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.

Mid-state Health Center (NPI 1194464982)

Field	Value
Entity Type	Organization
Organization	Mid-state Health Center
Address	6 South Mountain Drive
City	Lincoln
State	NH
ZIP	03251
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	June 1, 2022

Payer Source	Total Paid
Medicaid	$74.7K
Medicare	$0

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
T1015	Clinic visit/encounter, all-inclusive	420	$180	$74.6K
3074F	No Summary found for this code	10	$10	$80
3078F	No Summary found for this code	20	$1	$20
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…	40	$0	$0
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…	70	$0	$0
G0467	Federally 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…	20	$0	$0

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

Mid-state Health Center — 0 of 3 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
T1015	Clinic visit/encounter, all-inclusive	47	80	760	$170	$2M
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…	314	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…	316	400	350	$30	$140.6K
G0467	Federally 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…	33	30	2,420	$10	$39.6K
3078F	No Summary found for this code	11	10	380	$1	$1.8K
3074F	No Summary found for this code	12	10	170	$1	$1.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mid-state Health Center	NH	Federally Qualified Health Center (FQHC)	$0	$5.5M
Mid-state Health Center	NH	Federally Qualified Health Center (FQHC)	$0	$3.3M
Mid-state Health Center	NH	Internal Medicine Physician	$0	$80.7K
Mid-state Health Center	NH	Federally Qualified Health Center (FQHC)	$0	$77.6K
David Fagan	NH	Internal Medicine Physician	$62.1K	$0
Matthew Scagliarini	NH	Physical Therapist	$49.8K	$0
Kathleen Mackay	NH	Physical Therapist	$44.6K	$0
Leesa Conway	NH	Physical Therapist	$36.4K	$0
Pamela Hixon	NH	Occupational Therapist	$30.2K	$0
Devan Rooney	NH	Family Nurse Practitioner	$13.6K	$530

Nearby Providers

Other providers in the same ZIP code as Mid-state Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rodney A Felgate Md	NH	Family Medicine Physician	$0	$237.1K
Rodney Felgate	NH	Family Medicine Physician	$132.8K	$460
Lincoln Pediatric Dentistry	NH	Health Maintenance Organization	$0	$54.8K

Mid-state Health Center — Billing Profile & Reimbursement Data

Sign up for Mid-state Health Center — Billing Profile & Reimbursement Data policy alerts

Mid-state Health Center — Billing Profile & Reimbursement Data

Sign up for Mid-state Health Center — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References