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.

Phoenix Houses Of Ne (NPI 1356441141)

Field	Value
Entity Type	Organization
Organization	Phoenix Houses Of Ne
Address	1 Pierce Rd
City	Dublin
State	NH
ZIP	03444
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	September 22, 2006

Payer Source	Total Paid
Medicaid	$14.2M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operation: there is no Medicare billing on file and the provider reports Total Medicaid revenue: $14.2M, indicating near‑exclusive reliance on Medicaid as the revenue source. Given this reliance, shifts in Medicaid policy or managed‑care contracting would materially affect the provider’s top-line.

The provider has an established tenure with NPI enumerated 2006-09-22 (~20 years ago), indicating long-standing participation in state Medicaid networks and potential institutional experience delivering behavioral health services. This longevity supports the credibility of the observed claim patterns rather than them being an artifact of recent entry.

Revenue is highly concentrated: the precomputed top-3 Medicaid codes by revenue account for 99.9% of this provider’s total Medicaid revenue, and a single code, H0018, drives the overwhelming share with $14.1M revenue (99.5% of this provider's total Medicaid revenue). Such concentration means payer negotiations or utilization changes for H0018 would disproportionately affect the provider’s fiscal performance.

The code mix and top revenue driver indicate a core operational emphasis on short-term residential substance use treatment: H0018 (Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem) accounts for $14.1M and 72.5K claims, signaling a per‑diem, stay‑based service model rather than an outpatient, timed‑session model. Supporting outpatient and assessment codes (for example, H0001 Alcohol and/or drug assessment at $39K and H0005 group counseling at $5.2K) are present but contribute only marginally to revenue, underscoring a residential-first service line.

Competitive standing in-state is strong for the provider’s primary service: H0018 ranks #1 of 14 providers in-state (100th percentile; notably above typical state volume), which characterizes the provider as a leading short‑term residential capacity in New Hampshire. That position suggests payers looking to secure or expand residential treatment capacity should consider this provider a major statewide participant for that specific service.

Several secondary codes are present at trivial revenue levels and display routine state-level standing: H0001 ($39K) ranks #20 of 41 providers in-state (53th percentile) and is described as typical, unremarkable volume; H0005 ($5.2K) ranks #18 of 30 (41th percentile) and is likewise typical, unremarkable volume. These figures indicate limited ancillary outpatient/assessment service revenue relative to the residential business.

A couple of code‑level notes merit attention for analysts: 906 ($16.5K) is reported as #1 of 1 providers in-state but with a 0th percentile and no state peer volume comparison available, which limits benchmarking interpretations for that code. Conversely, psychotherapy code 90834 appears at very low volume ($1.1K; ranks #125 of 133 providers, 5th percentile) and is labeled typical, unremarkable volume, reinforcing that billed clinical psychotherapy is not a material revenue stream.

For payer strategy and utilization oversight, the per‑diem nature of H0018 implies that utilization management, length‑of‑stay controls, and per‑diem rate negotiation are the primary levers to influence costs and capacity tied to this provider. Given the $14.2M Medicaid dependency and the H0018 concentration, contract terms and care‑management protocols should prioritize residential stay metrics rather than session‑based controls.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	72,460	$200	$14.1M
H0001	Alcohol and/or drug assessment	260	$150	$39K
906	Hand Procedures for Injuries	150	$110	$16.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	120	$80	$9.8K
H0005	Alcohol and/or drug services; group counseling by a clinician	260	$20	$5.2K
90834	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…	20	$60	$1.1K

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

Phoenix Houses Of Ne — 1 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	1	10	9,810	$190	$4M
90834	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…	125	130	520	$50	$338.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	38	70	140	$90	$100.8K
H0005	Alcohol and/or drug services; group counseling by a clinician	18	30	340	$20	$72.6K
H0001	Alcohol and/or drug assessment	20	40	180	$130	$71.5K
906	Hand Procedures for Injuries	1	10	150	$110	$16.5K

Nearby Providers

Other providers in the same ZIP code as Phoenix Houses Of Ne, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Hampshire Detox And Rehab	NH	Substance Abuse Rehabilitation Facility	$0	$7.8M
Children's Dentistry Of Dublin PLLC	NH	Pediatric Dentistry	$0	$408.2K
Montshire Dublin PC	NH	Pediatric Dentistry	$0	$109.9K

Phoenix Houses Of Ne — Billing Profile & Reimbursement Data

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Phoenix Houses Of Ne — 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