Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New Hampshire for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Hampshire only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New Hampshire (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Seacoast Mental Health Center, Inc. (NPI 1013092857)

Field	Value
Entity Type	Organization
Organization	Seacoast Mental Health Center, Inc.
Address	1145 Sagamore Ave
City	Portsmouth
State	NH
ZIP	03801
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	October 26, 2006

Payer Source	Total Paid
Medicaid	$74.2M
Medicare	$0

Key Findings

This provider is effectively single-payer with respect to federal programs: there is no Medicare billing on file while total Medicaid revenue is $74.2M, indicating the organization’s revenue base is dominated by Medicaid-covered services rather than Medicare fee-for-service. That concentration suggests operational and reimbursement risk tied to state Medicaid policy and rates.

Medicaid revenue is highly concentrated in a small set of service lines: the top three Medicaid codes (T1016, H2019, 90834) account for 82.8% of the provider’s total Medicaid revenue. In particular, T1016 alone represents $40.4M (54.5% of Medicaid revenue), followed by H2019 at $12.9M (17.4%) and 90834 at $8.1M (10.9%), which together drive the majority of billing and should be the focus of any revenue or utilization analysis.

The code mix points to a community mental health model centered on intensive case management and high-volume psychotherapy: T1016 is the single largest revenue driver (case management), H2019 reflects substantial therapeutic behavioral services, and 90834 indicates heavy use of 38–52 minute individual psychotherapy sessions. This combination is consistent with a multidisciplinary outpatient behavioral health operation that provides ongoing therapeutic and care-coordination services for Medicaid populations.

Competitive standing by code shows the provider is a major statewide deliverer of psychotherapy services: 90834 ranks #3 of 133 providers and is labeled an "extreme outlier," and 90832 also ranks #3 of 96 and is labeled an "extreme outlier." Those high ranks and outlier designations indicate the provider delivers far more medium-length and short psychotherapy sessions than typical in-state peers.

The organization also ranks at the top of the state for several high-acuity or high-intensity codes: 90839 (crisis psychotherapy) is #1 of 11 with a "notably above typical" label, 99205 (high-complexity new patient E/M) is #1 of 33 and labeled an "extreme outlier," and 99442 is #1 of 26 and labeled an "extreme outlier." These #1 rankings show the provider is a leading in-state biller for selected crisis, new-patient, and high-contact codes, suggesting capacity for high-acuity assessment and intake activity.

Beyond the top three revenue codes, the provider reports substantial outpatient E/M volume: 99214 and 99213 together account for meaningful revenue ($1.7M and $1.7M respectively) and rank highly in the state (99214 is #19 of 416 and 99213 is #11 of 395), indicating a sizable office/outpatient evaluation-and-management practice that complements psychotherapy and case management services. This E/M footprint supports conclusions about integrated clinical assessment and ongoing medical management within the behavioral health setting.

Service breadth includes family and training-oriented interventions in addition to individual therapy: notable volumes in 90847 and 90846 (family psychotherapy with and without the patient present) and T1027 (family training and counseling) indicate regular use of family-focused and caregiver-training services. Taken together with H2019 (therapeutic behavioral services) and H2023 (supported employment), the mix suggests a continuum of supports from individual psychotherapy and family counseling to wraparound behavioral interventions and vocational support.

The provider has long tenure in the registry (NPI enumerated 2006-10-26, ~20 years ago), which combined with a Medicaid-dominant revenue base implies an established community mental health presence in Portsmouth, NH. That longevity plus the observed concentration of revenue in a few high-volume Medicaid codes makes the organization a stable, Medicaid-dependent operator and an important in-state competitor for psychotherapy, case management, and certain crisis/new-patient services.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

34 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	130,000	$310	$40.4M
H2019	Therapeutic behavioral services, per 15 minutes	161,320	$80	$12.9M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	149,410	$50	$8.1M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	26,670	$70	$1.7M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	45,010	$40	$1.7M
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	17,500	$80	$1.5M
T1027	Family training and counseling for child development, per 15 minutes	12,780	$110	$1.3M
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	29,980	$40	$1.2M
H2023	Supported employment, per 15 minutes	12,930	$80	$1.1M
90839	In this service, the provider performs psychotherapy for a crisis situation when the patient is in a life–threatening state and needs immediate attention. The treatment session typically lasts…	7,540	$120	$919.6K

Showing 1–10 of 34

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Hampshire providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Hampshire Distribution

Seacoast Mental Health Center, Inc. — 8 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. New Hampshire median

34 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	7	30	35,170	$170	$12.5M
H2019	Therapeutic behavioral services, per 15 minutes	6	30	3,880	$90	$4.4M
H2023	Supported employment, per 15 minutes	13	30	11,450	$120	$2.3M
H2015	Comprehensive community support services, per 15 minutes	17	30	10,280	$90	$1.5M
H2011	Crisis intervention service, per 15 minutes	19	20	1,900	$180	$829.6K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	71	80	2,220	$120	$745.6K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	5	30	600	$90	$719.5K
H0034	Medication training and support, per 15 minutes	7	10	17,440	$30	$709.6K
T1027	Family training and counseling for child development, per 15 minutes	5	30	2,010	$80	$516.4K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	5	20	4,000	$90	$469.7K

Showing 1–10 of 34

Related Providers

Other providers that share a Tax Identification Number (TIN) with Seacoast Mental Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Paul Fallon	NH	Psychiatry Physician	$64.8K	$18.2K
James Kates	NH	Psychiatry Physician	$81.4K	$0
Paul Lidstrom	NH	Psychiatry Physician	$63.6K	$0
Malcolm Beaudett	NH	Psychiatry Physician	$38.6K	$0
Andrew Morris	NH	Psychiatry Physician	$32.3K	$0
NPI 1376577585	—	—	$18.7K	$0

Nearby Providers

Other providers in the same ZIP code as Seacoast Mental Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Region Viii, One Sky Community Services Inc.	NH	Case Management Agency	$0	$192.2M
Novocure Inc.	NH	Durable Medical Equipment & Medical Supplies	$0	$113.1M
Hca Health Services Of New Hampshire Inc	NH	General Acute Care Hospital	$0	$18.8M
Pmc Medical Group, LLC	NH	General Practice Physician	$392K	$11.2M
Greater Seacoast Community Health	NH	Federally Qualified Health Center (FQHC)	$0	$6.6M
Kinley Beck	NH	Retina Specialist (Ophthalmology) Physician	$4.2M	$0
Portsmouth School Department	NH	Local Education Agency (LEA)	$0	$2.6M
Preferred Home Health Care And Nursing Services	NH	Durable Medical Equipment & Medical Supplies	$0	$2.3M
Watterworth Orthodontics, PA	NH	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$2.3M
Granite Pathways	NH	Community/Behavioral Health Agency	$0	$2.1M

Seacoast Mental Health Center, Inc. — Billing Profile & Reimbursement Data

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Seacoast Mental Health Center, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References