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.

Elliot Professional Services (NPI 1285627935)

Key Findings

Field	Value
Entity Type	Organization
Organization	Elliot Professional Services
Address	1070 Holt Ave
City	Manchester
State	NH
ZIP	03109
Taxonomy	Internal Medicine Physician
NPI Enumerated	August 29, 2005

Payer Source	Total Paid
Medicaid	$12.8M
Medicare	$0

This entity is effectively a single‑payer Medicaid operation: there is no Medicare billing on file and total Medicaid revenue is $12.8M. The provider’s NPI was enumerated on 2005-08-29 (~21 years ago), indicating long tenure in the billing system which can support sustained relationships with state Medicaid programs.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 60.2% of this provider’s total Medicaid revenue, driven by 99214 ($2.7M, 21.7%), 99285 ($2.4M, 19.6%), and 99213 ($2.3M, 18.8%). That level of concentration around a small set of E/M codes signals that a handful of service lines generate the majority of reimbursement.

The code mix points to a blended practice model emphasizing ambulatory evaluation & management and emergency/inpatient care: high-volume E/M codes such as 99214, 99213, 99285, 99284 and 99232 appear near the top by revenue. At the same time, significant dental extraction codes (D7210 $753.1K and D7140 $453.2K) and procedure codes for imaging and diagnostics indicate the provider’s billed services span beyond a pure internal medicine office practice into dental procedural and diagnostic imaging activity.

Statewide competitive standing for key E/M codes is dominant: 99214 ranks #4 of 416 providers in-state (99th percentile; extreme outlier), 99285 ranks #2 of 63 (98th percentile; extreme outlier), and 99213 ranks #4 of 395 (99th percentile; extreme outlier). Additionally, 99232 ranks #1 of 52 providers in-state (100th percentile; extreme outlier), which together portray the provider as a major volume player in several high-revenue Medicaid E/M categories within New Hampshire.

Diagnostic and imaging volumes are notable and contribute nontrivial revenue: 93010 (45.5K claims, $182K revenue) ranks #2 of 52 in-state (98th percentile; notably above typical state volume), and other imaging codes such as 93306 ($83.1K), 77067 ($97.6K), and 77063 ($55.9K) also rank near the top statewide. These patterns suggest established workflows and throughput for routine ECGs, echo services, mammography/tomosynthesis and related diagnostic imaging under Medicaid.

The presence of specialty and cross‑discipline codes such as 99480 (neonatal care, $112.6K, #1 of 2 providers, 100th percentile), 76816 (follow‑up fetal ultrasound, $49.5K, #2 of 21, 95th percentile), and psychotherapy 90834 ($55.7K) implies a broader service footprint that includes perinatal and behavioral health elements. Given the provider taxonomy of Internal Medicine Physician, this mix either reflects multi‑service operations or affiliations that bill under this NPI for a wider set of clinical services.

Not all activity is uniformly extreme — some codes show typical statewide volumes, for example 99283 ranks #25 of 66 (63rd percentile; typical, unremarkable volume) and several dental and OB imaging codes are characterized as typical or only notably above typical. This indicates pockets of ordinary volume alongside very large outlier concentrations, pointing to operational heterogeneity across service lines.

From a payer perspective, the provider’s heavy reliance on Medicaid ($12.8M) and the concentration of 60.2% of Medicaid revenue in three E/M codes create both risk and leverage: changes in Medicaid policy or reimbursement for those high‑volume codes could materially affect revenue, while the provider’s documented statewide dominance for those codes could be a basis for targeted contracting or utilization reviews.

Medicaid: Complete Services Breakdown

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

96 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…	58,140	$50	$2.7M
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.	32,620	$70	$2.4M
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…	64,450	$40	$2.3M
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.	27,170	$60	$1.5M
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	6,380	$120	$753.1K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	28,140	$20	$506.5K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	5,210	$90	$453.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	3,410	$60	$218.1K
D0140	Limited oral evaluation – problem focused	4,710	$50	$211.9K
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.	4,850	$40	$189K

Showing 1–10 of 96

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

Elliot Professional Services — 12 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

96 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.	2	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.	2	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.	25	70	2,540	$110	$733.8K
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…	40	130	520	$50	$338.8K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	192	190	500	$70	$286.7K
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…	4	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.	45	50	2,010	$80	$209.6K
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…	4	400	350	$30	$140.6K
D7240	N/A	5	10	350	$240	$131K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	2	20	300	$100	$112.8K

Showing 1–10 of 96

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maxwell Elia	NH	Ophthalmology Physician	$2.3M	$0
Ahad Fazelat	NH	Ophthalmology Physician	$2.1M	$0
Anthony Correnti	NH	Ophthalmology Physician	$1.5M	$0
Gina Divenuti	NH	Hematology & Oncology Physician	$1M	$0
Josy Mathew	NH	Hematology & Oncology Physician	$452.4K	$0
Peter Crow	NH	Hematology & Oncology Physician	$415.1K	$0
Michael Buff	NH	Hematology & Oncology Physician	$387.2K	$0
Kimberly Licciardi	NH	Ophthalmology Physician	$331.8K	$0
Jason Hall	NH	Ophthalmology Physician	$295.7K	$0
Stephen Moyer	NH	Dermatology Physician	$287.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Elliot Physicians Network	NH	Family Medicine Physician	$0	$4.8M
Rehabilitation Equipment Associates Inc	NH	Durable Medical Equipment & Medical Supplies	$0	$4.4M
Vna Home Health & Hospice Services, Inc.	NH	Home Health Agency	$0	$3M
Vna Personal Services Inc	NH	Home Health Agency	$0	$1.9M
Birch Behavioral Therapy LLC	NH	Behavior Analyst	$0	$1M
Elliot Hospital Of The City Of Manchester	NH	Durable Medical Equipment & Medical Supplies	$0	$381.9K
Amoskeag Health	NH	Federally Qualified Health Center (FQHC)	$0	$293.9K
4u Case Management	NH	Case Management Agency	$0	$181K
Cvs Manchester Nh, L.L.C.	NH	Pharmacy	$180.4K	$0
Maxi Drug North Inc	NH	Community/Retail Pharmacy	$130.2K	$40

Elliot Professional 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

Related Providers

Nearby Providers

Frequently Asked Questions

References