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.

Laconia Cardiology (NPI 1245205046)

Field	Value
Entity Type	Organization
Organization	Laconia Cardiology
Address	369 Hounsell Avenue
City	Gilford
State	NH
ZIP	03249
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	February 23, 2006

Payer Source	Total Paid
Medicaid	$55.2K
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 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…	1,660	$30	$44.7K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	150	$30	$4.3K
G2066	Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system,…	480	$10	$2.9K
93294	The provider, a physician or other qualified health care professional, remotely analyzes, for a period up to 90 days, the function of a single, dual, multiple lead, or leadless pacemaker system,…	200	$10	$2K
93297	The provider, who is a physician or other qualified healthcare professional, evaluates the physiologic data from the implantable physiologic cardiovascular monitoring system during a period of up 30…	70	$10	$590
99443	N/A	30	$10	$340
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…	30	$10	$330
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	70	$1	$140
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	90	$0	$0
G8752	Most recent systolic blood pressure < 140 mmhg	70	$0	$0

Showing 1–10 of 13

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

Laconia Cardiology — 1 of 8 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

13 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…	136	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…	343	400	350	$30	$140.6K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	24	40	280	$80	$107.4K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	39	50	650	$1	$26.7K
G2066	Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system,…	1	10	210	$10	$2.3K
99443	N/A	16	20	80	$1	$1.9K
93294	The provider, a physician or other qualified health care professional, remotely analyzes, for a period up to 90 days, the function of a single, dual, multiple lead, or leadless pacemaker system,…	2	10	40	$10	$1.2K
93297	The provider, who is a physician or other qualified healthcare professional, evaluates the physiologic data from the implantable physiologic cardiovascular monitoring system during a period of up 30…	2	10	90	$10	$630
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	13	20	130	$0	$0
G8752	Most recent systolic blood pressure < 140 mmhg	1	10	70	$0	$0

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mary-claire Paicopolis	NH	Cardiovascular Disease Physician	$277.5K	$0

Nearby Providers

Other providers in the same ZIP code as Laconia Cardiology, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Dentistry Of The Lakes Region, PLLC	NH	Dentist	$0	$16.7M
Douglas Scott	NH	Ophthalmology Physician	$500.8K	$0
Horizons Counseling Center, Inc.	NH	Community/Behavioral Health Agency	$0	$263.5K
Bahder Behavioral Services LLC	NH	Psychiatry Physician	$0	$254.5K
David Parisi	NH	Clinical Social Worker	$11.2K	$175.4K
Cvs Manchester Nh, L.L.C.	NH	Pharmacy	$163.8K	$0
Stephen Catalano	NH	Clinical Child & Adolescent Psychologist	$0	$145.4K
Andrew Garfinkle	NH	Ophthalmology Physician	$143.8K	$0
Town Of Gilford	NH	Land Ambulance	$130.8K	$1.8K
Wal-mart Stores East LP	NH	Community/Retail Pharmacy	$100.4K	$0

Laconia Cardiology — Billing Profile & Reimbursement Data

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Laconia Cardiology — 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