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.

Sau 56 (NPI 1295941680)

Field	Value
Entity Type	Organization
Organization	Sau 56
Address	51 W High St
City	Somersworth
State	NH
ZIP	03878
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	May 15, 2007

Payer Source	Total Paid
Medicaid	$728.1K
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	21,620	$30	$562K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	4,300	$10	$51.6K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	7,370	$10	$51.6K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	8,580	$1	$34.3K
A0425	Ground mileage, per statute mile	1,850	$10	$14.8K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	160	$50	$8.4K
97799	Use 97799 to report procedures related to physical medicine or rehabilitation services that do not have a specific code.	480	$10	$5.3K

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

Sau 56 — 0 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	35	100	12,410	$20	$539.2K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	48	130	2,640	$40	$208.1K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	41	200	1,650	$20	$108.5K
A0425	Ground mileage, per statute mile	61	130	1,690	$20	$60.2K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	32	100	4,780	$1	$28.7K
97799	Use 97799 to report procedures related to physical medicine or rehabilitation services that do not have a specific code.	24	30	1,210	$10	$23.3K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	21	50	100	$40	$22K

Nearby Providers

Other providers in the same ZIP code as Sau 56, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Greater Seacoast Community Health	NH	Federally Qualified Health Center (FQHC)	$0	$21.2M
Strafford Nutrition & Meals On Wheels	NH	Home Health Agency	$0	$1.8M
Gregory Aprilliano	NH	Certified Registered Nurse Anesthetist	$0	$478K
Wentworth Surgery Center, LLC	NH	Ambulatory Surgical Clinic/Center	$406.2K	$0
Roger Epstein	NH	Gastroenterology Physician	$347.8K	$0
Sean Lynch	NH	Gastroenterology Physician	$320.2K	$0
Ira Parsons	NH	Orthopaedic Surgery Physician	$318.8K	$0
Atlantic Digestive Specialists, PLLC	NH	Gastroenterology Physician	$0	$312.2K
Aristotle Damianos	NH	Gastroenterology Physician	$273.2K	$0
Robert Ruben	NH	Specialist	$201.4K	$0

Sau 56 — Billing Profile & Reimbursement Data

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Sau 56 — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References