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Differing from most long term care options, hospice provides a very specific function in end-of-life care in providing support and comfort to patients who generally have six or less months to live. This list highlights the top 25 hospices based on total Medicare charges and also includes total Medicare payments as well as total Medicare claims.

The top 25 represent over $3.3 billion in charges and over $1.9 billion in payments for the 2018 fiscal year. VITAS Hospice Office - Brevard in Florida tops the list with $792,527,007 in Medicare charges and 124,558 total medicare claims— figures that are 127% and 141% higher, respectively, than the next appearing hospice on the list, Cornerstone Hospice & Palliative Care - Lake County. The figures from VITA Hospice Office represent nearly 24% of total Medicare charges for the Top 25 list as well as over 26% of total medicare claims on the list.

The state of Florida is disproportionately represented in the list with nearly 50% of the top 25 located in the Sunshine State — along with 60% of the top 10 hospices. Total Medicare charges from Florida-based hospices account for over 62% of the total charges from the top 25 list.

The only other state to appear more than once on the list is Ohio with three hospices, comprising under 10% of the listed charges.

Top 25 Hospices by Total Medicare Charges

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Hospice NameDefinitive IDStateTotal Medicare ChargesTotal Medicare PaymentsTotal Medicare ClaimsExplore This Dataset
1. VITAS Hospice Office - Brevard 800223 FL $792,527,007 $553,060,429 124,558 Explore This Profile
2. Mid County Community Service Center 799359 FL $195,872,891 $79,366,361 20,696 Explore This Profile
3. Charles W Gerstenberg Hospice Center 799430 FL $144,314,303 $72,732,451 18,212 Explore This Profile
4. Hospice of the Western Reserve Inc 799846 OH $128,650,547 $65,688,695 17,225 Explore This Profile
5. Chapters Health - Lifepath Hospice South Tampa 799358 FL $128,288,963 $77,867,948 19,826 Explore This Profile
6. The Pepper Family Hospice Care Center 798990 IL $127,852,977 $77,321,163 19,453 Explore This Profile
7. Hope Hospice and Community Services Inc 799434 FL $127,253,172 $60,355,365 14,998 Explore This Profile
8. EvergreenHealth Hospice Care 799457 WA $114,076,081 $33,537,710 8,251 Explore This Profile
9. Tidewell Hospice - Sarasota Hospice House 799438 FL $107,264,875 $67,356,840 18,839 Explore This Profile
10. Hospice of Cincinnati - Margret J Thomas Inpa­tient Care Center 799941 OH $107,034,925 $44,842,082 11,746 Explore This Profile
11. Community Hospice of Northeast Florida Inc 799951 FL $105,058,242 $75,070,877 19,402 Explore This Profile
12. Cornerstone Hospice & Palliative Care - Lake County 799499 FL $101,852,659 $77,473,302 21,450 Explore This Profile
13. Catholic Hospice - Miami Lakes 799504 FL $101,125,571 $34,017,639 7,351 Explore This Profile
14. Care Dimensions Inc 797798 MA $99,208,499 $54,339,725 12,593 Explore This Profile
15. Gilchrist Hospice Hunt Valley 797361 MD $97,443,795 $53,011,885 14,459 Explore This Profile
16. Seasons Hospice & Palliative Care of Southern Florida - Miami Jewish Health Systems Inpatient Center 799420 FL $93,482,086 $43,099,046 9,228 Explore This Profile
17. Hosparus Health - Louisville 796841 KY $91,169,925 $57,253,013 16,335 Explore This Profile
18. Visiting Nurse Service of New York Hospice Care 797883 NY $86,684,257 $72,401,235 16,083 Explore This Profile
19. Ohios Hospice of Dayton 799844 OH $84,558,150 $56,935,729 13,983 Explore This Profile
20. TrustBridge Hospice of Boca Raton 799357 FL $84,425,325 $49,822,455 11,898 Explore This Profile
21. Agrace Hospice - Madison 798671 WI $83,737,366 $48,368,307 11,438 Explore This Profile
22. Kindred Hospice Miami 800224 FL $82,122,730 $49,834,997 12,505 Explore This Profile
23. The Denver Hospice Inpatient Care Center 796624 CO $81,611,756 $28,413,391 7,320 Explore This Profile
24. Avalon Hospice - Nashville 798827 TN $79,989,953 $56,782,762 16,596 Explore This Profile
25. Allina Health Home Care Services 799026 MN $78,648,238 $48,792,163 12,0Explore This Profile

Fig 1. Financial data for hospice cost report period ending 12/31/2018. Data is from October 2019 Medicare Cost Report release; the next scheduled Medicare Cost Report release is January 2020.