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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMary Hitchcock Memorial Hospital
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    Mary Hitchcock Memorial Hospital — Billing Profile & Reimbursement Data

    NPI 1023092053 · Lebanon, NH · General Acute Care Hospital

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    Mary Hitchcock Memorial Hospital is a general acute care hospital provider located in Lebanon, New Hampshire. This profile covers 0 Medicare and 540 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMary Hitchcock Memorial Hospital
    AddressOne Medical Center Dr
    CityLebanon
    StateNH
    ZIP03756
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedDecember 2, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$32.3M
    Medicare$0

    Key Findings

    MARY HITCHCOCK MEMORIAL HOSPITAL is effectively a Medicaid-focused provider with total Medicaid revenue of $32.3M and no Medicare billing on file; its NPI was enumerated 2005-12-02 (~21 years ago), indicating long-standing operational tenure but a single-payer footprint in the available claims set.

    Revenue is highly concentrated: the precomputed top three Medicaid codes account for 49.6% of the provider’s total Medicaid revenue, led by 99214 ($5.8M, 26.9%), followed by A0431 ($2.9M, 13.3%) and 99213 ($2M, 9.3%). This shows nearly half of Medicaid receipts come from a very small set of services.

    The code mix points to a high-volume outpatient and emergency practice model: multiple high-revenue E/M codes (99214 with 105.6K claims, 99213 with 50.2K claims, 99215 with 13.2K claims, plus 99204 and 99203) and hospital observation (G0378) indicate the facility operates substantial clinic, ED, and observation capacity. Those E/M codes collectively drive major share of patient-facing revenue.

    MARY HITCHCOCK appears to be a regional hub for rotary-wing ambulance services: A0431 ($2.9M) and A0436 ($408K) are material revenue drivers and both rank as #1 of 1 providers in-state (no state peer volume comparison available), suggesting this hospital is the sole or primary biller for air transport in the state data.

    Imaging, laboratory, and procedural services form meaningful secondary revenue streams — notable examples include 70553 ($741.2K), 74177 ($644.7K), 70551 ($433.7K), 71260 ($325.3K), 88305 ($343.2K), and high-volume COVID testing 87635 ($622.7K). This breadth suggests in-house diagnostic capacity that supports both acute and outpatient care lines.

    The hospital also bills for higher-acuity and specialty therapies: chemotherapy 96413 ($368.6K, ranks #1 of 16 providers in-state, 100th percentile; notably above typical state volume) and biologic infusion J1745 ($488.8K, #1 of 1 providers in-state) point to infusion/oncology capabilities beyond routine clinic visits. These services diversify clinical complexity within the Medicaid mix.

    Competitive standing across Medicaid codes is mixed but includes multiple statewide outliers: 99214 ranks #3 of 416 providers in-state (100th percentile; extreme outlier, far above typical state volume), 99215 ranks #1 of 95 (100th percentile; extreme outlier), and 99204 and 99203 each rank #1 of their peer sets (100th percentile; extreme outliers). Other codes such as 99285 and 99284 sit in typical percentiles (69th and 59th respectively), indicating routine ED volumes alongside dominant clinic activity.

    From a payer/contracting perspective, the combination of no Medicare revenue and heavy dependence on a small set of Medicaid codes (49.6% from the top three) concentrates reimbursement risk and bargaining exposure to Medicaid rates; the provider’s dominant statewide positions for several codes give it leverage in Medicaid-specific negotiations but also create vulnerability if Medicaid policy or utilization patterns shift.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    540 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…105,610$60$5.8M
    A0431Ambulance service, conventional air services, transport, one way (rotary wing)1,760$1,630$2.9M
    99213The 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…50,200$40$2M
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…13,180$70$922.5K
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.3,940$230$890.2K
    99284The 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.5,200$160$816.2K
    70553In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…1,740$430$741.2K
    G0378Hospital observation service, per hour5,490$130$713.3K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.1,780$360$644.7K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…12,970$50$622.7K

    Showing 1–10 of 540

    • More pages

    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.

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

    540 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0431Ambulance service, conventional air services, transport, one way (rotary wing)1101,760$1,630$2.9M
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.20601,820$150$756.5K
    99284The 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.32802,220$120$745.6K
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.37702,540$110$733.8K
    90847A 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…1430600$90$719.5K
    J1745Injection, infliximab, excludes biosimilar, 10 mg110360$1,350$488.9K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.17501,150$230$480.4K
    90846A 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.14204,000$90$469.7K
    A0436Rotary wing air mileage, per statute mile110590$700$408K
    G0378Hospital observation service, per hour3201,390$190$406.3K

    Showing 1–10 of 540

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Mary Hitchcock Memorial Hospital, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mary Hitchcock Memorial HospitalNHGeneral Acute Care Hospital$0$3.7M
    Just Kids Pediatric Dentistry, PlcVTPediatric Dentistry$0$1.5M
    Jason ParksVTRadiation Oncology Physician$1.2M$0
    Henry LeeINRadiation Oncology Physician$868.5K$0
    Matthew LeboeufNHMOHS-Micrographic Surgery Physician$555.8K$0
    Kenneth BrownNHPsychiatry Physician$477.7K$0
    Thomas SrokaORRadiation Oncology Physician$420.2K$0
    Alan SteljesNHCardiovascular Disease Physician$380.8K$0
    John GorechladNJSurgical Critical Care Physician$372.1K$0
    Jeremy CollinsNHPain Medicine (Physical Medicine & Rehabilitation) Physician$328.2K$0

    Nearby Providers

    Other providers in the same ZIP code as Mary Hitchcock Memorial Hospital, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dartmouth-hitchcock ClinicNHInternal Medicine Physician$624.4K$31.4M
    Linda SpechtNHNeurology with Special Qualifications in Child Neurology Physician$0$578.1K
    Orthocare Medical Equipment LLCNHDurable Medical Equipment & Medical Supplies$0$363.9K
    Akshat PaliwalNHDiagnostic Radiology Physician$309.2K$0
    Kimberly SommerNHInternal Medicine Physician$128.4K$160.2K
    Wayne MoschettiNHAdult Reconstructive Orthopaedic Surgery Physician$288K$0
    Garrett DavisNHOrthopaedic Surgery Physician$221.7K$0
    Henry TannousNHThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$197.9K$0
    David LawlorNHOphthalmology Physician$180.1K$5.1K
    Bassem ZakiNHRadiation Oncology Physician$175.8K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. New Hampshire Providers
    5 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Hampshire Distribution
    Mary Hitchcock Memorial Hospital — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire