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.

Paradigm Clinical Associates LLC (NPI 1285889378)

Key Findings

Field	Value
Entity Type	Organization
Organization	Paradigm Clinical Associates LLC
Address	4 West Rd
City	Stratham
State	NH
ZIP	03885
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	November 18, 2008

Payer Source	Total Paid
Medicare	$547.5K
Medicaid	$0

PARADIGM CLINICAL ASSOCIATES LLC operates as an Ambulatory Surgical Clinic/Center and its Medicare billing is concentrated in ophthalmology and GI endoscopy: 66984 (cataract extraction with intraocular lens) generated $290.7K revenue, 45385 (colonoscopy with polypectomy) generated $83.7K revenue, and G0105 (high‑risk screening colonoscopy) generated $33.3K revenue. These three codes are the practice’s primary service lines and together account for a precomputed 74.5% share of the provider’s total Medicare revenue, which totals $547.5K over the provider’s lifetime.

The provider’s payer mix is effectively single‑payer: Medicare lifetime revenue is $547.5K and there is no Medicaid billing on file (none below). That concentration means operational and reimbursement exposure is heavily tied to Medicare volume and policy rather than a diversified public‑payer mix.

Revenue concentration is high: the top three Medicare codes account for 74.5% of this provider’s Medicare revenue, with 66984 alone representing $290.7K (53.1% of Medicare revenue). This level of concentration indicates that the business economics of the clinic are driven mainly by a small number of high‑revenue outpatient procedures rather than a broad procedure mix.

Competitive standing by code shows above‑median activity in endoscopy but not national dominance: 45385 ranks #1688 of 16310 (90th percentile) and G0105 ranks #1065 of 8773 (88th percentile), indicating relatively elevated colonoscopy activity versus national peers, while 66984 ranks #3736 of 15965 (77th percentile). Each of these three codes is characterized in the peer data as "typical, unremarkable volume for this code," so the provider appears to be a meaningful regional participant in colonoscopy and a solid but not dominant player in cataract surgery.

The clinic bills a small number of orthopedic arthroscopy procedures alongside its ophthalmology and GI work: 29827 shows 12 claims and $28.7K revenue (5.2% of Medicare revenue) with a $2392 avg paid/claim, while 29880 and 29881 contribute smaller amounts. These arthroscopy codes have lower national rank percentiles (29827 at the 9th percentile, 29880 at the 45th percentile, 29881 at the 0th percentile) and are described as "typical, unremarkable volume for this code," suggesting intermittent orthopedic cases rather than a core, high‑volume service line.

Payer/unit economics show differentiated reimbursement by service: 29827 has a $2392 avg paid/claim compared with $860 avg paid/claim for 66984 and $465 avg paid/claim for 45385, so while arthroscopy claims are fewer, each contributes comparatively more revenue per claim. However, because arthroscopy volume is low, its aggregate contribution ($28.7K) remains far below the top cataract and colonoscopy codes.

The provider has an established NPI tenure (NPI enumerated 2008-11-18 (~18 years ago)), signaling a long‑standing presence in the market; despite that tenure, lifetime Medicare revenue is modest at $547.5K, which aligns with a small ambulatory surgical center rather than a large regional surgical system.

Operational and market implications include a concentrated revenue base and limited public‑payer diversification: the absence of Medicaid billing (none below) reduces exposure to that payer but also indicates limited access to or contracts with Medicaid populations, and the clinic’s small absolute Medicare revenue suggests opportunities or vulnerabilities if volumes for the top codes shift.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	340	$860	$290.7K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	180	$470	$83.7K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	80	$430	$33.3K
29827	The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…	10	$2,390	$28.7K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	110	$240	$26.1K
29880	In this procedure, the provider performs arthroscopic examination of the knee joint. She removes the damaged and torn meniscus from the medial and lateral compartments of the knee joint along with…	20	$1,070	$17.2K
66982	The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…	20	$580	$12.7K
29881	The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by removing the meniscus, a crescent shaped cartilage cushion, from either the medial or lateral…	10	$1,080	$11.8K
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	30	$430	$11.2K
43249	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and dilates (widens) the esophagus with a balloon less than 30 mm in diameter.	20	$600	$10.9K

Showing 1–10 of 13

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Convenientmd LLC	NH	Urgent Care Clinic/Center	$0	$1.2M
Brienne Cressey	NH	MOHS-Micrographic Surgery Physician	$1.2M	$0
James Dolan	NH	Podiatrist	$251.8K	$0
Yvette Youssef	NH	Internal Medicine Physician	$218.1K	$0
Jacqueline Watts	NH	Physician Assistant	$203.8K	$0
Cvs Manchester Nh, L.L.C.	NH	Pharmacy	$186.3K	$0
Megan Metheny	NH	Nurse Practitioner	$148.6K	$0
Gavin Little	NH	Internal Medicine Physician	$40.9K	$88.9K
Mini Mahata	NH	Endocrinology, Diabetes & Metabolism Physician	$104.6K	$0
Daniel Thomas	NH	Physical Therapist	$96.8K	$0

Paradigm Clinical Associates LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	18	60	220	$310	$144.6K
66982	19	30	30	$660	$26.5K
45385	17	100	80	$250	$26.5K
29827	20	20	20	$1,160	$24.4K
29881	12	10	20	$790	$13.5K
29880	2	10	10	$840	$11.7K
45380	72	90	50	$150	$10.7K
G0105	10	60	30	$230	$9.4K
43239	15	90	70	$100	$7.7K
G0121	23	50	20	$240	$6.2K