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    OpenPayerNPI Medicare & MedicaidAmoskeag Health
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    Amoskeag Health — Billing Profile & Reimbursement Data

    NPI 1083617013 · Manchester, NH · Federally Qualified Health Center (FQHC)

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    Amoskeag Health is a federally qualified health center (fqhc) provider located in Manchester, New Hampshire. This profile covers 0 Medicare and 79 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
    OrganizationAmoskeag Health
    Address145 Hollis St
    CityManchester
    StateNH
    ZIP03101
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedMay 23, 2005

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

    Payer SourceTotal Paid
    Medicaid$20.2M
    Medicare$0

    Key Findings

    This provider is effectively a Medicaid-focused operation: there is no Medicare billing on file and total Medicaid revenue is $20.2M. The absence of Medicare activity means comparisons to national Medicare peers are not available, so analysis should be interpreted through the Medicaid footprint only.

    Revenue is extremely concentrated in a single encounter code: T1015 (Clinic visit/encounter, all-inclusive) accounts for $19.7M in revenue from 111.4K claims with a $177 avg paid/claim, representing 97.9% of this provider's total Medicaid revenue. More broadly, the precomputed top 3 Medicaid codes (T1015, H0004, G0467) account for 99.1% of the provider's Medicaid revenue, indicating a highly concentrated revenue mix.

    The provider’s taxonomy as a Federally Qualified Health Center (FQHC) aligns with its code mix: heavy use of T1015 and notable volume of G0467 (9.7K claims, $12 avg paid/claim, $116.9K revenue) reflects bundled, per-encounter FQHC clinic visits and established-patient FQHC services. This pattern is consistent with a clinic-centric primary care and community health model where bundled visit payments drive the business economics.

    On competitive standing for its dominant code, the provider is a statewide outlier: T1015 ranks #1 of 81 providers in-state and is described as an extreme outlier, indicating the provider bills this bundled clinic-visit code at much higher volume than typical peers. For G0467 the provider ranks #3 of 33 in-state (94th percentile) — a notably above-typical volume for that FQHC-established visit code, reinforcing its role as a large FQHC clinic in New Hampshire.

    Behavioral health and related services are present but represent only a small share of revenue. H0004 (Behavioral health counseling and therapy) produced $118.6K from 2.1K claims at $56 avg paid/claim and accounts for 0.6% of Medicaid revenue; it ranks #20 of 67 in-state (71th percentile), characterizing behavioral health as an active but not dominant service line relative to other in-state providers.

    Preventive and outreach services are visible in the claim mix: 90686 (influenza vaccine) shows 5.8K claims with $34.5K revenue and ranks #5 of 114 providers in-state (96th percentile), and multiple vaccine administration codes (90460, 90471, 90716) also appear in the top codes. These volumes suggest a sizeable immunization program and routine preventive care activity in addition to core clinic visits.

    The provider demonstrates niche leadership on several smaller-volume codes: multiple codes (0002A, 0001A, 0013A, 0012A, 0003A, 0011A, 90716) are ranked #1 of the limited in-state provider set and show 100th percentile placement, indicating this FQHC is the principal in-state biller for several specialized or newly segmented codes even though they contribute limited revenue individually.

    The organization has an established operational history: the NPI was enumerated 2005-05-23 (~21 years ago). This tenure, combined with the dominant Medicaid revenue and concentrated code profile, suggests a long-standing FQHC that has scaled encounter-based clinic services over time within the state Medicaid market.

    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.

    79 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive111,380$180$19.7M
    H0004Behavioral health counseling and therapy, per 15 minutes2,120$60$118.6K
    G0467Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…9,740$10$116.9K
    90686This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…5,750$10$34.5K
    H0038Self‑help/peer services, per 15 minutes910$30$26.4K
    0002AN/A580$30$17.4K
    0001AN/A690$30$17.3K
    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…16,160$1$16.2K
    0013AN/A250$30$7.4K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…1,370$10$6.9K

    Showing 1–10 of 79

    • 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

    79 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive180760$170$2M
    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…2130600$90$719.5K
    T1027Family training and counseling for child development, per 15 minutes25302,010$80$516.4K
    90834In 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…29130520$50$338.8K
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…165190500$70$286.7K
    H0038Self‑help/peer services, per 15 minutes1530620$60$231.9K
    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…28420480$50$223.9K
    H0004Behavioral health counseling and therapy, per 15 minutes20701,260$80$202.1K
    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…5400350$30$140.6K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.3570140$90$100.8K

    Showing 1–10 of 79

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Amoskeag HealthNHFederally Qualified Health Center (FQHC)$0$11.6M
    Amoskeag HealthNHFederally Qualified Health Center (FQHC)$0$6.3M
    Amoskeag HealthNHFederally Qualified Health Center (FQHC)$0$3.1M
    Amoskeag HealthNHFederally Qualified Health Center (FQHC)$0$529.2K
    Amoskeag HealthNHFederally Qualified Health Center (FQHC)$0$480.4K
    Amoskeag HealthNHFederally Qualified Health Center (FQHC)$0$321.5K
    Amoskeag HealthNHFederally Qualified Health Center (FQHC)$0$293.9K
    Amoskeag HealthNHFederally Qualified Health Center (FQHC)$0$178.6K
    Amoskeag HealthNHFederally Qualified Health Center (FQHC)$0$144.9K
    Amoskeag HealthNHFederally Qualified Health Center (FQHC)$0$144.2K

    Nearby Providers

    Other providers in the same ZIP code as Amoskeag Health, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Siddharth Services, Inc.NHFoster Care Agency$0$23.8M
    WaypointNHCommunity/Behavioral Health Agency$0$20.8M
    Crotched Mountain Community CareNHCase Management Agency$0$20.6M
    Community Integrated Services, IncNHCommunity/Behavioral Health Agency$0$17M
    Northeast Family Services Of New Hampshire, Inc.NHCommunity/Behavioral Health Agency$0$15.4M
    Independent Services Network, Inc.NHCommunity/Behavioral Health Agency$0$14M
    Habit Opco, LLCNHMethadone Clinic$539.9K$4.3M
    Impress Healthcare CorporationNHIn Home Supportive Care Agency$0$3.1M
    Economy VisionNHOptometrist$0$2.2M
    Elliot 1 Day Surgery CenterNHAmbulatory Surgical Clinic/Center$706.4K$651.9K

    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
    6 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Hampshire Distribution
    Amoskeag Health — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire