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.

Huggins Hospital (NPI 1366476079)

Huggins Hospital is a critical access hospital provider located in Wolfeboro, New Hampshire. This profile covers 0 Medicare and 105 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	Huggins Hospital
Address	240 South Main Street
City	Wolfeboro
State	NH
ZIP	03894
Taxonomy	Critical Access Hospital
NPI Enumerated	July 10, 2006

Payer Source	Total Paid
Medicaid	$5.4M
Medicare	$0

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

105 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	6,400	$200	$1.3M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	3,300	$240	$805K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	1,750	$230	$405.5K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	5,270	$70	$379.3K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	280	$1,210	$340.1K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	2,140	$100	$202.8K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	3,270	$60	$192.7K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	3,490	$50	$167.7K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	1,490	$100	$153.5K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	300	$440	$134.2K

Showing 1–10 of 105

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

Huggins Hospital — 1 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

105 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	25	60	1,820	$150	$756.5K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	42	80	2,220	$120	$745.6K
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.	23	70	2,540	$110	$733.8K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	35	50	1,150	$230	$480.4K
G0378	Hospital observation service, per hour	22	20	1,390	$190	$406.3K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	5	10	450	$120	$403.9K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	37	50	1,250	$90	$224K
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…	45	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.	32	50	2,010	$80	$209.6K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	33	50	1,240	$40	$195.1K

Showing 1–10 of 105

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Huggins Hospital	NH	Pediatrics Physician	$0	$550.5K
Huggins Hospital	NH	Family Medicine Physician	$0	$160.2K
Joshua Mendelson	FL	Clinical Neurophysiology Physician	$121.2K	$0
Huggins Hospital	NH	Family Medicine Physician	$0	$117.4K
Huggins Hospital	NH	Family Medicine Physician	$0	$105.5K
Vlasta Zdrnja	NH	Internal Medicine Physician	$92.3K	$0
Adam Ferguson	CT	Orthopaedic Surgery Physician	$82.8K	$0
Huggins Hospital	NH	Family Medicine Physician	$0	$67.3K
Vahid Behravan	FL	Neurology Physician	$57.7K	$0
Dennis Badman	NH	Family Medicine Physician	$49K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kent Handfield	NH	Dermatology Physician	$431.2K	$0
New Hampshire Emergency Physician Associates PC	NH	Emergency Medicine Physician	$0	$191.5K
Play And Prosper Therapy, PLLC	NH	Occupational Therapist	$0	$156.3K
Stephen Kirwan	NH	Optometrist	$106.3K	$0
Vitaliano Sicilia	NH	Internal Medicine Physician	$103.1K	$0
Jeanne Ernst	NH	Adult Health Nurse Practitioner	$95.1K	$0
Ahmed Hussin	NH	Internal Medicine Physician	$94.7K	$0
Robert Murray	NH	Psychiatry Physician	$53.6K	$0
Paul Demasi	NH	Internal Medicine Physician	$53.2K	$0
Emelia Cronshaw	NH	Physician Assistant	$36.3K	$0

Huggins Hospital — Billing Profile & Reimbursement Data

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Huggins Hospital — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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