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    OpenPayerNPI Medicare & MedicaidHca Health Services Of New Hampshire Inc
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    Hca Health Services Of New Hampshire Inc — Billing Profile & Reimbursement Data

    NPI 1174570683 · Derry, NH · General Acute Care Hospital

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    Hca Health Services Of New Hampshire Inc is a general acute care hospital provider located in Derry, New Hampshire. This profile covers 0 Medicare and 142 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
    OrganizationHca Health Services Of New Hampshire Inc
    Address1 Parkland Dr
    CityDerry
    StateNH
    ZIP03038
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedMay 28, 2006

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

    Payer SourceTotal Paid
    Medicaid$10.8M
    Medicare$0

    Key Findings

    This provider is effectively a Medicaid-focused billing entity in the available dataset: there is none (no Medicare billing on file) while total Medicaid revenue is $10.8M. The absence of Medicare activity in the feed means analyses should treat Medicaid as the primary payer when evaluating this entity's operational footprint and risk exposure.

    Revenue is highly concentrated in a small set of emergency department evaluation-and-management codes: the precomputed top-3 Medicaid codes account for 68.8% of the provider's total Medicaid revenue. Those top drivers are 99283 ($3.5M, 33.8% of Medicaid revenue), 99284 ($2.8M, 27.5%), and 99285 ($774.2K, 7.5%), indicating a small number of service lines dominate receipts.

    The code mix and claim counts point to an ED-centric operating model: 99283 has 15.2K claims and 99284 has 12.1K claims, which combined with observation billing (G0378, $365.5K) suggests the hospital generates most of its Medicaid revenue from emergency visits and short-term observation care rather than elective inpatient or clinic procedures. High-volume infusion and injection codes (96374, 7.5K claims, $373K) further support the presence of acute-care, ED-driven treatment activity.

    Competitive standing within the state shows relatively strong volume for mid-acuity ED visits but more modest standing for the highest-acuity ED code. 99283 ranks #11 of 66 providers in-state (85th percentile) and 99284 ranks #13 of 76 (84th percentile), indicating above-typical state volume for those middle-acuity ED services, while 99285 ranks #28 of 63 (56th percentile), a middle-of-market position for high-acuity ED encounters.

    Ancillary service mix is consistent with an acute-care emergency facility: imaging codes such as 70450 (CT head, 2.2K claims, $285.9K) and 74177 (CT abdomen/pelvis with contrast, 1.8K claims, $274.2K) appear in the top code list, and monitoring/diagnostic codes like 93005 (7K claims, $125.5K) further reflect ED diagnostic throughput. Observation services (G0378) and frequent medication administrations (96374, 96375, 96372) align with episodic, procedure-driven ED treatment rather than primarily outpatient clinic services.

    Laboratory and infectious-disease testing volumes are notable and include a clear outlier: CBC panels 85027 show 20K claims for $40K and rank #3 of 34 in-state (94th percentile; notably above typical state volume), highlighting very high routine lab throughput. COVID testing U0003 (3.1K claims, $105.8K, 86th percentile) and influenza multiplex testing 87502 (1.8K claims, $43.7K, 89th percentile) also rank above typical state volume, underlining a busy acute-care lab/testing operation that complements ED activity.

    The provider has a long enrollment history—NPI enumerated 2006-05-28 (~20 years ago)—which supports the interpretation of these billing patterns as established rather than transient. Given two decades of enumeration and concentrated Medicaid revenue, the entity appears to operate as an enduring regional acute-care hospital with sustained ED and ancillary service volumes.

    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.

    142 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99283The 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.15,170$230$3.5M
    99284The 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.12,100$230$2.8M
    99285The 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.2,570$300$774.2K
    99282The 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.2,510$170$431.7K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.7,460$50$372.9K
    G0378Hospital observation service, per hour1,330$280$365.5K
    70450The 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.2,170$130$285.9K
    74177The 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.1,770$160$274.2K
    41899Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.380$670$257K
    99281The provider sees a patient for the lowest level emergency department visit.1,110$140$158.9K

    Showing 1–10 of 142

    • 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

    142 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99285The 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.28601,820$150$756.5K
    99284The 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.13802,220$120$745.6K
    99283The 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.11702,540$110$733.8K
    74177The 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.18501,150$230$480.4K
    G0378Hospital observation service, per hour12201,390$190$406.3K
    70450The 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.17501,250$90$224K
    99282The 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.21502,010$80$209.6K
    41899Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.31070$560$204.3K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.15501,240$40$195.1K
    97110Therapeutic 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…591301,320$40$184.3K

    Showing 1–10 of 142

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Hca Health Services Of New Hampshire Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hca Health Services Of New Hampshire IncNHGeneral Acute Care Hospital$0$18.8M
    Jamie KimNHClinical Cardiac Electrophysiology Physician$210.6K$0
    Jinu JohnNHCardiovascular Disease Physician$148.1K$0
    Teimuraz ApridonidzeNHCardiovascular Disease Physician$141.1K$50
    Shannon MehurgNHNuclear Cardiology Physician$135.7K$0
    Vikas VeerannaNHCardiovascular Disease Physician$118.1K$250
    Steven BeaudetteNHCardiovascular Disease Physician$115.9K$0
    Ido PreisMACardiovascular Disease Physician$115.4K$0
    Stephan HeoNHCardiovascular Disease Physician$112.2K$0
    Fahad GilaniNHCardiovascular Disease Physician$111.3K$0

    Nearby Providers

    Other providers in the same ZIP code as Hca Health Services Of New Hampshire Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mental Health Center For Southern New Hampshire IncNHMental Health Clinic/Center (Including Community Mental Health Center)$0$77.7M
    James B. Haas, Dds PANHPediatric Dentistry$0$11.6M
    Tender Care IncorporatedNHHome Health Agency$0$11.4M
    The Granite House Sober Living, LLCNHSubstance Abuse Rehabilitation Facility$0$4.2M
    Derry Medical Center, PANHFamily Medicine Physician$0$2.4M
    Running Brook Emergency Physicians, LLCNHEmergency Medicine Physician$0$1.9M
    Derry Cooperative School DistrictNHLocal Education Agency (LEA)$0$1.4M
    Emergency Medicine Services Of Nh, LLCNHEmergency Medicine Physician$0$1.1M
    Town Of DerryNHAmbulance$377.9K$621.2K
    Derry PediatricsNHPediatrics Physician$0$778.9K

    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
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Hampshire Distribution
    Hca Health Services Of New Hampshire Inc — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire