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.

Monadnock Developmental Services (NPI 1275672057)

Field	Value
Entity Type	Organization
Organization	Monadnock Developmental Services
Address	121 Railroad St
City	Keene
State	NH
ZIP	03431
Taxonomy	Child Intellectual and/or Developmental Disabilities Respite Care
NPI Enumerated	February 6, 2007

Payer Source	Total Paid
Medicaid	$184M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports Total Medicaid revenue: $184M, effectively making its paid-service footprint Medicaid‑centric rather than dual‑payer. Analysts should treat its commercial/Medicare exposure as negligible for competitive comparisons because all material billing and risk are concentrated in Medicaid programs.

Revenue concentration is high: the precomputed top 3 Medicaid codes by revenue account for 84.5% of this provider's total Medicaid revenue. Those three codes are T1020 (52.3% of Medicaid revenue), T2021 (20.8%), and T2025 (11.4%), so the business depends heavily on a small set of service lines for the majority of receipts.

The code mix indicates an operational focus on community‑based direct services and waiver programs. T1020 (Personal care services) accounts for $96.3M in revenue with a $319 avg paid/claim, indicating large-scale, per‑diem direct care operations; T2021 (Day habilitation) adds $38.2M with a $182 avg paid/claim, reflecting substantial day‑program activity; and T2025 (Waiver services NOS) contributes $20.9M with a high $1534 avg paid/claim, consistent with fewer but higher‑value waiver encounters.

State competitive standing is mixed by line: for high-volume personal care and day habilitation the provider is an upper‑tier participant but not the statewide leader (T1020 ranks #7 of 41, 85th percentile; T2021 ranks #7 of 39, 84th percentile). By contrast, the provider is a clear leader in targeted case management (T2023 ranks #1 of 11 and is noted as notably above typical state volume) and holds a strong position in supported employment (H2023 ranks #3 of 29, 93rd percentile).

Although most revenue is concentrated in three codes, the provider maintains meaningful case management and coordination capacity: T2022 (Case management, per month) produced $6.9M (3.7% of Medicaid revenue) and T2023 (Targeted case management, per month) produced $6.7M (3.6% of Medicaid revenue). The prominence of T2023 as the #1 state provider suggests specialized capability in targeted case management that complements its direct care and day‑program operations.

Claims and payment patterns show a high‑volume, low‑unit‑value profile in core services alongside a smaller number of high‑unit‑value waiver encounters. T1020 generated 301.8K claims and T2021 generated 209.9K claims, reflecting large unit volumes, while T2025 appears in only 13.6K claims but with a $1534 avg paid/claim, indicating episodic high‑value service events within the waiver portfolio.

The provider’s service footprint extends beyond core personal care and day habilitation into supported employment, evaluation/treatment teams, and community support lines. H2023 produced $7M (3.8% of Medicaid revenue), T1024 produced $4.2M (2.3%), and H2015 produced $2.5M (1.4%), showing breadth across employment support and coordinated treatment offerings in addition to respite (T1005, $1.1M, 0.6% of revenue).

This NPI has an established presence — NPI enumerated on 2007-02-06 (~19 years ago) — suggesting long tenure in the state market. That longevity, combined with top‑tier rankings in several specialized codes and a concentrated revenue base, makes the provider a mature, Medicaid‑focused operator whose risk and growth sensitivity will be driven primarily by changes to waiver and personal‑care program policies.

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	301,840	$320	$96.3M
T2021	Day habilitation, waiver; per 15 minutes	209,940	$180	$38.2M
T2025	Waiver services; not otherwise specified (nos)	13,630	$1,530	$20.9M
H2023	Supported employment, per 15 minutes	55,040	$130	$7M
T2022	Case management, per month	26,720	$260	$6.9M
T2023	Targeted case management; per month	27,470	$240	$6.7M
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	16,790	$250	$4.2M
H2015	Comprehensive community support services, per 15 minutes	31,740	$80	$2.5M
T1005	Respite care services, up to 15 minutes	15,940	$70	$1.1M
T1016	Case management, each 15 minutes	540	$310	$163.2K

Showing 1–10 of 11

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

Monadnock Developmental Services — 1 of 11 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

11 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…	7	40	14,020	$330	$32.2M
T2025	Waiver services; not otherwise specified (nos)	9	10	20,960	$1,140	$26.7M
T2021	Day habilitation, waiver; per 15 minutes	7	40	11,650	$170	$12.7M
T1016	Case management, each 15 minutes	25	30	35,170	$170	$12.5M
T2022	Case management, per month	7	20	4,510	$240	$3.5M
T2023	Targeted case management; per month	1	10	10,730	$230	$3.2M
H2023	Supported employment, per 15 minutes	3	30	11,450	$120	$2.3M
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	4	20	10,250	$240	$2.2M
T1005	Respite care services, up to 15 minutes	8	10	18,880	$90	$1.6M
H2015	Comprehensive community support services, per 15 minutes	6	30	10,280	$90	$1.5M

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Monadnock Developmental Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Monadnock Family Services	NH	Community/Behavioral Health Agency	$0	$47.8M
Residential Resources Of Maine	NH	Community/Behavioral Health Agency	$0	$40.1M
Live Free Recovery Services, LLC	NH	Substance Abuse Rehabilitation Facility	$0	$19.1M
Cheshire Medical Center	NH	Medicare Defined Swing Bed Hospital Unit	$0	$8.7M
Chesco	NH	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$8.1M
County Of Cheshire	NH	Case Manager/Care Coordinator	$0	$7.7M
Montshire Pediatric Dentistry, PC	NH	Pediatric Dentistry	$0	$7.1M
Monadnock Collaborative	NH	Case Management Agency	$0	$5.6M
Cheshire Medical Center	NH	Family Medicine Physician	$0	$4.6M
Blake C Wullbrandt	NH	Pediatric Dentistry	$0	$3.5M

Monadnock Developmental Services — Billing Profile & Reimbursement Data

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Monadnock Developmental Services — 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