Agency
Optimal Hospice, INC.
Optimal Hospice, INC. was paid $8.90M by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is Q5001, Hospice or home health care provided in patient's home/residence — 84% of everything it billed.
33Billing provider infoOPTIMAL HOSPICE, INC.
FRESNO, CA 93711
FRESNO, CA 93711
33aNPI1164590089assigned 11/30/2006
33bProvider typeCommunity Based Hospice Care Agency
28Total paid$8.90M
24GClaims71,988
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Community Based Hospice Care Agency providers in California
Rank by total paid#21 of 557
Median peer was paid$511K
This provider vs. median17×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,500 | $250K | |
| 2019 | 5,036 | $583K | |
| 2020 | 8,807 | $868K | |
| 2021 | 11,365 | $1.01M | |
| 2022 | 11,005 | $928K | |
| 2023 | 18,347 | $3.08M | |
| 2024incomplete | 13,928 | $2.18M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| Q5001 | Hospice or home health care provided in patient's home/residence | 84% | 61,694 | 2,885 | $7.49M |
| T2046 | Hospice long term care, room and board only; per diem | 10.0% | 4,094 | 162 | $889K |
| 0651 | 2.3% | 2,236 | 108 | $205K | |
| 0658 | 2.3% | 92 | 73 | $202K | |
| Q5003 | Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf) | <1% | 1,151 | 140 | $49K |
| G0300 | Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes | <1% | 649 | 225 | $17K |
| 0659 | Rehabilitation services, other | <1% | 299 | 12 | $16K |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | <1% | 701 | 274 | $15K |
| 0650 | Inj, levothyroxine, hikma | <1% | 361 | 26 | $9K |
| G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | <1% | 313 | 111 | $5K |
| G0155 | Services of clinical social worker in home health or hospice settings, each 15 minutes | <1% | 208 | 142 | $3K |
| 0571 | <1% | 147 | 30 | $292.67 |
1 more codes
| 0250 | 0% | 43 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialCHRISTENSEN, GERRY (EXECUTIVE VP/CFO)
Parent organizationOPTIMAL HEALTH SERVICES, INC.
| Provider | Location | Paid |
|---|---|---|
| Optimal Hospice, INC. | Bakersfield, CA | $5.05M |
| Optimal Hospice, INC. | Stockton, CA | $3.70M |
| Bristol Hospice - Utah II, L.L.C. | Murray, UT | $2.59M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.