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.

Concord Hospital-laconia (NPI 1053495234)

Field	Value
Entity Type	Organization
Organization	Concord Hospital-laconia
Address	80 Highland St
City	Laconia
State	NH
ZIP	03246
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 25, 2006

Payer Source	Total Paid
Medicaid	$9.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

215 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The 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.	10,310	$180	$1.8M
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.	9,650	$180	$1.7M
99285	The 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.	6,410	$160	$1M
G0378	Hospital observation service, per hour	2,090	$330	$693.2K
74177	The 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.	1,970	$150	$297.8K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	26,790	$10	$267.9K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	3,060	$80	$247.5K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	2,320	$100	$227K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	9,990	$20	$159.8K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	4,930	$30	$133.1K

Showing 1–10 of 215

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

Concord Hospital-laconia — 2 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

215 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	The 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.	14	60	1,820	$150	$756.5K
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.	23	80	2,220	$120	$745.6K
99283	The 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.	19	70	2,540	$110	$733.8K
74177	The 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.	15	50	1,150	$230	$480.4K
G0378	Hospital observation service, per hour	9	20	1,390	$190	$406.3K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	16	50	1,250	$90	$224K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	17	50	2,010	$80	$209.6K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	14	50	1,240	$40	$195.1K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	12	130	1,320	$40	$184.3K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	23	60	1,020	$30	$172.2K

Showing 1–10 of 215

Related Providers

Other providers that share a Tax Identification Number (TIN) with Concord Hospital-laconia, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Concord Hospital-laconia	NH	Medicare Defined Swing Bed Hospital Unit	$0	$2.9M
Concord Hospital-laconia	NH	Family Medicine Physician	$0	$2.5M
Concord Hospital, Inc.	NH	Emergency Medicine Physician	$0	$2.5M
Hoke Shirley	NH	Rheumatology Physician	$407K	$0
Jeffrey Wiley	NH	Orthopaedic Surgery Physician	$317.2K	$0
Neil Dion	NH	Orthopaedic Surgery Physician	$276.5K	$0
Jason Desmarais	NH	Orthopaedic Surgery Physician	$267.4K	$0
Guha Venkatraman	NJ	Neurology Physician	$230.9K	$0
Vercin Ephrem	NH	Internal Medicine Physician	$192.9K	$0
Sarah Atkinson	OR	Neurology Physician	$181.5K	$0

Nearby Providers

Other providers in the same ZIP code as Concord Hospital-laconia, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lakes Region Community Services Council	NH	Early Intervention Provider Agency	$0	$149M
The Lakes Region Mental Health Center, Inc.	NH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$57.1M
Laconia Housing & Redevelopment Authority	NH	Home Health Agency	$0	$6.6M
Healthfirst Family Care Center, Inc.	NH	Federally Qualified Health Center (FQHC)	$0	$5.1M
Lrghealthcare	NH	Family Medicine Physician	$0	$2.9M
Laconia School District	NH	Local Education Agency (LEA)	$0	$2.4M
Sobriety Centers Of New Hampshire	NH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$1.7M
City Of Laconia	NH	Land Ambulance	$393K	$614.8K
Lifeworks Counseling Associates PLLC	NH	Social Worker	$0	$994.5K
Michael Tensel	NH	Mental Health Counselor	$0	$717.4K

Concord Hospital-laconia — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References