Agency
Hospice Care of Middletown, INC.
Hospice Care of Middletown, INC. was paid $3.20M by Medicaid between Jul 2020 and Aug 2024, across 1 billing code. Its largest line is T2046, Hospice long term care, room and board only; per diem — 100% of everything it billed.
33Billing provider infoHOSPICE CARE OF MIDDLETOWN, INC.
MIDDLETOWN, OH 45044
MIDDLETOWN, OH 45044
33aNPI1528175304assigned 08/25/2006
33bProvider typeCommunity Based Hospice Care Agency
28Total paid$3.20M
24GClaims7,423
24DCodes billed1
24AFirst – last monthJul 2020 – Aug 2024
Compared with peers
Next to other Community Based Hospice Care Agency providers in Ohio
Rank by total paid#64 of 122
Median peer was paid$3.46M
This provider vs. median0.9×
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.
Single-Code Concentration100% of spending on code T2046 with only 1 total codes billed. Highly concentrated billing profile.
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 | |
|---|---|---|---|
| 2020 | 295 | $70K | |
| 2021 | 1,962 | $767K | |
| 2022 | 1,944 | $625K | |
| 2023 | 1,841 | $770K | |
| 2024incomplete | 1,381 | $966K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2046 | Hospice long term care, room and board only; per diem | 100% | 7,423 | 745 | $3.20M |
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 officialCLEMENTS, KEITH (PRESIDENT/CEO)