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.

Living Innovations Support Services, LLC (NPI 1326378969)

Field	Value
Entity Type	Organization
Organization	Living Innovations Support Services, LLC
Address	273 Locust St Unit 2c
City	Dover
State	NH
ZIP	03820
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 4, 2010

Payer Source	Total Paid
Medicaid	$11.2M
Medicare	$0

Key Findings

This provider is effectively a single-payer operation: there is no Medicare billing on file (Medicare revenue: none) and all reported reimbursement is through Medicaid (Total Medicaid revenue: $11.2M). That concentration means any changes in state Medicaid policy or rates would directly affect the provider's entire revenue base.

Revenue concentration is extreme: the precomputed top-3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, and a single code, H2021, represents 100.0% of reported Medicaid revenue. Analysts should view the business as highly dependent on one service line rather than a diversified billing mix.

The top Medicaid code is H2021 — Community-based wrap-around services, per 15 minutes — which accounts for 45.1K claims at an average paid per claim of $249, producing $11.2M in revenue. This unit-of-service (per 15 minutes) billing pattern combined with a high claim count suggests an operational model built around frequent, short-duration, community-based behavioral health encounters.

Taxonomy and code mix align: the provider is registered as a Community/Behavioral Health Agency and bills exclusively under H2021, indicating core operations are focused on community-based wrap-around behavioral health services rather than clinic- or procedure-based care. This profile is consistent with intensive, time-unit service delivery models used in community behavioral health and care coordination.

Competitive standing within the state is unique but limited: H2021 billing ranks #1 of 1 providers in-state (0th percentile; no state peer volume comparison available), meaning this provider is the only reported in-state biller for that code in the dataset. That makes it the sole observable in-state source of H2021 activity in the file, but it also means peer benchmarking is not possible from these data alone.

Analysts should note the dataset limitations for statistical benchmarking: the provider's rank of #1 of 1 and the explicit note that there is "no state peer volume comparison available" prevent reliable comparisons of utilization intensity or unit price versus peers. Any interpretation of utilization patterns should therefore be made cautiously and supplemented with external state-level Medicaid program data when possible.

The provider has an established enrollment history: the NPI was enumerated on 2010-01-04 (~16 years ago), indicating a long tenure in the Medicaid billing environment. That length of registration suggests operational continuity and potential institutional relationships with state Medicaid programs or managed care plans.

Given the combination of single-code revenue concentration and exclusive Medicaid exposure, key analyst questions should focus on state Medicaid reimbursement trends for H2021, authorization and utilization controls tied to per-15-minute billing, and the operational capacity required to deliver 45.1K billed units. Changes to H2021 policy, unit valuation, or prior authorization rules would disproportionately affect this provider's $11.2M revenue base.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2021	Community-based wrap-around services, per 15 minutes	45,050	$250	$11.2M

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

Living Innovations Support Services, LLC — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2021	Community-based wrap-around services, per 15 minutes	1	10	45,050	$250	$11.2M

Nearby Providers

Other providers in the same ZIP code as Living Innovations Support Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Behavioral Health And Developmental Services Of Strafford County, Inc	NH	Case Management Agency	$0	$169.8M
Living Innovations Support Services, LLC	NH	Developmentally Disabled Services Day Training Agency	$0	$147.3M
Living Innovations Support Services, LLC	NH	Developmentally Disabled Services Day Training Agency	$0	$129.3M
Wentworth Douglass Hospital	NH	General Acute Care Hospital	$0	$30.6M
Work Opportunities Unlimited Contracts, Inc.	NH	Developmentally Disabled Services Day Training Agency	$0	$17.9M
Work Opportunities Unlimited Contracts, Inc.	NH	Developmentally Disabled Services Day Training Agency	$0	$8.4M
Behavioral Health And Developmental Services Of Strafford County, Inc	NH	Early Intervention Provider Agency	$0	$5M
Seacoast Emergency Physicians, PC	NH	Emergency Medical Services (Emergency Medicine) Physician	$0	$4.5M
Southeastern New Hampshire Alcohol And Drug Abuse Services	NH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$3.7M
Reach For The Top Therapy Services	NH	Occupational Therapist	$0	$2.7M

Living Innovations Support Services, LLC — Billing Profile & Reimbursement Data

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Living Innovations Support Services, LLC — 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

Nearby Providers

Frequently Asked Questions

References