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.

Valley Regional Hospital, Inc. (NPI 1154338390)

Field	Value
Entity Type	Organization
Organization	Valley Regional Hospital, Inc.
Address	241 Elm Street
City	Claremont
State	NH
ZIP	03743
Taxonomy	Internal Medicine Physician
NPI Enumerated	August 1, 2006

Payer Source	Total Paid
Medicaid	$182.5K
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The 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…	1,960	$60	$125.2K
99215	The 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…	630	$80	$48.4K
99213	The 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…	100	$40	$4.2K
90686	This 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…	140	$20	$2.3K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	310	$10	$1.6K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	20	$30	$630
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	30	$1	$100

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

Valley Regional Hospital, Inc. — 0 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	The 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…	129	420	480	$50	$223.9K
99213	The 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…	265	400	350	$30	$140.6K
99215	The 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…	24	100	170	$70	$51.3K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	52	120	220	$10	$8.9K
90686	This 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…	64	110	220	$1	$2.2K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	5	10	20	$10	$910
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	6	10	40	$1	$530

Related Providers

Other providers that share a Tax Identification Number (TIN) with Valley Regional Hospital, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Valley Regional Hospital Inc.	NH	Critical Access Hospital	$0	$10M
Valley Regional Hospital, Inc.	NH	Urgent Care Clinic/Center	$0	$875.8K
Valley Regional Hospital, Inc	NH	Family Medicine Physician	$0	$782K
Valley Regional Hospital ,inc.	NH	Emergency Medicine Physician	$0	$597.2K
Lisa Cooper	NH	Family Nurse Practitioner	$273.9K	$0
Azem Dushaj	CT	Internal Medicine Physician	$121.6K	$0
Vitaliano Sicilia	NH	Internal Medicine Physician	$103.1K	$0
Jesper Brickley	VT	Family Medicine Physician	$95.8K	$0
Gregory Dadekian	NH	Internal Medicine Physician	$93K	$0
Michael Sparks	NH	Orthopaedic Surgery Physician	$83.6K	$0

Nearby Providers

Other providers in the same ZIP code as Valley Regional Hospital, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Developmental Services Of Sullivan County, Inc.	NH	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$139.4M
Colin B Boswell Dds PC	NH	Pediatric Dentistry	$0	$5.2M
Golden Cross Ambulance Inc	NH	Ambulance	$1.2M	$3.5M
Claremont School District	NH	Local Education Agency (LEA)	$0	$3M
Daniel Peraza	NH	Dermatology Physician	$1.1M	$0
Sullivan County Oral Health Collaborative	NH	Dental Clinic/Center	$0	$892.1K
Jose E Peraza Md PLLC	NH	Dermatology Physician	$0	$870.9K
Samuel Giveen	NH	Optometrist	$120.2K	$544.2K
Tlc Family Resource Center	NH	Public Health or Welfare Agency	$0	$611.6K
Spence Dental, P.A.	NH	General Practice Dentistry	$0	$442.6K

Valley Regional Hospital, Inc. — Billing Profile & Reimbursement Data

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Valley Regional Hospital, Inc. — 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