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.

Living Innovations Support Services, LLC (NPI 1073633376)

Field	Value
Entity Type	Organization
Organization	Living Innovations Support Services, LLC
Address	273 Locust St Unit 2c
City	Dover
State	NH
ZIP	03820
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	March 30, 2007

Payer Source	Total Paid
Medicaid	$147.3M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file and all reported lifetime public insured revenue is Medicaid, totaling $147.3M. The absence of Medicare activity indicates the organization’s footprint and reimbursement risk are concentrated entirely within Medicaid programs rather than split across Medicare/Medicaid payers.

Revenue is highly concentrated in a small set of waiver and residential codes: the top three Medicaid codes (S5140, T2033, T2021) account for 72.3% of this provider’s total Medicaid revenue. Those three codes generate $51.1M (S5140), $37.6M (T2033), and $17.8M (T2021) respectively, which implies material dependence on a narrow set of service lines for the bulk of cash flow.

The service mix indicated by the top codes points to a core business of residential and day habilitation supports for individuals with developmental disabilities: S5140 is foster care, adult; per diem, T2033 is residential care, waiver; per diem, and T2021 is day habilitation, waiver; per 15 minutes. Combined with the provider taxonomy as a Developmentally Disabled Services Day Training Agency, the claims and revenue profile is consistent with an operator that runs both congregate residential programs and time‑based day habilitation/day programming.

T2033 (residential care, waiver; per diem) is a statewide standout: the provider reports 61.2K claims and $37.6M revenue and ranks #1 of 25 providers in-state (100th percentile; extreme outlier). This ranking and volume position the organization as a dominant supplier of residential waiver services in New Hampshire, and operational changes or policy shifts tied to this code would likely have outsized financial impact.

S5140 (foster care, adult; per diem) represents the single largest revenue line at $51.1M from 66K claims but is not an outlier statewide: it ranks #3 of 6 providers in-state (60th percentile; typical, unremarkable volume). That suggests the provider has substantial activity in adult foster care but competes with several other similarly sized programs rather than monopolizing that market niche.

Beyond the top three, the provider holds top statewide positions on a number of ancillary and habilitation codes: it ranks #1 for T2015 ($5.8M), T1005 ($5.4M), G9012 ($4.3M), and H2016 ($1.2M), each tagged as 100th percentile in-state and described as typical in the precomputed labels. These #1 ranks indicate leadership in several complementary service lines (prevocational habilitation, respite, specified case management, and comprehensive community supports) that diversify revenue streams beyond core residential/day habilitation billing.

The billing pattern shows both high throughput and varied unit types: T2021 has 78.2K claims (day habilitation billed per 15 minutes), T2033 has 61.2K claims, and S5140 has 66K claims, demonstrating heavy claims volume across time‑based and per‑diem services. This operational footprint implies significant frontline staffing and program capacity requirements consistent with large residential and day program operations rather than episodic clinical care models.

The provider has long tenure in the Medicare/Medicaid NPI system, enumerated on 2007-03-30 (~19 years ago), which combined with cumulative Medicaid revenue of $147.3M and the high claim volumes above suggests an established, scaled provider in the state Medicaid waiver and developmental disability service ecosystem. Its financial and operational position will be particularly sensitive to policy changes affecting waiver per‑diem rates and time‑based habilitation rules given the concentration in those codes.

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5140	Foster care, adult; per diem	65,970	$770	$51.1M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	61,240	$610	$37.6M
T2021	Day habilitation, waiver; per 15 minutes	78,230	$230	$17.8M
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	16,050	$740	$11.9M
T2017	Habilitation, residential, waiver; 15 minutes	31,080	$290	$8.9M
T2015	Habilitation, prevocational, waiver; per hour	5,000	$1,160	$5.8M
T1005	Respite care services, up to 15 minutes	37,170	$150	$5.4M
G9012	Other specified case management service not elsewhere classified	42,970	$100	$4.3M
T2022	Case management, per month	11,110	$140	$1.5M
H2016	Comprehensive community support services, per diem	1,590	$750	$1.2M

Showing 1–10 of 15

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

Living Innovations Support Services, LLC — 5 of 15 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	20	40	14,020	$330	$32.2M
S5140	Foster care, adult; per diem	3	10	52,170	$470	$29.6M
T2016	Habilitation, residential, waiver; per diem	3	10	8,540	$1,550	$19.7M
T2021	Day habilitation, waiver; per 15 minutes	11	40	11,650	$170	$12.7M
T2017	Habilitation, residential, waiver; 15 minutes	2	10	1,170	$270	$4.6M
T2022	Case management, per month	11	20	4,510	$240	$3.5M
T2015	Habilitation, prevocational, waiver; per hour	1	10	2,680	$1,110	$3M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	1	30	990	$840	$2.9M
H2023	Supported employment, per 15 minutes	21	30	11,450	$120	$2.3M
G9012	Other specified case management service not elsewhere classified	1	10	13,300	$90	$1.6M

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Living Innovations Support Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Behavioral Health And Developmental Services Of Strafford County, Inc	NH	Case Management Agency	$0	$169.8M
Living Innovations Support Services, LLC	NH	Developmentally Disabled Services Day Training Agency	$0	$129.3M
Wentworth Douglass Hospital	NH	General Acute Care Hospital	$0	$30.6M
Work Opportunities Unlimited Contracts, Inc.	NH	Developmentally Disabled Services Day Training Agency	$0	$17.9M
Living Innovations Support Services, LLC	NH	Community/Behavioral Health Agency	$0	$11.2M
Work Opportunities Unlimited Contracts, Inc.	NH	Developmentally Disabled Services Day Training Agency	$0	$8.4M
Behavioral Health And Developmental Services Of Strafford County, Inc	NH	Early Intervention Provider Agency	$0	$5M
Seacoast Emergency Physicians, PC	NH	Emergency Medical Services (Emergency Medicine) Physician	$0	$4.5M
Southeastern New Hampshire Alcohol And Drug Abuse Services	NH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$3.7M
Reach For The Top Therapy Services	NH	Occupational Therapist	$0	$2.7M

Living Innovations Support Services, LLC — Billing Profile & Reimbursement Data

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Living Innovations Support Services, LLC — 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

Nearby Providers

Frequently Asked Questions

References