Tridia Hospice Care, LLC
Single-Code
Billing almost exclusively for 1-2 procedure codes despite high total volume.
Bills primarily for code T2046 (2 unique codes).
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Single-Code
Single-Code Billing means this provider bills almost exclusively for one or two procedure codes despite high total volume. Legitimate specialists may focus on specific codes, but extreme concentration can indicate a scheme billing repeatedly for the same service.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Risk Assessment
Extreme procedure concentration — 89% of all billing flows through just 2 codes (T2046, T2042).
This is a statistical summary, not an accusation. See our methodology.
Compared to Hospice Care, Community Based Peers
Total spending distribution among 8 providers in this specialty
This provider's total spending of $138.8M is at the 50th percentile among 8 Hospice Care, Community Based providers.
Extreme procedure concentration — 89% of $138.8M billed through just 2 codes
Total Paid
$138.8M
$138,840,949
Total Claims
799K
Beneficiaries
30K
27.0 claims/patient
Avg Cost/Claim
$174
#801 of 618K providers by total spending(top 0.1%)
🔍 Analysis
Provider Overview
Tridia Hospice Care, LLC is a Hospice Care, Community Based provider based in Westerville, OH. From the 2018–2024 period, this provider received $138.8M in Medicaid payments across 799K claims.
Why This Matters
This provider received $138.8M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 17,355 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 2 distinct procedure codes. The top code (T2046 (Habilitation, residential, waiver; per month)) accounts for 89% of total spending.
$122.9M
693K claims
$177.26
$1,795.74
Habilitation, residential, waiver; per month
$122.9M
693K claims · 88.5%
$15.9M
105K claims
$150.88
$188.03
Financial management, self-directed, waiver, per month
$15.9M
105K claims · 11.5%
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