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Agape Hospice & Palliative Care Nw, LLC

Hospice Care, Community Based·Portland, OR·NPI: 1790456374SharePrint ReportML Risk: 85%

Compared to Hospice Care, Community Based Peers

Total spending distribution among 8 providers in this specialty

P25MedianP75P90

This provider's total spending of $1.6M is at the below 25th percentile among 8 Hospice Care, Community Based providers.

Total Paid

$1.6M

$1,621,770

Total Claims

9,897

Beneficiaries

2,346

4.2 claims/patient

Avg Cost/Claim

$164

🔍 Analysis

Provider Overview

Agape Hospice & Palliative Care Nw, LLC is a Hospice Care, Community Based provider based in Portland, OR. From 2023-03 through 2024-11, this provider received $1.6M in Medicaid payments across 10K claims serving 2K beneficiaries, billing 9 distinct procedure codes.

Key Findings

  • 📊82% of billing is concentrated in T2046 (T2046), indicating significant specialization in this service.
  • 📊Spending grew 1591% from $91K in 2023 to $1.5M in 2024.
  • 📊Saw a 16.9× spike in 2024 ($91K → $1.5M), a sharp year-over-year increase.

Why This Matters

This provider received $1.6M in Medicaid payments. While not among the largest billers, unusual patterns in providers of this size can still indicate systemic issues worth monitoring.

Yearly Spending

2023
$91K
+1591%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (T2046 (Habilitation, residential, waiver; per month)) accounts for 82% of total spending.

T2046Normal range

Habilitation, residential, waiver; per month

$1.3M

4,404 claims · 82.2%

Your Cost: $302.71/claim|Median: $1,795.74
0.2× median
A9270Top 1%

$80K

98 claims · 4.9%

Your Cost: $815.37/claim|Median: $0.20
4076.8× median
Q5001Top 25%

Injection, filgrastim-sndz, biosimilar, 1 mcg

$79K

190 claims · 4.9%

Your Cost: $417.15/claim|Median: $23.43
17.8× median
G0300Normal range

Skilled nursing services, home health, per visit, LPN

$36K

1,419 claims · 2.2%

Your Cost: $25.21/claim|Median: $45.50
0.6× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$35K

1,491 claims · 2.2%

Your Cost: $23.47/claim|Median: $51.67
0.5× median
Q5004Top 25%

$31K

99 claims · 1.9%

Your Cost: $317.69/claim|Median: $127.12
2.5× median
G0156Normal range

Home health aide services, per visit

$16K

1,354 claims · 1.0%

Your Cost: $12.08/claim|Median: $39.42
0.3× median
G0155Normal range

Services of clinical social worker in home health, per 15 min

$11K

719 claims · 0.7%

Your Cost: $15.14/claim|Median: $7.04
2.2× median
Q5002Normal range

$0

123 claims · 0.0%

Your Cost: $0.00/claim|Median: $23.39