Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ADENA HOSPICE, LLC

NPI: 1417130170 · CHILLICOTHE, OH 45601 · Community Based Hospice Care Agency · NPI assigned 12/17/2007

Billing Flags · Automated signals — not evidence of fraud
High Claims/Beneficiary Ratio

53 claims per beneficiary (threshold: 50). This could indicate intensive per-unit billing or warrant further review. Read more

Single-Code Concentration

94% of spending on code T2046 with only 2 total codes billed. Highly concentrated billing profile.

$1.06M
Total Medicaid Paid
10,249
Total Claims
193
Beneficiaries
2
Codes Billed
2021-02
First Month
2024-03
Last Month

Provider Details

Authorized OfficialMCMANUS, JAMES (CFO)
NPI Enumeration Date12/17/2007

Related Entities

Other providers sharing the same authorized official: MCMANUS, JAMES

ProviderCityStateTotal Paid
GREENFIELD AREA MEDICAL CENTER GREENFIELD OH $5.33M
ADENA HOME HEALTH, LLC CHILLICOTHE OH $867K
MULTICARE HEALTH SYSTEM EVERETT WA $60K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 3,513 $83K
2022 642 $71K
2023 4,820 $751K
2024 1,274 $158K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2046 Hospice long term care, room and board only; per diem 7,373 169 $1.00M
T2042 Hospice routine home care; per diem 2,876 24 $63K