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-franklin (NPI 1114005535)

Concord Hospital-franklin is a critical access hospital provider located in Franklin, New Hampshire. This profile covers 0 Medicare and 84 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Concord Hospital-franklin
Address	15 Aiken Ave
City	Franklin
State	NH
ZIP	03235
Taxonomy	Critical Access Hospital
NPI Enumerated	November 2, 2006

Payer Source	Total Paid
Medicaid	$2.7M
Medicare	$0

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

84 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.	2,400	$270	$646.4K
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.	2,090	$300	$624.6K
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.	2,770	$220	$600.4K
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.	290	$510	$149K
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.	610	$180	$107.3K
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.	330	$230	$75.3K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	1,710	$30	$47.8K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	490	$90	$44K
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.	970	$40	$40.6K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	770	$50	$37.8K

Showing 1–10 of 84

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-franklin — 0 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

84 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.	31	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.	36	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.	34	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.	34	50	1,150	$230	$480.4K
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.	35	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.	30	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.	31	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…	85	130	1,320	$40	$184.3K
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.	20	30	2,180	$50	$160.9K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	24	30	2,910	$30	$151.2K

Showing 1–10 of 84

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Concord Hospital-franklin	NH	Critical Access Hospital	$0	$7.3M
Concord Hospital-franklin	NH	Rural Health Clinic/Center	$0	$3.6M
Charles Wicks	NH	Cardiovascular Disease Physician	$79.3K	$0
Matthew Kozminski	PA	Neurology Physician	$49.8K	$20.7K
Benjamin Colby	NH	Family Medicine Physician	$63.2K	$0
Christopher Allen	NH	Family Medicine Physician	$46.6K	$0
Kelly Milton	FL	Neurology Physician	$30.7K	$0
Danoushka Tememe	FL	Neurology Physician	$7.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Healthfirst Family Care Center, Inc.	NH	Federally Qualified Health Center (FQHC)	$0	$6.8M
Metro Treatment Of New Hampshire, LP	NH	Methadone Clinic	$308.8K	$4.5M
Ehgfranklin Dba The Golden Crest	NH	Assisted Living Facility	$0	$2.9M
Franklin School District	NH	Local Education Agency (LEA)	$0	$896.3K
City Of Franklin	NH	Land Ambulance	$194K	$260.5K
Cvs Manchester Nh, L.L.C.	NH	Pharmacy	$108.9K	$0
Rite Aid Of New Hampshire Inc	NH	Community/Retail Pharmacy	$84.4K	$0
Melyssa Manock, Msw, Mladc, LLC	NH	Addiction (Substance Use Disorder) Counselor	$0	$79.9K
7 Baldwin Street Operations LLC	NH	Skilled Nursing Facility	$0	$65.6K
Visiting Nurse Association Of Franklin	NH	Community Based Hospice Care Agency	$0	$63.4K

Concord Hospital-franklin — Billing Profile & Reimbursement Data

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Concord Hospital-franklin — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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