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.

Core Physicians, LLC (NPI 1336330588)

Field	Value
Entity Type	Organization
Organization	Core Physicians, LLC
Address	4 Alumni Dr
City	Exeter
State	NH
ZIP	03833
Taxonomy	Family Medicine Physician
NPI Enumerated	August 5, 2007

Payer Source	Total Paid
Medicaid	$5.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

88 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…	28,050	$50	$1.5M
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…	28,580	$40	$1.1M
D0120	Periodic oral evaluation - established patient	15,950	$30	$478.4K
D2392	Post 2 surface resin‑based composite	3,830	$110	$417.4K
D1120	Prophylaxis–child	10,700	$40	$385.3K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	16,960	$20	$305.3K
D9230	N/A	6,360	$40	$248.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	4,920	$50	$246.2K
D0272	N/A	8,630	$30	$224.4K
D1351	Sealant - per tooth	5,400	$30	$156.7K

Showing 1–10 of 88

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

Core Physicians, LLC — 6 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

88 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	51	70	2,540	$110	$733.8K
D2930	N/A	10	10	590	$210	$535.2K
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…	18	420	480	$50	$223.9K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	33	50	2,010	$80	$209.6K
D2392	Post 2 surface resin‑based composite	5	60	330	$110	$167.9K
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…	17	400	350	$30	$140.6K
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	9	10	300	$80	$137.9K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	13	40	740	$60	$128.1K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	34	40	280	$80	$107.4K
D2391	Resin‑based composite – one surface, posterior	9	50	150	$100	$103.9K

Showing 1–10 of 88

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Steven Graff	RI	Orthopaedic Hand Surgery Physician	$67.7K	$798.6K
Ayobami Ojutalayo	MA	Family Medicine Physician	$521.7K	$1.6K
Eric Walsh	RI	Orthopaedic Hand Surgery Physician	$67.9K	$336.2K
Elisabeth Matson	NH	Rheumatology Physician	$387.1K	$0
E. William Johnson	NH	Urology Physician	$364.3K	$0
Simon Greenbaum	NY	Orthopaedic Surgery Physician	$348.5K	$0
Cullen Jumper	NH	Urology Physician	$272.1K	$0
James Dolan	NH	Podiatrist	$251.8K	$0
Thomas Mcgovern	NH	Orthopaedic Surgery Physician	$236K	$0
Yamil Kouri	FL	Hematology & Oncology Physician	$232.2K	$0

Nearby Providers

Other providers in the same ZIP code as Core Physicians, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Exeter Hospital Inc	NH	General Acute Care Hospital	$0	$12.5M
County Of Rockingham	NH	Nursing Facility/Intermediate Care Facility	$0	$2.6M
Seacoast Pathology Inc	NH	Clinical Medical Laboratory	$1.4M	$994.8K
Emergency Medicine Physicians Of Rockingham County, LLC	NH	Emergency Medicine Physician	$0	$1.4M
Seacoast Youth Services	NH	Adolescent and Children Mental Health Clinic/Center	$0	$1.2M
The Exeter Cooperative School District	NH	Local Education Agency (LEA)	$0	$894.9K
Exeter School District	NH	Local Education Agency (LEA)	$0	$750.7K
Kenneth Brown	NH	Psychiatry Physician	$477.7K	$0
Heidi Mullen	NH	Dermatology Physician	$464.1K	$0
Rockingham Visiting Nurse Association And Hospice	NH	Home Health Agency	$0	$428.4K

Core Physicians, LLC — Billing Profile & Reimbursement Data

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Core Physicians, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References