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, Inc. (NPI 1215988530)

Field	Value
Entity Type	Organization
Organization	Concord Hospital, Inc.
Address	250 Pleasant St
City	Concord
State	NH
ZIP	03301
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 12, 2006

Payer Source	Total Paid
Medicaid	$28.8M
Medicare	$0

Key Findings

CONCORD HOSPITAL, INC. reports no Medicare billing on file and is effectively a single-payer (Medicaid) billing entity in the available data, with total Medicaid revenue of $28.8M. The absence of Medicare revenue means analyses of Medicare payer mix or Medicare-based competitive positioning are not applicable for this facility.

Revenue is highly concentrated in a small set of Medicaid codes: the top three codes (99285, 99284, 74177) account for 45.2% of this provider's total Medicaid revenue. Individually those top codes generate $3.5M (16.4%), $3.4M (15.8%), and $2.8M (13.0%) respectively, indicating core dependence on high-acuity ED care and CT imaging.

The code mix is consistent with a high-volume emergency and diagnostic-imaging center: 99285, 99284, and 99283 are among the largest drivers of revenue, and advanced imaging codes such as 74177, 70450, 71275, 74176 and 71260 also contribute materially. This pattern suggests the hospital’s operations emphasize emergency department throughput and CT imaging services in both ED and outpatient settings.

CONCORD is a major in-state competitor on several Medicaid service lines. It ranks #1 for hospital observation (G0378, 100th percentile) and for initial IV infusion up to one hour (96365, 100th percentile; labeled an "extreme outlier"), and it ranks in the top few providers for ED services (99284 at #3 of 76, 97th percentile) and outpatient clinic visits (G0463 at #2 of 33, 97th percentile). These ranks indicate the hospital is a dominant statewide provider for observation services, infusion throughput, and high-acuity ED encounters.

Several procedure lines show consistently above-typical state volumes beyond ED and CT: infusion/IV administration codes (96361, 96375, 96374) and basic diagnostics/monitoring (93005 ECG, 80053 CMP) are all rated "notably above typical" and rank in the top handful of in-state providers. This supports an operational profile with substantial procedural throughput, infusion capacity, and in-house lab/diagnostic services.

There are specific statistical outliers that signal specialization: 96365 is flagged an "extreme outlier" and ranks #1 of 32 providers, while G0378 ranks #1 of 22 providers (100th percentile) and G0463 ranks #2 (97th percentile). These labels and ranks suggest the hospital’s observation, infusion, and clinic-assessment volumes are far above typical state volumes and are key differentiators versus in-state peers.

The provider also maintains significant lab and infectious-disease testing volume, with PLA code 0202U ranking #1 of 2 providers and U0003 appearing in the top codes; combined with large claim counts for 80053 (54.3K claims) and respiratory/COVID testing, this indicates robust in-house testing capacity supporting both ED and outpatient care pathways.

CONCORD HOSPITAL, INC. has an established operational history in the data set, with its NPI enumerated on 2006-05-12 (~20 years ago), which provides a long-tenured presence in the market; coupled with its concentrated Medicaid revenue base, this longevity suggests entrenched local role but also an exposure to Medicaid volume and reimbursement trends given the lack of Medicare revenue diversification.

Medicaid: Complete Services Breakdown

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

374 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	16,480	$210	$3.5M
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.	22,430	$150	$3.4M
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.	4,760	$580	$2.8M
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.	16,900	$110	$1.8M
G0378	Hospital observation service, per hour	7,760	$160	$1.2M
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.	6,020	$160	$969.9K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	64,690	$10	$646.9K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	1,170	$470	$556K
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	1,370	$400	$553.7K
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.	12,040	$40	$505.8K

Showing 1–10 of 374

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, Inc. — 11 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

374 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.	7	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.	3	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.	8	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.	5	50	1,150	$230	$480.4K
G0378	Hospital observation service, per hour	1	20	1,390	$190	$406.3K
J0585	Injection, onabotulinumtoxina, 1 unit	5	10	930	$390	$354.9K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	74	130	520	$50	$338.8K
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.	4	50	1,250	$90	$224K
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…	52	420	480	$50	$223.9K
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.	14	50	2,010	$80	$209.6K

Showing 1–10 of 374

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Concord Hospital, Inc.	NH	General Practice Physician	$0	$3.7M
Concord Hospital, Inc.	NH	Emergency Medicine Physician	$0	$2.5M
Hoke Shirley	NH	Rheumatology Physician	$407K	$0
Jeffrey Wiley	NH	Orthopaedic Surgery Physician	$317.2K	$0
Stephen Fox	NH	Adult Reconstructive Orthopaedic Surgery Physician	$257.8K	$0
Hussein El-newihi	CA	Gastroenterology Physician	$245K	$0
Douglas Dreffer	NH	Family Medicine Physician	$239.6K	$340
Sebastiano Didato	MA	Vascular Surgery Physician	$228.1K	$0
Lance Klingler	NH	Orthopaedic Hand Surgery Physician	$211.1K	$0
Vercin Ephrem	NH	Internal Medicine Physician	$192.9K	$0

Nearby Providers

Other providers in the same ZIP code as Concord Hospital, 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 Services, Inc	NH	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$52.6M
Ascentria Community Care, Inc	NH	Voluntary or Charitable Agency	$0	$50.3M
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

Concord Hospital, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References