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.

Atlantic Digestive Specialists, PLLC (NPI 1316048069)

Atlantic Digestive Specialists, PLLC is a gastroenterology physician provider located in Somersworth, New Hampshire. This profile covers 0 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Atlantic Digestive Specialists, PLLC
Address	21 Clark Way
City	Somersworth
State	NH
ZIP	03878
Taxonomy	Gastroenterology Physician
NPI Enumerated	September 26, 2006

Payer Source	Total Paid
Medicaid	$312.2K
Medicare	$0

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	5,790	$20	$133.1K
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…	2,620	$40	$102.3K
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.	1,220	$50	$64.5K
99204	The provider sees a new 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 provider…	90	$50	$4.1K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	30	$110	$3.2K
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…	80	$20	$1.4K
43235	The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.	20	$60	$1.1K
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	$50	$860
99442	N/A	110	$10	$640
99242	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a straightforward level of medical decision making or the…	10	$40	$550

Showing 1–10 of 12

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

Atlantic Digestive Specialists, PLLC — 0 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	117	420	480	$50	$223.9K
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…	68	400	350	$30	$140.6K
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.	4	30	210	$200	$104.6K
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…	41	50	490	$20	$65.9K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	15	20	70	$230	$39K
99204	The provider sees a new 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 provider…	53	110	90	$80	$31.3K
99242	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a straightforward level of medical decision making or the…	4	10	30	$40	$8.2K
99443	N/A	15	20	80	$1	$1.9K
99442	N/A	7	30	70	$1	$1.3K
43235	The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.	1	10	20	$60	$1.1K

Showing 1–10 of 12

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
Sau 56	NH	Local Education Agency (LEA)	$0	$728.1K
Gregory Aprilliano	NH	Certified Registered Nurse Anesthetist	$0	$478K
Wentworth Surgery Center, LLC	NH	Ambulatory Surgical Clinic/Center	$406.2K	$0
Ira Parsons	NH	Orthopaedic Surgery Physician	$318.8K	$0
Tri City Counseling	NH	Multi-Specialty Clinic/Center	$0	$198.6K
Joseph Konopka	NH	Orthopaedic Surgery Physician	$174.9K	$0
David Thut	NH	Sports Medicine (Orthopaedic Surgery) Physician	$163.2K	$0
Adam Fleit	NH	Orthopaedic Hand Surgery Physician	$131.2K	$0

Atlantic Digestive Specialists, PLLC — Billing Profile & Reimbursement Data

Sign up for Atlantic Digestive Specialists, PLLC — Billing Profile & Reimbursement Data policy alerts

Atlantic Digestive Specialists, PLLC — Billing Profile & Reimbursement Data

Sign up for Atlantic Digestive Specialists, PLLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Roger Epstein	NH	Gastroenterology Physician	$347.8K	$0
Sean Lynch	NH	Gastroenterology Physician	$320.2K	$0
Aristotle Damianos	NH	Gastroenterology Physician	$273.2K	$0
Robert Ruben	NH	Specialist	$201.4K	$0
William Maher	NH	Gastroenterology Physician	$200.3K	$0
Brian Hyett	NH	Internal Medicine Physician	$189.8K	$0
Shelby Menard	NH	Nurse Practitioner	$152.3K	$0
Khushboo Munot	NH	Gastroenterology Physician	$118.6K	$0
Jennifer Lewis	NH	Gastroenterology Physician	$107.1K	$0
Sukeerti Kesar	NH	Gastroenterology Physician	$92.8K	$0