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    OpenPayerNPI Medicare & MedicaidAmoskeag Health
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    Amoskeag Health — Billing Profile & Reimbursement Data

    NPI 1295112530 · Manchester, NH · Federally Qualified Health Center (FQHC)

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    Amoskeag Health is a federally qualified health center (fqhc) provider located in Manchester, New Hampshire. This profile covers 0 Medicare and 63 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationAmoskeag Health
    Address1245 Elm St
    CityManchester
    StateNH
    ZIP03101
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedMay 6, 2015

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$11.6M
    Medicare$0

    Key Findings

    No Medicare billing on file for this NPI; the provider reports $11.6M in lifetime Medicaid revenue and is effectively a Medicaid-focused FQHC. The NPI was enumerated 2015-05-06 (~11 years ago), indicating an established Medicaid billing presence without parallel Medicare activity on file.

    Revenue is highly concentrated in a single code set: the precomputed top 3 Medicaid codes account for 99.0% of this provider’s Medicaid revenue, and T1015 alone represents $11.3M (97.8% of total Medicaid revenue) across 65.1K claims at an average paid/claim of $174. This concentration signals heavy dependence on the FQHC all-inclusive clinic visit revenue stream for overall financials.

    T1015 (Clinic visit/encounter, all-inclusive) dominance aligns with the FQHC taxonomy—this billing mix is consistent with high-throughput, bundled primary care encounters that capture a broad set of outpatient services in one claim. The combination of a large claim volume (65.1K claims) and an all-inclusive clinic visit code suggests the organization operates primarily as a comprehensive outpatient primary-care safety-net provider.

    Vaccination activity is an important operational feature: 90460 shows 13.1K claims and $26.3K in revenue and ranks #1 of 62 providers in-state (100th percentile; extreme outlier), while 90461 also ranks #1 of 42 providers in-state (100th percentile). These extreme outlier ranks and large claim counts for pediatric/adolescent vaccine codes indicate an unusually large immunization throughput—consistent with substantial pediatric and preventive services capacity within the FQHC.

    The provider offers vision and optical services in addition to core primary care: codes such as 92015 (2.6K claims, $18.2K, rank #20 of 128, 85th percentile), 92340 (541 claims, $10.3K), 92014 (3.1K claims, $6.2K) and several V-codes for lenses/frames appear on the list. This pattern indicates an integrated service model that bundles primary care with vision screening, fittings, and eyewear sales for Medicaid patients.

    Behavioral health services are present but represent a small share of revenue: psychotherapy codes 90832 (8.4K claims, $8.4K, rank #11 of 96, 89th percentile) and 90834 (2.8K claims, $5.5K) appear with large claim counts but low average paid/claim, suggesting high encounter volume with low per-claim reimbursement for mental health visits within the FQHC model.

    Competitive standing by code shows the organization is a major in-state player for its highest-volume services: T1015 ranks #4 of 81 providers in-state (96th percentile; notably above typical state volume), while several immunization codes occupy top ranks (100th percentile or top quartile), indicating leadership in preventive vaccination delivery compared with peers. For other codes such as G0467 and many vision/behavioral codes, the provider sits in mid-to-high percentiles but is not dominant.

    Payer and payment profile: the Medicaid mix consists of high-volume, low-dollar services—T1015 average paid/claim is $174 while many high-count vaccination and behavioral codes report $1–$28 average paid/claim. This combination produces a revenue base concentrated in bundled visit payments rather than high-fee procedures, which has implications for margin sensitivity to visit volume and reimbursement rate changes.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    63 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive65,070$170$11.3M
    T1027Family training and counseling for child development, per 15 minutes8,840$10$106.1K
    90460In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.13,130$1$26.3K
    92015The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.2,600$10$18.2K
    T1023Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter100$150$15.9K
    92340Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal540$20$10.3K
    G0467Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…690$20$10.3K
    90832In 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…8,420$1$8.4K
    90461In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…6,830$1$6.8K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…3,120$1$6.2K

    Showing 1–10 of 63

    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.

    Full comparison — all codes billed, vs. New Hampshire median

    63 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive480760$170$2M
    90847A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…2530600$90$719.5K
    T1027Family training and counseling for child development, per 15 minutes10302,010$80$516.4K
    90834In 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…25130520$50$338.8K
    90837In 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…191190500$70$286.7K
    99214The 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…93420480$50$223.9K
    99213The 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…30400350$30$140.6K
    90853Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…26301,020$30$113.7K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.5170140$90$100.8K
    90832In 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…11100610$30$93.8K

    Showing 1–10 of 63

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Amoskeag HealthNHFederally Qualified Health Center (FQHC)$0$20.2M
    Amoskeag HealthNHFederally Qualified Health Center (FQHC)$0$6.3M
    Amoskeag HealthNHFederally Qualified Health Center (FQHC)$0$3.1M
    Amoskeag HealthNHFederally Qualified Health Center (FQHC)$0$529.2K
    Amoskeag HealthNHFederally Qualified Health Center (FQHC)$0$480.4K
    Amoskeag HealthNHFederally Qualified Health Center (FQHC)$0$321.5K
    Amoskeag HealthNHFederally Qualified Health Center (FQHC)$0$293.9K
    Amoskeag HealthNHFederally Qualified Health Center (FQHC)$0$178.6K
    Amoskeag HealthNHFederally Qualified Health Center (FQHC)$0$144.9K
    Amoskeag HealthNHFederally Qualified Health Center (FQHC)$0$144.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Siddharth Services, Inc.NHFoster Care Agency$0$23.8M
    WaypointNHCommunity/Behavioral Health Agency$0$20.8M
    Crotched Mountain Community CareNHCase Management Agency$0$20.6M
    Community Integrated Services, IncNHCommunity/Behavioral Health Agency$0$17M
    Northeast Family Services Of New Hampshire, Inc.NHCommunity/Behavioral Health Agency$0$15.4M
    Independent Services Network, Inc.NHCommunity/Behavioral Health Agency$0$14M
    Habit Opco, LLCNHMethadone Clinic$539.9K$4.3M
    Impress Healthcare CorporationNHIn Home Supportive Care Agency$0$3.1M
    Economy VisionNHOptometrist$0$2.2M
    Elliot 1 Day Surgery CenterNHAmbulatory Surgical Clinic/Center$706.4K$651.9K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. New Hampshire Providers
    1 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Hampshire Distribution
    Amoskeag Health — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire