Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Adena Hospice, LLC

Adena Hospice, LLC was paid $1.06M by Medicaid between Feb 2021 and Mar 2024, across 2 billing codes. Its largest line is T2046, Hospice long term care, room and board only; per diem — 94% of everything it billed.

33Billing provider infoADENA HOSPICE, LLC
CHILLICOTHE, OH 45601
33aNPI1417130170assigned 12/17/2007
28Total paid$1.06M
24GClaims10,249
24DCodes billed2
24AFirst – last monthFeb 2021 – Mar 2024
Compared with peers

Next to other Community Based Hospice Care Agency providers in Ohio

Rank by total paid#89 of 122
Median peer was paid$3.46M
This provider vs. median0.3×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

High Claims/Beneficiary Ratio53 claims per beneficiary (threshold: 50). This could indicate intensive per-unit billing or warrant further review. Read more
Single-Code Concentration94% of spending on code T2046 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20213,513$83K
2022642$71K
20234,820$751K
2024incomplete1,274$158K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T2046 Hospice long term care, room and board only; per diem 94% 7,373 169 $1.00M
T2042 Hospice routine home care; per diem 5.9% 2,876 24 $63K

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 officialMCMANUS, JAMES (CFO)
Same official

Other billing entities under MCMANUS, JAMES

Full network →
ProviderLocationPaid
Greenfield Area Medical CenterGreenfield, OH$5.33M
Adena Home Health, LLCChillicothe, OH$867K
Multicare Health SystemEverett, WA$60K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.