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.

Ascentria Community Services, Inc (NPI 1174769384)

Field	Value
Entity Type	Organization
Organization	Ascentria Community Services, Inc
Address	261 Sheep Davis Road
City	Concord
State	NH
ZIP	03301
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	December 18, 2008

Payer Source	Total Paid
Medicaid	$52.6M
Medicare	$0

Key Findings

ASCENTRIA COMMUNITY SERVICES, INC is effectively a Medicaid-focused provider: there is no Medicare billing on file and the organization reported $52.6M in lifetime Medicaid revenue, indicating single-payer concentration in Medicaid for this entity. The NPI was enumerated on 2008-12-18 (~18 years ago), so this represents an established provider with a long operational tenure in the state market.

Revenue is highly concentrated in a small set of per-diem residential and personal-care codes: the top 3 Medicaid codes by revenue account for 90.4% of this provider's total Medicaid revenue, driven by T2016, H0019, and T1020. Those three codes together form the backbone of the business model and account for the majority of billed Medicaid dollars.

T2016 (Habilitation, residential, waiver; per diem) is the single largest line: 8.5K claims, $2988 avg paid/claim, $25.5M revenue (48.5% of this provider's total Medicaid revenue), and the provider ranks #2 of 3 in-state (50th percentile; typical, unremarkable volume for this code). This suggests a core focus on residential habilitation/waiver placements at per-diem reimbursement levels.

H0019 (Behavioral health; long-term residential, without room and board, per diem) is the second-largest line with 14.1K claims, $984 avg paid/claim, $13.8M revenue (26.3% of this provider's total Medicaid revenue), and a statewide ranking of #2 of 13 (92th percentile; typical, unremarkable volume for this code). The high percentile for H0019 indicates a relatively strong placement in long-term residential behavioral health compared with peers, reinforcing the provider’s emphasis on extended residential care.

T1020 (Personal care services, per diem) contributes a meaningful share as the third-largest line: 14K claims, $588 avg paid/claim, $8.2M revenue (15.7% of this provider's total Medicaid revenue) and ranks #21 of 41 in-state (50th percentile; typical, unremarkable volume for this code). This placement suggests ASCENTRIA delivers substantial per-diem personal care services alongside its residential habilitation offerings but is not dominant among statewide personal-care providers.

H2015 (Comprehensive community support services, per 15 minutes) appears as a significant complementary service stream with 45.4K claims, $107 avg paid/claim, $4.9M revenue (9.2% of this provider's total Medicaid revenue) and ranks #3 of 27 in-state (92th percentile; notably above typical state volume for this code). This indicates the provider bills substantial time-based community support services in addition to per-diem residential care, positioning it above typical state volume for that service line.

Lower-volume behavioral and rehabilitation codes are minimally represented: H2017 (Psychosocial rehabilitation services) produced 2.2K claims, $77 avg paid/claim, $170K revenue (0.3% of total) and ranks #90 of 99 (9th percentile), while H0004 (Behavioral health counseling and therapy) generated 46 claims, $62 avg paid/claim, $2.9K revenue (0.0% of total) and ranks #63 of 67 (6th percentile). These low rankings imply limited activity in short-interval psychosocial rehab and standard counseling billing lines relative to peers.

Taken together, the code mix — heavy per-diem habilitation and long-term residential billing supplemented by above-typical community support services — paints ASCENTRIA as a facility-oriented provider focused on long-stay residential and waiver-based care rather than outpatient counseling or short-interval psychosocial rehabilitation services. The provider’s statewide competitive posture is mixed: strong in certain long-term residential/community-support niches (high percentiles for H0019 and H2015) but only typical or modest in T2016 and T1020 compared with in-state peers.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	8,540	$2,990	$25.5M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	14,060	$980	$13.8M
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…	14,020	$590	$8.2M
H2015	Comprehensive community support services, per 15 minutes	45,370	$110	$4.9M
H2017	Psychosocial rehabilitation services, per 15 minutes	2,210	$80	$170K
H0004	Behavioral health counseling and therapy, per 15 minutes	50	$60	$2.9K

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

Ascentria Community Services, Inc — 0 of 6 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

6 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…	21	40	14,020	$330	$32.2M
T2016	Habilitation, residential, waiver; per diem	2	10	8,540	$1,550	$19.7M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	2	10	5,180	$1,400	$17.7M
H2015	Comprehensive community support services, per 15 minutes	3	30	10,280	$90	$1.5M
H2017	Psychosocial rehabilitation services, per 15 minutes	90	100	12,410	$20	$539.2K
H0004	Behavioral health counseling and therapy, per 15 minutes	63	70	1,260	$80	$202.1K

Nearby Providers

Other providers in the same ZIP code as Ascentria Community Services, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Bridges	NH	Case Management Agency	$0	$265.5M
Riverbend Community Mental Health, Inc.	NH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$118.4M
Granite State Independent Living	NH	In Home Supportive Care Agency	$0	$74.7M
Ascentria Community Care, Inc	NH	Voluntary or Charitable Agency	$0	$50.3M
Concord Hospital, Inc.	NH	General Acute Care Hospital	$0	$28.8M
Concord Pediatric Dentistry	NH	Pediatric Dentistry	$0	$13.6M
New England Life Care, Inc.	NH	Home Infusion Therapy Pharmacy	$0	$11.4M
New Hampshire Home Care Providers LLC	NH	In Home Supportive Care Agency	$0	$11M
Brain Injury Association Of Nh	NH	Case Management Agency	$0	$11M
Metro Treatment Of New Hampshire, LP	NH	Methadone Clinic	$404K	$10.4M

Ascentria Community Services, Inc — Billing Profile & Reimbursement Data

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Ascentria Community Services, Inc — 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