI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$170.9M
Re-focus Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$102.5M
Mas Medical Staffing	RI	Home Health Agency	$0	$24.5M
Generations Adult Day Health Center	RI	Adult Day Care Clinic/Center	$0	$16.3M
Prospect Chartercare Sjhsri, LLC	RI	General Acute Care Hospital	$0	$10.9M
Global Homecare And Staffing Inc	RI	Home Health Agency	$0	$8.3M
Emergency Care Services Of New England PC	RI	Emergency Medicine Physician	$0	$6.9M
State Of Rhode Island	RI	Clinical Medical Laboratory	$570	$6.4M
The Providence Center	RI	Community/Behavioral Health Agency	$0	$5.9M
St. Joseph Health Services Of Ri	RI	General Acute Care Hospital	$0	$5.9M

Hopehealth Hospice & Palliative Care — Billing Profile & Reimbursement Data

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Hopehealth Hospice & Palliative Care — Billing Profile & Reimbursement Data

Sign up for Hopehealth Hospice & Palliative Care — Billing Profile & Reimbursement Data policy alerts

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