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.

Speare Memorial Hospital (NPI 1326587635)

Speare Memorial Hospital is a rural health clinic/center provider located in Plymouth, New Hampshire. This profile covers 0 Medicare and 43 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	Speare Memorial Hospital
Address	71 Highland St
City	Plymouth
State	NH
ZIP	03264
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	February 20, 2017

Payer Source	Total Paid
Medicaid	$6.4M
Medicare	$0

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

43 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	8,420	$260	$2.2M
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…	10,430	$170	$1.8M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	2,740	$230	$641.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,540	$240	$606.3K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	2,690	$170	$456.4K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,300	$230	$300.5K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	1,210	$80	$100.1K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	6,070	$10	$84.9K
92551	The provider delivers a limited series of tones or sounds to a patient to determine if the patient’s hearing is in an acceptable range to detect hearing problems.	1,600	$50	$81.8K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	2,870	$20	$66K

Showing 1–10 of 43

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

Speare Memorial Hospital — 2 of 25 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

43 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…	53	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…	41	400	350	$30	$140.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	64	70	140	$90	$100.8K
90832	In 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…	88	100	610	$30	$93.8K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	4	60	580	$70	$61.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	6	60	400	$70	$56.1K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	4	50	370	$60	$47.4K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	4	50	170	$70	$28K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	16	70	150	$30	$16K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	6	10	140	$30	$13.3K

Showing 1–10 of 43

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Speare Memorial Hospital	NH	Critical Access Hospital	$0	$9.2M
Speare Memorial Hospital	NH	Rural Health Clinic/Center	$0	$1.1M
Speare Memorial Hospital	NH	Rural Health Clinic/Center	$0	$817.5K
Paul Musco	NH	Ophthalmology Physician	$337K	$0
Jason Desmarais	NH	Orthopaedic Surgery Physician	$267.4K	$0
Lance Klingler	NH	Orthopaedic Hand Surgery Physician	$211.1K	$0
Jamie Kim	NH	Clinical Cardiac Electrophysiology Physician	$210.6K	$0
Omar Hyder	RI	Interventional Cardiology Physician	$130.2K	$73.8K
Sean Burns	NH	Orthopaedic Surgery Physician	$199.7K	$0
Vercin Ephrem	NH	Internal Medicine Physician	$192.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mount Prospect Academy, Inc.	NH	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$76.6M
Mid-state Health Center	NH	Federally Qualified Health Center (FQHC)	$0	$5.5M
Speare Health Ventures, Inc.	NH	Urgent Care Clinic/Center	$0	$388.4K
Pemi Baker Regional School District	NH	Local Education Agency (LEA)	$0	$318K
Plymouth School District	NH	Local Education Agency (LEA)	$0	$312.5K
Pemi-baker Hospice & Home Health	NH	Home Health Agency	$0	$298.5K
Growing Roots LLC	NH	Clinical Psychologist	$0	$244.3K
Cvs Manchester Nh, LLC	NH	Pharmacy	$185.7K	$0
John Eppolito	NH	Emergency Medicine Physician	$70.1K	$93K
Town Of Plymouth	NH	Land Ambulance	$95.4K	$20K

Speare Memorial Hospital — Billing Profile & Reimbursement Data

Sign up for Speare Memorial Hospital — Billing Profile & Reimbursement Data policy alerts

Speare Memorial Hospital — Billing Profile & Reimbursement Data

Sign up for Speare Memorial Hospital — 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